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Home My WebLink About2010-00388 - mechanical CITY OF ORONO PERMIT NO.: 2010-00388 . 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE �ssuEn: OS/26/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2905 FOX ST PIN : 04-117-23-34-0007 LEGAL DESC : AUDITOR'S SUBD.NO. 230 : LOT 035 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,000.00 NOTG: 1 NA'I'. GAS HEATING SYSTEM 1 GAS LINE"I'O POOL HEATER APPLICANT MECHANICAL 50.00 METRO GAS INSTALLERS STATE SURCHARGE MECH (VALUATION) 1.00 685 141ST LANE NW ANDOVER, MN 55304 TOTAL 51.00 (763)754-71 19 OWNER FRANCIS, MICHAEL&BERIT 2905 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT l he work for«hich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permi[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 construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 80 days at any time after work has commenced. The applicant is re pon le Yor assuring all required inspections are requcsted in con rm �e wi the State ilding Code.This permit may be revoked at a me r du 'c us � � � / / Applicant Permitee Signature Date Issued By i nature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER HAN DESCR[BED ABOV . � � � FOR CITY USE ONLY � ' ,��, City of Orono O , O P.O.Box G6 Date Received: Permit# �,�, � 2750 Kelley Parkway � �j��,�� Crystal B�y,MN 55323 Approved By: Amount$: ��?��,r��o`� Phone(952)249-4600 Fax(952)249-4616 ��sxo$ CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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. Perniit 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 DesiQns—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 nlust be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That Apply) � �� ❑ Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �� Owner: �e. /��ti'�� Mailing Address: p� �� City: �✓Ll.'�'I� Zip: �ti (�a- 3l��a 8� Home Phone: J � � Alternate Phone: Contractor Information: Contractor: �/ �'''O ontact Person: r, / /� Address: �Q S � r �� State Bond #: ��Cp�`" ��1J City: �/� Zip:�S,3��Expiration Date: -• Phone: � .3� Alternate Phone: C.��-5�39- �� Insurance— Current: �;�'� /�� 1 � . � MECHANICAL SYSTEMS BETNG INSTALLED �� Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERIVIAL? ❑ Yes �No HEATING SYSTEMS Quantity: ,� Make: .� (�i� Model: � Fuel: Flue Size: Input BTUs: U�(,I.J�J 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 VENTILATION ❑ No. Kitchen Exhaust duct recuculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approned by Fire Marskall if proposing to abandon tank iiz place.) ❑ Installation ❑ Removal Fuel Oil: galions ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ��"' V �0�1 �a �o �) ❑ Outdoor Grill Other/List What&Where: � �' V � � 2 . � 1 PERMIT FEE CALCULATION(S) - �_ BASED OFF - 2002 STATE STATUE�� ❑ Yes, this secrion applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical ar gas service. 2. Has a total cost of$500.00 ar less;excludin�the cost of tbe fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next secrion,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT 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) �� x.0125 $ (contract price) (minimum�50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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, labar 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 puiposes. 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 of the Building Depart�nent at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATI4N 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, h-ue and correct. Applicant's Signature: � � � Date: �p�� ,�� 3 � E TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE G�i SCHEDULED � '!D �� PERMIT NO.o1o/l7 ''DO�OU COMPLETED ADDRESS o?�I�.S l T�T7c � OWNER TELEPHONE NO. b�a �3� ,3�/a CONTRACTOR I�� L�•4-?'��Q,Q�?�td �� ; DESCRIPTION �� }`�� p G� �'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a O � �� O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. 1� White Copyll�spector's File Canary CopylSite Notice