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Home My WebLink About2011-01020 - mechanical �� ' � CITY OF ORONO PERMIT NO.: 2011-01020 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuED: 09/07/2011 (952) 249-4600 FAX: (952) 249-4616 AD6RESS : 1655 FOX ST PIN : 02-117-23-33-0014 LEGAL DESC : HANSER ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 25,940.00 NOTE: 5 LENNOX NAT GAS FURNACES 5 LENNOX AC 2 SANTA FE DGHUMIDIGRS APPLICANT MECHANICAL 324.25 SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUAT[ON) 12.97 6219 CAMBRIDGE ST ST.LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 (952)926-4488 M[SC FEE 0.00 TOTAL 339.22 OWNER M[GLIORI, RICHARD&JOAN 1655 FOX ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned according to the approved plans and specificat�ons,applicable City 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 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 suspcnded 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 causp. _�'�'t-��, �- / / / / Applicant Permitee Signature Date Issued y Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � f , � FOR CTTY liSE ONLY �0� City of Orono P.O.Box 66 Date Received: Pemtit# � O� �� 27j0 Kelley Parkway ��, $'��'� � Crystal Bay,MN 55323 Approvecf By; ,qmo�$: ��k�� Fi �\\+L_;,;�+�o (952)249-4600 �`V�� CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Bwlding Offiaal or Inspector and/or Pire Marshall) GENERAL INFORMATION 1. You may apply for mechanical perrnits by mail or in person at the City offices. Applications will be reviewed and a pecmit will be issued within two workin�days. 2. Permit cards will be sent by return mail afrer a review is completed. PERMITS ARE NOT VAL[D liNTIL YOL' RECEIVE A PERMIT. WORK MIiST NOT BEGIN UNTIL THE PERMIT CARD IS POSTF,D ON THE JOB SITE 3. Mechanical Desians—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. A(I 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 �Residential �Commercial(Approval Required) ❑ New ❑Additiona( ❑Repairs �Zeplace Job Site/Owner Information: Site Address: ��oS� �7� �T� Owner: �'I,�'L 1 DrLT Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �i(.�-+� ��2��ict�� Contact Person: �,q l�'-�. ��SP,P�/t.•� Address: �a'��1 l:fll'�.�/��G2��J� State Bond #: �� 30��- City: � �S� � Zip:J,1'1� Expiration Date: al`�11 � . Phone: ��- 1�"Z�� Alternate Phone: ��'` ��,�`� � Insurance-Current: �S� _ 1 r r ` . � �. � , , . , , , . ...� y;.� n.+,::i:u.vi: +��'��,��- Note: Alt Geothermal Systems will now req ire a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: S !vlake: �E�/lJr,y� Modei: �L. `�l 3 Fuel: �(�. Flue Size: �JG 2—�/'S Y`�'�� Input BTUs: 3—'?0 (K3�� 2'y 1 (r1'3�-+ Output BTUs: _��(��3� CFM: — COOLING SYSTEMS Q�t��: s z Make: �'ENvv1.� Si�y� � Mode1: ,��L�C 1�t-fvn�.r�l�,,.. 2-"3'�w.� Tons: 3_2--�� — H. Power FIREPI..ACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace a Wood Stove :vlodef No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculatin� cfm ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marsha!!if proposing to abandon tank in place.) ❑ Installation a Removal Fue!Oil: gallons ❑ Underground a lnside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What& Where: � r - • PERMIT FEE CALCULAT�ION(S) ;BASED OFF -2002 STATE �TATUE ❑ 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 $ 1�.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ 22.00 PERMIT FEE CALCULATION S —JO S t�VER$500.00 !f above does not apply; follow guidelines below: I. CONTRACT PRICE * is 1?5%of contract price with a(Minimum Fee of$50.00) �si�7°v � x A 125 $ 3��{,�S (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Cod�Div. Surcharge(Minimum Fee of55.00) �s 4� ` X .000s $5.0o i�c�,� (contract pnce) (minimum�5.00) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �3�'l, 22 • * CONTRACT PRICE 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 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 Ciry 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$�.00. MECHAI�ICAL'PERMIT APPLICATI N AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all stat ents made on this application are complete, true and correct. Applicant's Signature: � � Date: ��'`� Reset Form 3 �- � � � � � � ��. `�ATE�// TIME 'CITY OF ORON - ca,�LED IN � i INSPECTION NOTICE SCHEDULED � �� ..�� l"� <?-��-----!Y-(1� � PERMIT NO.��I � �� TQ�L,�COMPLETED �� 1 ADDRESS I �� - C:'� � t' ; OWNER TELEPHOf�f�'"NCt" C ^� � �� CONTRACTOR � � DESCRIPTION /� ��l��Y'� � � ❑ FOOTING ❑ PLUMBING FINAL�. ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI �� `�� ❑ �qKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL �(�j$ ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP tf—��(�'CQ�] pROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMP�ETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor 'te: Inspector. White Copyllnspector's File Canary CopylSite Notice