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Home My WebLink About2010-00507 - mechanical , CITY OF ORONO PERMIT NO.: 2010-00507 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuEn: 06/2U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 515 FERNDALE RD N PIN : 36-118-23-14-0006 LEGAL DESC : UNPLATTED 36 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIV TYPE : MECHANICAL-MULTIPLE VALUATION : $ 147,850.00 NOTE: GEO THF,RMAL- 17 TON-ECONAR GW570,GV570,GV771 MUNCHKIN BOILER-NATURAL GAS-3'PVC- 140 MBH INPUT, 133 MBH OU"1'YUT MAKE-UP AIR 750 CFM-ELECTRO INDUSTRIES GAS FACTORY FIREPLACE WOOD BURNING FIREPLACG KITCHEN EXHAUS'1'-600 CPM APPLICANT MECHANICAL 1,848.13 ECO AIR INC. STATE SURCHARGE MECH(VALUATION) 73.93 16820 HIGHWAY 10 ELK RNER, MN 55330- MAIL-IN FEE 2.00 (763)413-7831 TOTAL 1,924.06 OWNER GRIFFIN, ROBERT& KIMBERLY 125 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if consVuction is suspended for a period of 180 days a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Stafte„$�tldiii"g Code.This permit may be revoked at�,any time r e cayse�' / ' b ' ' �� l� i� Appl�ica t er itee Signature Date Is y Signature Date SEPARATE PERM[TS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. . � , FO CI USE ONLY ,�0�, City of Orono O pn O P.O.Box 66 Date Receive�� Permit# ��"' SO � �;,t,,,� i 2750 Kelley Parkway n � �j��,.,� �� Crystal Bay,MN 55323 Approved By: Amount S: � � .V� � '��j� i��o` Pl�one(952)249-4600 Fax(9�2)249-4616 ��_�;,�� esa� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return maii after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and identi�ication as to type, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call (952)249-4600. (24-48 hour notice required) 7. House Heatin�Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) 0 Residential ❑ Commercial(Approval Required) i ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Inforrnation: Site Address: �� 5� ��,{��L'� �� '�, Owner: ��F 1 � Mailing Address: city: �'�6+� zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �.C(� ��12 l ��-- Contact Person: t�IT1-�Et�.t.l �;,� Address: `Z�� 1�W (� .�j�-�State Bond #: ��(�?��'vc'�Z ��7 City: �1� Zip:�Expiration Date: � � Z�� Phone: IlG'�•�� (�j ""� ��j ' Alternate Phone: ��' 2�-�ZS�'Z, ❑ Insurance—Current: � � /� ' � � � 1 1 r . MECHAI�TICAL SYSTEIVIS BEING INSTALLED � Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? [�J Yes ❑ No HEATING SYSTEMS Quantity: ��V TU�'�-- V 'Lr�� j�%"�-G Make: /' ;.-(`� � �,Ui�� . Model: � �- l`�"�1�� LJ��'S�� J l�V ( l � Fuel: �n I A��(� � � ��,.,�,- �� Flue Size`�p( Input BTUs: � E Output BTUs: CFM: �.lQ R�� C��N� ��L� ��VwS�f� COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. � Kitchen Exhaust��duct �g • C1 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FLTEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Gnll ❑ Other/List What&Where: 2 r � ' �� PERMIT FEE CALCT7LATTON(S)� � � I BASED OFF - 2002 STATE STATUE ❑ Yes, this sectioi�applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER $�00.00 ' If above does not apply; follow guidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) J�'� ,�54 "= IS��S 1� X.oi2s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) 4�1 �j� X.000s $ '?3�3 (contra tprice) (minimum� .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ � � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersib ed hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � � Applicant's Signature: �� Date: �� 3 Z L (�� AT�E/ TIME CITY OF ORONO CALLED IN ��`Y' �� INSPECTION OTICE SCHEDULED d � PERMIT NO. �Q-�a� COMPLETED ADDRESS -��J� �71�%ul,�� (J,/ili`-� /V OWNER ZELEPHONE NO� 3 � �� CONTRACTOR � >; DESCRIPTION "� �� '�'� � � ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL �MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLU RI ❑ gEP C FINAL ❑ FOUNDATION/REMOVAL � OW ERI OR TO MEET YOI�YES_NO ��, � COMMENTS: � W a � - .. � � ^ �. � � � � � ' l� c� � 1"�� 1 c��_ i � O ' �' � C CC �S -� �,r fl ,S � : "� �7 c!# :�'�T c' } 'f'� � 0 � w � Q � z W � W � � d W �WORK SATISFACTORY:PROCEED f_� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 'J CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnedContractor on si�e: - � Inspector_ L"� °��5 White Copyllnspector's File Canary Copy/Site Notice �� ""—� DAT TIME v CITY OF ORONO CALLED IN �' � INSPECTION NOTICE SCHEDULED —Z-/ � �D %� PERMIT Na�oia-oo5o7COMPLETED ADDRESS 5I S o � Av OWNER TELEPHONE NO. �63 2'3g ��Z% CONTRACTOR /`7 vL� >; DESCRIPTION Y� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � '� � G% �C' -�� `� o � j� � 0 � W � Q � Z W � W � j � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED _� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL tNSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner►Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice 1/� DATE TIME " CITY OF ORONO CALLED IN Z`� � INSPECTION NOTICE /�SCHEDULED S�,�a� �-DO PERMIT NO.aQ If�"'" �O5`� '�OMPLETED ADDRESS S� ��n �Q-- �-Q- � �V, OWNER TELEPHONE .e ��-a3�� CONTRACTOR �CO �-j r' �a7 >; DESCRIPTION /� l�?� � =Y� ��U� 74p 1� �~ ��riac�fi ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTORTOMEETYOU:�YES_NO � COMMENTS: � W a j ,�,° ,�� y , � �"tr S --�_. O a � O � W � Q � Z W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: � � , , Inspector. ✓ � /�,/`--� l_{/_f _` White Copyllnspector's File Canary Copy/Site NoticP