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Home My WebLink About2011-00193 - mechanical CITY OF ORONO PERMIT NO.: 2011-00193 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 04/OU2011 952 249-4600 FAX: 952 249-4616 ADDRESS : I 185 FERNDALE RD W PIN : 02-1 l 7-23-43-0025 LEGAL DESC : REG. LAND SURVEY NO. 0397 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,800.00 NOTE: I301LER KEYLACI;MFNT 90000 BTU APPLICANT MECHANICAL 50.00 VOGT HEATING&AIR COND 3260 GORHAM AVE STATE SURCHARGE MECH (VALUATION) 5.00 ST. LOUIS PARK, MN 55426- MAIL-IN FEE 2.00 (952)929-6767 MISC FEE 0.00 TOTAL 57.00 OWNER WYMAN,JAMES& KATHLYN 1185 FERNDALE RD W WAYZATA, MN 55391- I AGREEMENT ANll SWORN STATEMENT "I�he��ork for�chich this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and die State Building Code. "Chis permit is for only Uie��ork described and does not grant permission for additional or relatcd work which rcquires scparatc permits. All provisions of laws and ordinanccs governing this lype of work shall be compied with whether or not specitied herein.This permil will expire and hecome null and void if construction authorized is not commenced N�ithin 180 days of Uic date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State f3uildin�Code.This pennit may be revoked at any time for due,_Gause. ��(.-E(.c,(, �'t- l l l l Applicant Permitee Signature Date Issued Bv.�gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB . °°/ � � . C� FOR CITY USE ONLY ,�"�0',��`,., City of Orono � ¢ `�' '� P.O.Box 66 Date Received: Permit# 'i�r:,,, �'� 2750 Kelley Parkway a ,�� .�'� Crystal Bay,MN 55323 Approved By: Amount$: � ��,a�� o�j�� Phone(952)249-4600 Fax(952)249-4616 `\t!r�xot�'i CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or[nspector and/or Fire Marshall) GENERAL INFORMATION 1. 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 mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation induding 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 A I ,f�Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site/Owner Information: Site Address: � � �� I (;,r �� ` � , Owner: �, ' � � �� Mailing Address: City: Zip: Home Phone: rC �� -��( Alternate Phone: Contractor Information: Contractor: Vr �fi G ,��"1"��Ui"�;ontactPerson: � Address: �� ril,�� State Bond#: � City: Zip:��Expiration Date: Phone: �/�✓�� Alternate Phone: ❑ Insurance—Current: 1 . �� ,� i�' � i�� :c�� C� � �� 'l � . � . ,. � � � MECHANICAL SYSTEMS BEING IN�TALLED 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: Fuel: Flue Size: Input BTUs: _ Output BTUs: CFM: 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/Masonry VENTILATION ❑ No. 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 if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Oth er: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � � PERMIT FEE CA�LCt��LATION(S) � BASED OFF - 2002 STAT� 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;excludine 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 $ l 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �ERMIT 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$50.00) � (`� � 3� `�`�'� x.O l 25$ �i� � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x .0005 $ � � G�� (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ - 1 c �/L✓ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amoun c e 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 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. ■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. MECHAI�IICAL PBRMIT APALICATION 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 Signature: � �,�.�u W`�-� Date:�� Reset Form 3 �� / // TIME ; / CITY OF ORONO CALLED IN � v INSPECTION NOTIC Gz SCHEDULED / ��— PERMIT NO.��/�� COMPLETED ADDRESS ,�/ �� -�e��f�-�%�� l�- /�-� OWNER TELEPHONE NO. '� � CONTRACTOR D ��-� >; DESCRIPTION ��yuL�`�� 7�� Ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ 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 a o � : �� a � 0 � W � Q � . Z W � W � � GW ❑WORKSATISFACTORY:PROCEED � ROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIOtV REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on ite: Inspector_ � ►U � White Copyllnspector's File Canary CopylSite Notice