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Home My WebLink About2009-00201 - mechanical . CITY OF ORONO PERMIT NO.: 2009-00201 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: OS/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1700 FOX ST PIN : 03-117-23-41-0003 LEGAL DESC : UNPLATTED 03 117 23 : LOT 000 BLOCK 000 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOL[NG SYSTEMS VALUATION : $ 8,000.00 NOTE: 1 BRYANT 2 TON AC APPLICANT MECHANICAL 100.00 PAUL STAFFORD ELECTRIC, HEATING&C STATE SURCHARGE MECH(VALUATION) 4.00 6225 CAMBRIDGE ST ST. LOUIS PARK, MN 55416 MAIL-IN FEE 2.00 952-927-7194 TOTAL ]06.00 OWNER MACMILLAN, DONALD 4218 FREMONT AVE S MINNEAPOLIS, MN 55409- AGREEMENT AND SWORN STATEMENT The work for which this permit is fssued shall be performed according to the approved plans and specitications,applicable City approvals,and the 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion 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 cadse. `'%'l�l.� � l l l l Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED A VE. J FOR CITY USE ONLY �0� City of Orono P.O.Box 66 Date Received:��Permit# �Q �� "�� 2750 Kelley Parkway � �°� �� k' Crystal Bay,MN»323 Approved By: Amount$: �N��o,�yc� (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commarcial pennits must be approved by the Buildine Ofticinl or Inspector 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. Permit 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 SITF,. 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. V✓hen 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) ❑ New ❑ Additional � Repairs (�Replace Job Site/Owner Information: SiteAddress: I��i) �Ok �`��,� .�' Owner: �C,� (�'1�(��,� Mailing Address: CitY: (;� �0�.v 7,i�: �.S`'��lJ Home Phone: Alternate Phone: Contractor Information: Contractor: ��lfi1� S�q'{�f�� Contact Person: �G�/� Address: 6�S Cc,(h�f�� State Bond #: �Gip/)(.�_ City: � Zip:�/�� Expiration Date: Phone: �5,�� —� - �/y� Alternate Phone: ❑ Insurance—Current: 1 . MECHANICAL SYSTEMS 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: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: � Model: ��Setf - � . aL - ' (dn Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue �'E;`JT[LA:If3!�' ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAG E (Must be approve�!by Fire Marshal!if proposing to abandon tnnk in pince.) � [nstallation � Removal Fuel Oil: gallons ❑ Underground a 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 a�pliance 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) $ 2.00 Total Permit Fee $ ---------._______ _-----� — PERMIT FE�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) ��(j•(�(/ x .0125 $ _f �U.G� (contract price) (minimum$50 00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.SO) 8,PUU U� X.000s $ �-� P�/ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' � U - �� • * 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 oi the jao cust, the City may request thz suomissior 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 Signature: _ Date:�`�� __ �' Reset Form 3 �� - � ✓ ,.._C1p,TE TIME CITY OF O CALLED IN v INSPECTI N N�ICE CHEDULED �—� PERMIT N . ��—C�Z��pMPLETED 3� � ADDRESS � � OWNER CONTR. ` � TELEPHONE NO. `��_�,� '"� �a `t' � DESCRIPTION �aL � d (.'� • � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ^. ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 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. �95Z� Z49-46�� OwnerlContractor on site: ` Inspector. ,� � White Copyllnspector's File Canary CopylSite Notice / �� DA TIME V CITY OF ORONO iN INSPECTION NOTICE SCHEDULED � PERMITN0.�4�'J�Oa2U/ COMPLETED ADDRESS OWNER CONTR. TELEPHONE N0. � !/'1�✓ — �l aj '�Jaj�� S�v / � DESCRIPTION f��'�'�-E� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING �-IAEE{-IANICAL FINAL ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEP IC FINAL ❑ HARD COVER REMOVAL J ❑ PLU ❑ FOUNDATION/REMOVAL � O N ERI ACTOR TO EET YO _YES_NO � COMMENTS: � W a O ��✓;� 1 U�� "C..'�f �"1�CJ/�S .S/�J �. �� _� � 0 � W � Q � Z W � W � � d ��///�� W� �ORKSATISFACTORY:PROCEED 7 ROJECTCOMPLEfE W RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALI 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 forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. White Copy/inspector's File Canary CopylSite Notice