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Home My WebLink About2011-01230 - mechanical CITY OF ORONO PERM�T No.: 2oii-oi23o ` ' ~ 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE Iss[1ED: 10/12/2011 952 249-4600 FAX: 952 249-4616 ADDRi:SS : 3350 FOX ST PlN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 78,000.00 NOTE: (5)HF,A"I'ING SYSTEMS (3)COOLING SYTEMS (1)KITCHL;N EXHAUST (6)BATH BXHAUST GASLINE"I�O FIREPLACF,AND DRYGR APPLICANT MECHANICAL 975.00 HEATING& COOLING TWO INC. $TATE SURCHARGE MECH(VALUATION) 39.00 18550 COLJNTY ROAD 81 TOTAL 1,014.00 MAPLE GROVE, MN 55369- (763)428-3677 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT 'Che work for�vhich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State I3uilding Code. This permit is for only the work described and does not grant perniission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time alter work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance with[he State E3uilding Code.This permit may be revoked at any time for due cause. , i jc� �l7 � � l ��i� /� /� � Applicant Vermitee Signature Date Issu y Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. ----__ C�,� �' iob� '�—� ' fF� c��i r us��H.o.L��— � � .g„p�� City of Orono -- , ��Q �� P.Q Box 66 Date P.eceived:� �� G�d��-�� '� 27�0 Kelley Parkway � � Pzi-mit� �-�� , 1��},k'�:- � Gystal Bay,MN 5�323 : �'t��('?1�``��` (952)249-4600 Appraved By: _ Amouot$:�� /� �EBHO� � J CITY OF ORONO —MECHANICAL PERI�IIT (All Commercial pennits mwt be approved by the Building Official or Inspector and/or Fire Marshall) G�NERAL'1NFORMATION _ l. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pennit 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 PERNIIT CARD IS POSTED ON THE,70I3 SITF,. 3. Mechanical Desi nc–Complete calcularions, detaiis and specifications are requued for each heating, ventilation, humidification-dehunudification, and air conditioning install�ation including heat loss/heat gain calculation, design temperahares, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on fornl provided. 4. When any new conshuction or remodeling is involved, a separate buildulg pennit must be obtained. 5. All �;�ork must be done in accordance with the Uniform Mechanical Code/State Building Code requu�ements. 6. All �vork must be inspected (rough-in and final). Call(9S2)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF`PERMIT (�heck Al1 That Apply) �Residential ❑ Commercial(Approval Required) �New �] Additional �Repairs (�Replace �Job Site / Owner I�iforniation: �� 5ite Address: �.3v 6 �p y� ST Owner: /1/'�/✓C f�/6oS Mailing Address: 335�' �,� � � City: �ro i!v _ � v�.�� Zip: — S Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: /f'��,� S�,y�s � @ttl�t�TW01NC. Address: 18550 County Rtl. 81 3G9-9231State Bond �: City: (�63)�428-3671 Zip: Expiration Date: Phone: Alternate Phone: �7�3��6-s5�� L.rJ I�isurance — Current: ------- _�— ---- • • ` � � MI?C>`II�1�'IC:�LI. SYSTEIviS BEli�G INSTALI,F_,D HEATING SYSTEMS Quantity: �. � 'z �L Tu�� -- Make: �� 'i Model: _ � �� O L✓�� Fuel: ��T �_ Flue Size: 3 "�/�G� �-- Input BTUs: �7_ .��l� /�o%Ge.h� � /'�'��"��i Output BTUs: ��v � l� l�cr� � u ' _�. ,_, cF�: �.S.�Tv � —-�� COOLING SYSTEMS Quantity: Make: � U Model: ��D Tons: ��(� H. Power FIREPLACES � ❑ Gas Factory Fireplace � ❑ «'ood Burnin�Fi:cplace ❑ �Vood Stove ❑ Wood Stove With Flue Brand Name: i�lodel No.: VENTILATION � � No. � Kitchen Exhaust � �duct recirculating �Zoe� �� No. __�_ Bath Exhaust(must have duct outside) ❑ No. Other Fans: Locations �`f�Sd (� �:� cfm _ c fm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal FuelOil: gallons LP Gas: ❑ Underground ❑ Inside ❑ Outside gallons Other: GAS LINE ONLY lL� Outdoor Grill [� Other/List W}iat R;�Vhere: � l C� 2 , , . � PERMIT FEE CALCULATION(S) 'BASED OFF - 2002 STATE STATUE ❑ Yes,diis 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;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) $ 1.50 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$35.00) �d', c9a0 x.0125� �J.�� (contract pnce) (minimum S3�.00) 2. STATE SURCH:IRGE ** Add the State Bld� Code Div. SurcharQe(�iinimum Fee of S.>�l x .0005 $ 3�.01J (contrsct price) (;ninimum� .50) 3. POSTAGE &HANDLING(Only on Mail-In Applications} $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��5 . s� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 pernut fee ptuposes. 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. MECHAIVICAL PERMIT>APPLICATIOI�AGREEIvIENT ,: .. _ 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: � � s r Date: 3 �� ✓� C TY OF ORONO CALLED IN /�D�� JZ TIME / �� INSPECTION N TIC/E / /� SCHEDULED �s�,�j2 PERMIT NO. <-�G!I �G(��lJ COMPLETED ADDRESS � St • � o� OWNER TELEPH NE N . �'�� S�o 7 CONTRACTOR � � � � DESCRIPTION f' / `�7C� �fj��,ii1/l`�y��/�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ SEP fINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � o rn �n C"� �"' i C� � � 1� � � � �`.t1 J=�n_� �7�- fs' - i;�� 1 W � Q ti Z W � W � � d W�y�4LORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED J ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice S �� DATE TIME �/ CITY OF ORONO CALLED IN �' J? INSPECTION NOTICE SCHEDULED �' -��- �� PERMIT N0.�4��—�� COMPLETED ADDRESS 3 350 �L� Sf OWNER TELEPHONE NO. ��a o6D �� ZI CONTRACTOR r �1 C G�-� ��'�^� >: DESCRIPTION � � P�� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o `TI��-�-- ��, � t�� -�-U � � 0 � W � Q � z W � W � � d W �ORKSATISFACTORY:PROCEED C; PROJECTCOMPLEfE � ❑CORRECT WORK R PROCEED � W _ ISSUECERTIFICATEOFOCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONW�TNIN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on sit : Inspector. ' White Copylinspector's File Canary CopylSite Notice � � � �� DATE TIME � � CITY OF ORONO �CALLED IN ? �-� '� INSPECTION NOTIC/-E + � SCHEDULEO �' /i�� --- PERMIT NO. -"�t I I � I•�� COMPLETED ADDRESS �:'��L�' �� ('�X �� -----�,.y OWNER TELEPHONE N � `�" I•�" c��_� CONTRACTOR � �� - �� DESCRIPTION �� 2_I ._t_ � ❑ FOOTING ❑ PLUMBING FINAL l.��Z '� ❑ EXCAV/GRADING/FILLING � y ❑ POURED WALL ❑ MECHANICAL RI �i�� ❑ LAKESHORE/WETLANDS 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 J ❑ 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 � ��-�b �1� >/�-r-C�S , � f� � l�� -r� U �--r ) � � �4-C��x� . � �.� ��c �kU� W � Q � Z W � W � � d �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PR�CEED :� ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. ( � White Copyllnspector's File Canary CopylSite Notice � � � ' DATE TIME ' / CITYOFORONO CALLEDIN ��Z �/� �� INSPECTION NOTICE SCHEDULED �� ' � ��,� � PERMIT NO. ��1� '��3 U COMPLETED ADDRESS 3� r� I/l��C_��" OWNER S�-ett.�v�v �C�tC��,^�-TELEPHONE NO. 7�'j S�� CONTRACTOR �' � '� �i >; DESCRIPTION — '< <` , � lt� ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �r..�r W C 0 1 r TL' S '�' � � '' �.�.��c�v C' f��G-� � . 0 � w � Q � z w � W � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED �:� ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REOUiRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE TIME � / �� V �CITY O CALLED IN , INSPECTION NOTICE SCHEDULED � PERMIT NO. �c�/ '"�'��-'�� COMPLETED ADDRESS � ��' �= ` 7 i f�- OWNER TELEPHONE N . -J i-.% - .��.3-k�'�,� CONTRACTOR �-�f-E'�� f7f�G7 � ��7?/ii�n� � DESCRIPTION � � � l� c-r �l �-�S� //"�.�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLI�N Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLAND'S /LCy,-, y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITEINSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEP ?C INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SE IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CO RACTOR TO MEET YOU: YES_NO � COMMENTS: � . W C � �L� � 5 -' Pr � /' 'f-� ,�' '�- 0 a � 0 � W � Q � Z W � W � � a W� �MIORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cj pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR '-�' CITATION ISSUED C INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ��o �� White Copyllnspector's File Canary CopylSite Notice