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Home My WebLink About2012-00102 - mechanical CITY OF ORONO PERMIT NO.: 2012-00102 � 2750 KELLEY PARKWAY • ORONO, MN 55356- �ATE [ssuEn: 02/08/2012 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 805 FOREST ARMS LA PIN : 07-117-23-12-0009 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 002 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,000.00 NO"I�E: I -HLATING SYS"CLMS, 1 COOLING SYSTEM, 1 GAS FACTORY FIREPLACE,&5 VENTALATION APPLICANT MECHANICAL 87.50 DAMYANS HEAT[NG& COOLING STATE SURCHARGE MECH (VALUATION) 3.50 7900 EXCELSIOR BLVD TOTAL 91.00 #300 HOPKINS, MN 55343- (612)290-6790 OWNER GURALNIK,ALBERT& VALERIE 805 FOREST ARMS LA MOUND, MN 55364- AGREEMENT AIYD SWORN STATEMENT I'hc��ork(or��hich this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with�vhether or not specified herein.This permit will ezpire and become null and void if construction authorized is not commenced within f 80 days of the date of issuance,or if eonstruction is suspended for a period of 180 days at any time after work has commenced. fhe applicant is re nsible for assuring all required inspections are requested in conf mance with the State Building Code.'I'his pennit may be revoked a any ti.�e lor due cause. s� . ��c' i- � � ... 1C) � l ?�>fZ " ,��- l... � ant e i ee ' nature Date �-"�%�-��—� C`�'l'��-r7 / / Issued By Signatur� Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �" * FOR CITY L'SE ONLY 4�� City of Orono P.O.Box 66 Date Received: Permit# A � . ��;� ,y� � 2750 Kelley Parkway � ��'�;�r' a Crystal Bay,MN 5�323 Approved�By: Amount$: � �e �''�'�o'`� Phone(952)249-4600 Fax(952)249-4616 �C�� ti "�EeA CITY OF ORONO -MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or 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 permit 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 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-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) /�e�, ❑Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: ��S �D2�ST �2�"1 S L,�✓��- Owner:l`1 ,t�c��j:d►I� Mailing Address: Sf�d`'`-'�- City: ��tiv !�1) �� Zip: � .�6� Home Phone: J f 2' 3�1� ��S � Alternate Phone: G r 2,3�6�3`�S�' Contractor Information: Contractor: dHM/�NS �-tEA-TiNG-f �'�'`'�1LContactPerson: �,r��'''y'�� Address: �`��x' �X��y��2 �JJ �''� State Bond#: �� ZZ-�� City: ��aP Y'`� � N Zip:SS3y Expiration Date: ��' b L /� Phone: ��Z Z`?�� -L��`�'� Alternate Phone: C�f Z- 2� D ��77cI� � Insurance- Current: 1rl c✓ir��.'1 -��Su��Cr`. 1 ! - . + MECHANICAL SYSTEIVIS BEING INSTALLED � � Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. � � IS THIS GEOTHERMAL? ❑ Yes [�No � � HEATING SYSTEMS Quantity: Make: ��j�y�IV r �Sjc ir��5 Model: FueL• �)��-�S Flue Size: 3�� - � Input BTUs: ��f?G�� B TG�� output BTus: 2c� ovc� /3TGt5 CFM: 2�n`� � �G� COOLING SYSTEMS Quantity: � Make: ��/�'�� Model: Tons: � �� H. Power 3 � FIREPLACES ,�C Gas Factory Fireplace Brand Name: ��/^b� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION -'� No. � Kitchen Exhaust �j I� duct recirculating ��cfin � No. �— Bath Exhaust(must have duct outside) �--� ��cfm � No. � Other Fans: Locations ; �� "�� cfm FUEL 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 Grill ❑ Other/List What&Where: 2 . � ' ' PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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; excluding 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 Perniit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ,. � . PERMIT FEE G"�° �4,� ATION(S}-70BS OV�ER$500.00 If above does not apply; follo��guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 7 � �� x.0125 $ � �e � � (contract price) (minimum$50.00) 2. STATE SURCHARGE � x.0005 $ ` � � �(contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 G ` �j 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (, � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perniitted 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 pernut 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. ,_ � _.�., ;. NIECHANICAL PERMIT APPLICATI4N AGREEMENT I The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordi ances of the City and the regulations of the State of Minnesota, and certifies that all state nts made on this application are complete, true and correct. (; Applicant's Signatur : Date: �- � � �Z— 3 � �,_aT TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED " �%� PERMIT NO.071�107-�D�Or�cOMPLETED ADDRESS ��S �� OWNER TELEPHONE NO. �ia a�'° � �qn CONTRACTOR 9� `'� � >; DESCRIPTION ��`�'" �� r � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � o � � �� Ir � r� � u � � O � W � Q � Z W � W � � d W� �JpCpRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED 1^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOl1RS. r-; PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR J' CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�0 Owner/Contractor on site: Inspector. ( � � White Copyllnspector's File Canary CopylSite Notice � �D�� TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED Sz3/—/� ��o� PERMIT NO. a��/o? -DD/O� COMPLETED ADDRESS ��S �� '�"� �J OWNER TELEPHONE NO.��Z- Z�O 1o7g0 CONTRACTOR U�2�-�� DESCRIPTION �� -`-"l � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � � R,°.��,� Gs`�S C_.c ,�.� � —�--��r' 0 �. � 0 � w a Q � z w � W � � d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CO RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V B PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next insp tion 24 hours in advance. (952� 249-4600 OwnerlContract o Inspecto White Copyllnspector's File Canary Copy/Site Notice � DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �- '�Z. � PERMIT NO. a��'�-6 o�U Z' connP�ETE� ADDRESS C��S °��y� C2�� OWNER TELEPHONE NO. �P�Z �'�� 79D CONTRACTOR � �'°� � DESCRIPTION /f'f�G� ��n� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 ❑ COMPt1iINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W. � � � � Q � Z W � ^ W '�� d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED ❑ �SSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. �i / � f � White Copylinspector's File Canary CopylSite Notice S�7 D(A�TE TIME V CITY OF ORONO CALLED IN � ^ 7 INSPECTION OTICE/ SCHEDULED 1�2��- �� PERMIT NO. �D�a`�l'd�D�' COMPLETED ADDRESS ��S ��-� �- OWNER TELEPHONE NO. �� Z Z�� O79C� CONTRACTOR � ��G �: DESCRIPTION �� r�� lt! ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti Q ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J � i�°l �•t v d�.e-� �-�-C'S -f' � � 0 � w � Q � z w � W � � GW ❑WORKSATISFACTORY:PROCEED �JECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ,� << l� White Copyllnspector's File Canary CopylSite Notice