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Home My WebLink About2011-01379 - mechanical CITY OF ORONO PERMIT NO.: 2011-01379 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE ISSUEn: 1UO2/2011 (952) 249-4600 FAX: (952) 249-4616 ADDR�SS : 725 FERNDALE RD N PIN : 36-118-23-12-0002 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,1]2.00 NOTE: 2 BRYANT&RE"I,NOR NAT GAS FUNACES 1 BRYANT 2 TON AC I BATH EXHAUST GAS L1NE FOR FURNACG&GARAGG IiEATER APPLICANT MECHANICAL 88.90 GEOTHERMAL CONCEPT STATE SURCHARGE MECH (VALUATION) 3.56 14938 HIDDEN RIVER DR SOUTH HAVEN,MN 55382- TOTAL 92.46 (612)481-4020 OWNER SOWADA, MICHEAL&MARGARET 725 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT Che work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission Yor additional or related work which requires separate perniits. All provisions of laws and ordinances governing this type of�vork 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 date of issuance,or if construction is suspended for a period of l80 da�s at any time atter work has commenced. Che applicant s responsible for� suring all required inspections are requested in c formance with e State Building Code.'�his permit may be revoked at an}ti for due ca�z e. � � � � - ---�-, i Applicant r i ee Si atu Date Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB . • FOR CITY USE ONLY � City of Orono �� P•O.Box 66 Date Received: � Permit# � „ a�q ,�,� 2750 Kelley Parkway �a ��?��P. Crystal Bay,MN 55323 Approved By: Amount$: 1 ' � � ��'��$o Phone(952)249-4600 F x(952)249-4616 _ � � � � �� 4 ,, ..�-�..�,,, CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector andlor Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pemut cards will be sent by return mail 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 calcularions, details and specifications are required for each heating, venrilarion, humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification 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 Heating Test Record must be submitted before final. TYPE OF PERMIT � (Check All That Apply) / �] Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace Job Site /Owner Inforn�ation: Site Address: �� n�� 1� �� 1� • .. � ( Owner: �1,�=��C�,Z Mailing Address: t C.�S �"�/2(11C� J� �� ' `S c�ty: �i� rtv _ z�p: 3 � ( C��'�kf�c,�C�u tJ:��kc��•�ti�;;, Home Phone: C,�I Z. .(�- � �;� 2-Z�� Alternate Phone: �;1 Z - C� � � � �Z Z 5 Z Contractor Information: ; J r Contractar: �-'-�.��4��-. " ,�,`t I� ' "� ,._ Contact Person: �'� r��:.�(�"�'-� � :�-r,�� '>�� r , � � - 1S Z lUOS� Address: 1'-(`1�;�`�, �� i�� ' State Bond#: �� • -� -, . - City: - .Ut;i�t Zip:'�� i Expiration Date: �� .��, , Phone: �(�.�"%: � `�'L' �� Alternate Phone: j `��j � . 2�f, ��/(�� Insurance- Cunent: `�C.�'Uf 6"+ � �� 1 TEIVIS BE� �� y , � .�� .,.� ,� � .�a.. � _,.. � �. ._ � , _. . �._ �:;:;� .. �.� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. � IS THIS GEOTHERMAL? ❑ Yes �'No � HEATING SYSTEMS � Quantity: L Make: L-V1�" � ��YIQ�" Model: _3`�l;/eIA��{��/� i.�(n✓-�P(�C_: Fuel: !L,�;'� � , �'d �- �� Flue Size: 2�� 1�� 'l7� Input BTUs: y�% �C1 g�-�t5 ��, � l� '�T(,K. Output BTUs: �7,(,�OG �}1�� SJO�� B��S CFM: ��' �`�.+�. I�,��C' C,�=►Z�� COOLING SYSTEMS Quantity: � Make: (j� '�n f Model: l L�;��-��('.l Z`-� Tons: �- H. Power FIREPLACES — --_... ❑ Gas Factory�"irepla��'------._______ Brand Name: _ - ❑ Wood Burning Fireplace- - ❑ Wood Stove Model No.: , ❑ = �Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen E�aust duct recirculating cfin []� No. _� Bath E�chaust(must have duct outside) �p cfm ❑ No. Other Fans: Locations cfm FLJEL STORAG��(Must be approved by Fire Marshall if proposing to abandon tank in place.) �'�. ❑ Installation�`'--�� Removal Fuel Oil: _ �gallons ❑ Underground ❑ Inside ❑ Outside LP Gas:j� gallons Other,/ GAS LINE ONLY �- " ❑ Outdoor Grill Other/List What&Where: �Vv✓'l1�-� `3 �� j/- 2 � PERMIT FEE CALCLTLATION(S) • � �BASED OFF -2002 STATE STATUE � � ❑ Yes, this section applies The replacement of a Residential fixture or ap liance that meets all tl�ree of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ i PERIVIIT FEE CALCULATION(S)—JOBS OVER $500.00' �,� � �� : If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) i �` � Z- •`J`J x.0125 $ ��• 1� (contract price) (minimum$50.00) 2. STATE SURCHARGE �-7 t ,( (� �v 0 x.0005 $ � � S � `(contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $____�`�' � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernvtted 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 estimated 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. „p� � e� � � x�� £�� ;� TCAT1orr.�� ,�F� � The undersigned 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. � 1 I 4 / Applicant's Signature: Date: !(.� 2 3 �� ✓ D�� A� TIME CITY OF ORONO CALLED IN � � INSPECTIO ICE SCHEDULED ��— PERMIT NO � � � COMPLETED � ADDRESS � ZS f—P�'��10��-2 /�' OWNER TELEPHONE NO.�/�`o� �� `f'��17 CONTRACTOR D >; DESCRIPTION � � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � � d /� �!�`SNORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on site: Inspector. . /�' �� White Copyllnspector's File Canary CopylSite Notice