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Home My WebLink About2013-00375 - mechanical � CITY OF ORONO * 2 0 1 3 - 0 0 3 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: OS/17/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 860 FOREST ARMS LA PIIY : 07-117-23-12-0006 LEGAL DESC : FOREST ARMS : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 1,500.00 NOT�: 1 RUUD 2.5 TON AC APPLICANT MECHAMCAL 50.00 SHARP HEATING&AIR COND INC. STATE SURCHARGE MECH (VALUATION) 0.75 7221 LJNIVERSITY AVE NE FRIDLEY, MN 55432 MAIL-IN FEE 2.00 (763)572-0459 TOTAL 52.75 OWNER SORENSEN, MR. & MRS. 860 FOREST ARMS LA MOUND, MN 55364- AGREEMEIYT AND SWORN STATEMENT Che work tbr��hich this permit is issued shall be performed according to the approvcd plans and specifications,applicable City approvals,and thc Sta[e Building Code. "fhis permit is for only the work described and does not grant permission for addi[ional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specitied 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 180 days at any time after 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 due cause. � �� / / / / Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. I� FOR CiTY USE ONLY ;;��: City of Orono Y.O.BoY 66 Date Rec;eived: Permit# �� `' 27j0 Kelle�•Yarkway �� 1��y'x �i Crystul Bay,MN 55323 APProved BY: Panount$: `� ' .,y ��.r Yhone(9�2)249-a600 Fas('952)249-'4616 ��oe;>: CITY OF ORONO- MECHANICAL PERMIT �All Commerciul pennits must be approvcd by the Building Ofticinl or Inspec[or and/or Fire Marshall) GENERAL INFORMATION L 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. Yermit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK 1V1UST NOT BEGIN UNTLL THE PERMIT CAIiD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�s—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 T'est Record must be submitted before final_ TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs Replace Job Site/Owner Information: Site Address: � � � Owner: + � S�/l� g� Mailing Address: � � ��-�� p � CitY: _ �C� 0 Zip: �.3 Home Phone: /� " '�^�! Alternate Phone: Contractor Information: � Contractor: ^ � /J .�, Contact Person: S Q_S�IC ' r Address: II�C ► .Nr, State Bond#: Q� . ,- 3a9 City: � ( C Zip:�.�o�hpiration Date: - - Phone: ,IGU � - J Alternate Phone: ❑ Ins�u-ance- Current: - 1 [- MECI-I�NICAL SYSTEMS BEINU INST.ALLED Note: All Geothemial Systems will now require a Site Plan c� Review by our Building Official. IS THIS GEOTHER111AL? ❑ Yes �No HEA'T1NG SYSTEMS Quantiry: Make: Model: Fuel: Flue Size: InpUt BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: ModeL ,3 � Tons: H. Power FLREPLACES ❑ Cras Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating efm ❑ N�. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Mars/iall iJ'proposing to abandon tank in p[ace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other l List What&Where: � PERMIT FEE CALCULATION(S} � BASED OFF -2002 STATE STAT�,3E ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2 Has a total cost of$SOU.00 or less; excludin�the cost of the fi�cture 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 $ �— PERNIIT FEE CALCULATION(S)-JOBS OV�R$500 00 If above does not apply;foliow guidelines 6elow: i. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) � x.0125 $ •� (conu�act price) (minimum$50.00) 2. STATE SURCHARGE � x .0005 $ � �S �(contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PEIi1VIIT FEE(Add Lines i-3 Above) $ ✓ / • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed cosu. lt 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 reasonabte 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 Ciry may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APFLICATION AGAEEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all work in strict accordance with the ordinances of the City and the reDulations of the State of Minnesota, and certifies at all statements made on this application are complete, true and correct. Applicant's Signature: Date: �� Reset Form 3 � '� AT.2, TIME " CITY E�O CALLED IN — ��! 7 , INSPECTION OTICE �SCHEDULED 7� -� 7�� PERMIT N OMPLETED ADDRESS OWNER ELEP O - �✓��'� CONTRACTO - r��V 2� �: DESCRIPTION � "� � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETUiNDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � 2 W � W � J d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ( ,A,.� White Copyilnspector's File Canary CopylSite Notice