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Home My WebLink About2008-00368 - mechanical " CITY OF ORONO PERMIT 1Y0.: 2008-00368 � 2750 KELLEY PARKWAY � . ORONO, MN 55356- DATE ISSUED: 1U06/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 905 FERNDALE RD W PIN : 02-117-23-44-0010 LEGAL DESC : AUDITOR'S SUBD.NO. 184 : LOT 000 BLOCK 000 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 25,600.00 NOTE: 4 GOODMAN PURNACES-NAT.GAS 5 GOODMAN A/CS APPL[CANT MECHAN[CAL 320.00 CRONSTROMS HEATING & AIR CONDITION STATE SURCHARGE MECH(VALUATION) 12.80 6437 GOODRICH AVENUE MN 55426- MAIL-IN FEE 1.50 (952)920-3800 TOTAL 334.30 OWNER BROOKS,JOHN&JOAN 905 FERNDALE RD W WAYZATA,MN 55391- AGREEMENT AND SWORIV STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and thc 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 goveming this 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[he date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� - , � �v � � Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DES IBED ABOVE. � l,.. !, 4 FOR CITY USE OIYLY' �"� � City of Orono '��`' P.O.Box 66 Date Received: Permit# � �" 2750 Kelley Parkway a �, �• ` Crystal Bay,MN 55323 Approved By: Amount$: �a� ' � �., c�� (952)249-4600 � �'kcsxo"� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial or Inspector and/or�ire Marshall) `(� np�i I��_� 1`V p GENERAL INFORMATION 1. You may apply for mechanical pennits 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 mail after a review is completed. PERM[TS ARE NOT VALID UNT1L 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 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-ii�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 A l ) ,�2esidential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site/Owner Information: �, Site Address: —1(�S � �e-� � � '�-�� Owner: ��/�v� �<��C�.v� �l�C;�S Mailing Address: l(�5 l.� Y�C1(l�Ca-a�- �O� h Clty: ��CW�Z—C�_�'l� Zlp: �� C� � Home Phone:�5;� ��3� � � lUS Alternate Phone: Contractor Informatio��: Contractor: c�onstro�„s one ltour Contact Person: ��.v�.� 6437 Goodricl�Ave 69643713 Address: State Bond #: St Louis Park 55425 �8�18�� City: Zip: Expiration Date: Phone: (95z)920-3800 Alternate Phone: ❑ Insurance—Current: l � � . , . MECHANICAL SYSTEMS QEING INSTALC,ED HEATING SYSTEMS � ��-�- � 4�c�C� �'. `� Quantity: ` � Make: ��MU�� — Model: C�YY1��'�S� lc��-��5��_ Fuel: �� CJ�-S _I�(.3F-�___�� Flue Size: Input BTUs: �S �E'O C7 ��C.� Output BTUs: CFM: COOLING SYSTEMS �j �C—` S Quantity: � � Make: �� ' Mode�: �-sx13��i� C�x i3c�falA Tons: � �`� H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ "wood Burnin�Firepiace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTI LATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel OiL• gallons ❑ Undergroiuid ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 1 - ' i � � �� PERMiT FEE CALCULATION(S) � �� BASED OFF – 2002 STATL STATUE ❑ Yes,this section 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;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 $ .50 Mail-In Fee(If Applicable) $ l.50 Total Permit Fee $ PERMIT FEE CALCULATION S —JOBS OVER $500.00 If above does not apply;follow guide�ines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) �SC1�vC�� x .0125 $ 3c�v �C�`C� (coi�tract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minin,um P'cc of�.50) ��V?�C.i x .0005 $ I c�.�S� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� `�� ■ * CONTRACT PR10E 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 worlc done. lf 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 rec;uest 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 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. Applicant's Signatui•e: Date: �U �� D�S _ Reset Form 3 �� .� ✓ ` i ��DA�E/� TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC SCHEDULED ia n� PERMIT NO. '�9g COMPLETED ADDRESS � �� 'e'r��--� � �) � � OW N ER CONTR. :)'1�I(�2C�� TELEPHONE NO. C�-C l� �� (�t�� 1 ��3��f� � DESCRIPTION �1 �l 14 � �� m�t1'1'=�'� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING FI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO : YES_NO i � COMMENTS:��1�``��. Y� ��YU�i_ . W � � � � O � � O � W � Q � Z W � W � � � GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED �SSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITH�N HOURS. ❑ pHOTO TAKEN 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. �952� 249-46�0 OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice