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Home My WebLink About2009-00916 - mechanical � CITY OF ORONO PERMIT NO.: 2009-00916 • 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 12/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 763 FERNDALE RD N PIN : 36-118-23-11-0026 LEGAL DESC : LYDIARD HILLS : LOT 001 BLOCK 001 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,635.00 NOTE: 1 BRYANT NAT GAS FURNACE APPLICANT MECHANICAL 57.94 STANDARD HEATING&AIR CONDIT[ONING STATE SURCHARGE MECH(VALUATION) 2.32 130 PLYMOUTH AVENUE N. MINNEAPOLIS, MN 55411- MAIL-IN FEE 2.00 612-824-2656 MISC FEE 0.00 TOTAL 62.26 OWNER ESTENSEN,DAVID&JODY 763 FERNDALE RD N WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State E3uilding 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 goveming this type of work shall be compied with whether or not specified hcrein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if cons[ruction is suspended for a period of l80 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for duc cause. � `\,I V�`y"� �, / / / / Applicant Permitee Signature Date Issucd C3y S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO E. FOR CITl i?SE ONLI' - � Cih of Orono �� ''� Y.C).Bos G6 Date Recei�ed: Pcnnit= � ��': 2750 Kelley Yarkway � • ',a � r.. �' Crystal Bay,MN 55323 .�ppro�ed B�: �uount$: . ____ -- --- , ;��"��pe�u/�� (952)249-4600 CITY OF ORONO–MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofiicial or Inspec[or and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical perniits by mail or in person at the City ofYices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID iJN"I'IL YOU RECEIVE A PERMIT. WORK MUST NOT SEGIN UNTIL THE PERMTI'CARD IS POSTED ON THE JOB SITE. 3. Mcchanica]Desi�—Completc calculations,dccails and speciYications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipmcnt ratings and idenlification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is invoived,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 fmal. T'YPE OF PERMIT � (Check All That Applv) �Residential �Commercial(Approval Required) ❑Ne�� ❑Additional ❑Kepaus �Replace Job Site/O��ner Information: Site Address: � �G� Owner:�G�(�j GC ��//��.Q�Mailing Address: -�E�� c��: � rt�� z�p: ��3 .�_ Home Phone: �p�.e� '1��— �� iternate Phone: Contractor Informatioi7: Contrac�r�ndar � � ning Contact Person: 130 Plymouth Avenue North Address: Minnea olis, MN 55411-3445 State Bond#: 61 - - City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance–Current: 1 �� F� 18 2009 CITY pF pRONO � MECHANICAL SYSTEMS BEING INSTALLED �� r- L_� ' Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. , IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: Make: � Model: 3 �� Fuel: ��'pv/�C�S Flue Size: Input BTUs: ��/`�� outpuc sTus: l � B� CFM COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Bunung Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen E�aust duct recuculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FLTEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Undergrouud �Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What nr Where: 2 < ' rERMIT FEE CALCULATION(S} ' BASED OFF -2002 STAT'E STATUE []� Ycs,this section applics The replacement of a Residential fixture or appliance that meets aii three of the foilowing requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludina the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the hoineowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Swcharge $ 50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � � � ��PERMIT FEE CALGU_ LATION(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) Sx .0125 $____� (contract price) (mmimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � 35 Xo�s $ a� 3 � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ i • " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including matenals,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 fiirnished by the owner,tenaut or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee putposes. 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 Departrnent at(952)249-4600 for the pnce. ,�� ?�n�A ;��HAN��I' #�P��ICATIQI�I:AGREEI�'; � ��'�-��,�:��`�r==� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in strict accordance with the ordinances e City and the regulations of the State of Minnesota, and certifies that all statement a o this application are complete, true and correct. Applicant's Signat l�- j� �� Reset Form , 3 � / � � � -i% 1�-,� /�D �l /y�. TIME ✓ CITY OF ORONO � � CALLED IN 6 o-/ INSPECTION NOTICEn .�/�(� SCHEDULED CP � PERMIT NO. '�C`C `! L C //� COMPLETED ADDRESS_ _ ��'' ."�j �— z`_'�'/'�c,l<'��C C' � ,4G� OWNER �NTR. � �f�tl`1 r��,� �-� TELEPHONE NO. �l� - `7��' ` ��1 <"��f �� P � DESCRIPTION ; I � .�l -�� (_!� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � w a � � O a � O � W � Q � Z W � W � j d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITNIN HOURS. �; PHOTOTAKEN INSPECTOR WILL RETURN J CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlContractor on ite: Inspector. � White Copyllnspector's File Canary CopylSite Notice