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Home My WebLink About2011-00272 - mechanical ' ' CITY lJF ORONO PERMIT NO.: 2011-00272 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEU: OS/02/2011 : (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3300 FOX ST PIN ; OS-117-23-44-0003 LECAL DESC : REG. LAND SURVEY NO. 1358 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 10,000.00 NOTF,: FII?.�TING SYSTL;M-RADIANT FLOOR HEAT MnKG-NAVIGM -MODGL NO. Cf I-240-NA"CURAL GAS-3" PLUL'- 240.000 INPUT B"I'U'S ANU 218,400 OUTPUI'B"CU'S � � APPLICANT MECHANICAL 125.00 TEAM MECHANICAL STATE SURCHARGE MECH (VALUATION) 5.00 3508 SNELLING AVENUE MINNEAPOLIS, MN 55406- TOTAL 130.00 (612)729-5646 � Minnesota State License#: 066835 f � OWNER TRUBECK, WILLIAM &JUDITH 3300 FOX ST LONG LAKE, MN 553�6- ACREEMENT AND SWORN STATEMENT The��ork ibr Hhich this pennit is issued shall be performed accordin_to the a��proved plans and specilications,applicable Ciq�approvals,and the State f3uilding Code. "fhis permit is for only�he work dcscribed and does not grant permission for additional or relatcd��ork��hich requires separatc ' pennits. All provisions of la��s and ordinances govcrning this typc of work � shall be compied with whether or not specitied herein.This pennit will expire and become null and void if construction authorized is not � commenced within I 80 days of the date of issuance,or it�construction is � suspended for a period of I 80 day�s at any time after work has commenced. } 'The applicant is responsible for assuring all required inspections are R re i onformance with the State Building Code.This permit may bc ! �voked at y time for due cause. � ��/ � /�l� �� / �_� icant Permi cc Signature Datc ��s By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. D � � FO (.1 'CSF.ONLY i"d`` City of Orono �/ / / � �/I� � � P.O.Box 66 Datc Reccivcd:-'f,�' Pcrmit k �G' "� �� 11�.,. .r,. � 2750 Kelley Parkway �� t�� Xt�'��, � Crystai Bay,MN 55323 Approved By: Amoinu$ !�� i �\� ''��,�6xyl��o'f� (952)249-4600 �� \�t,tggoS!./ � [ ~�___.__... %� CITY OF ORONO—MECHANICAL PERMIT ► �/ � (All Commcrcial permits must be approved by the E3uilding Official or Inspecror and/or Pire 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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 Test Record must be submitted before final. TYPE OF PERMIT (Check All That A ly) � �] Residential � Commercial (Approval Required) ❑ New Q Additional ❑ Repairs ❑ Replace Job Site / Owner Information:� � �� Site Address: -��J /vx ->/�L"ET ' Owner:",r h��l� f� � Mailing Address: ;�'�� y s��" City: l�rc5� /,11/�' /vricr+0 Zip: Home Phone: /.;a�Tr.�r- _��><-��/� Alternate Phone: ��=>;�;�—:�-">7' 7-��_� Contractor Information: ' Contractor: �%c/�tyl ��cGtr��f�c,;��,��, Contact Person: �'i/<�� Gi�r^�'s�•��_ Address: J��>�'`� S�t/rHv AcC State Bond#: G.%''S��7/ , City: /''. � Zip: �;ye� Expiration Date: /l�/��cf� Phone: �=�;��9-5��y1� Alternate Phone: �'��-� .3�'�,t��' � Insurance—Current: �Nerrn.�� G'/Ir�s�q�;- ' 1 1 � � I �, : X�f' /O - / jE�`4 E PYk":,, ? �� n � � � ��E��yl, €� ��1��f�� , ��y� �€E�i� � ,��t� ��- /��..mv��:l s l Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: � Make: :�,� /icr/ Model: '�%>-�'�� Fuel: /v/� Flue Size: Input BTUs: ��'.�r�t3 Output BTUs: :�,�. �aG CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: _ ❑ Wood Burning Fireplace B Wood Stove Model No.: ❑ Wood Stove With Flue VE�iT1LATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath E�aust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approvet!by Fire Marslzall if proposing to abantlon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground � Inside � Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What& Where: 2 / , � � � � PERMI�I I�'EE CALCIJLATION(S)� � � � � � BASED OFF - 2002 STnTE 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;excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner ar 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 $ y , ,�;,�,�� .:,�FE��T` :,::..,. F�ALCULATION S .=,T�}��a.C�`�?�R $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) , �� vv,� x .0125 $ j�� (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) ; �� c;vt'C' x .0005 $ -� �(contract price) (minimum$ .50) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00_ �U 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �-�� ✓ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and o�er 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 of the Building Department at(952)249-4600 for the price. ^ �. ' , � ;: ' MECHANICAL PE '�'".,�P�..,.. �'TION AGREEMENT...,_��ff,. y''�� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict aceordance 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. A licant's Si nature: � Date: ��' � rr � �' � Reset`Form�� ' ��; f; �_, , ,.. 3 �5 � � TIM E � CITY OF ORONO CALLED IN L INSPECTION NOTICE SCHEDULED � � - �'� PERMIT NO. ��/-d/�o��PLETED ADDRESS J�� UK.� OWNER TELEP NE NO ��'1� � �—✓`� Y CONTRACTOR �� DESCRIPTION - �r! �� ❑ FOOTING ❑ PLU G FINAL �,i��v�❑ EXCAV/GR DING/FILLING y ❑ POURED WALL ,��ECHANICAL RI ��+ ❑ LAKESHORENVETLANDS 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 ❑ S TI INAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO _YES_NO � COMMENTS: � W a o --�I Pt t�� r �"2 flc�cv �tJ � �' �. � � ��7 , � � , ,.. . S .t Q O �'� :�ti � � ► c�c ; �. � z W � W � j GW y�JQ(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � � W ❑ CORRECT WORK&PROCEED J ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectio 24 hours in advance. (952� 249-4600 Owner/Contractor on sit : � Inspector. S White Copyllnspector's File Canary CopylSite Notice