The URL can be used to link to this page

Home My WebLink About2015-01164 - mechanical < < CITY OF ORONO * Z 0 1 5 - 0 1 1 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/1U2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3210 GRAHAM HILL RD PIN : OS-117-23-ll-0009 LEGAL DESC : GRAHAM HILL PRESERVE-2 : LOT 1 BLOCK 2 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 900.00 NOTE: IN FLOOR TUBING FOR RADIANT HEAT APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.45 MANATEE PLUMBING TOTAL 50.45 11525 199TH CIRCLE Payment(s) SILVER LAKE,MN 55381- CHECK 8888 50.45 (612)756-1172 Minnesota State License#: plbg-005923PM OWNER MESENBURG, MATT&MICHELLE 2525 KELLER ROAD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 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 cause. � v�� `� �- � ��-1 � �� /l � �.5 App icant Pe itee Signature Date Issued B ignature Date . � � R TTY USE ONLY , � O City of Orono � �O P.O.Box 66 Date Receiv �` Permit#��6 �� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$:�� Phone(952)249-4600 Fax(952)249-4616 �� G �� g � 1 ��xFs H o4�G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire 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 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. 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 reqaired) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That A 1 ,��esidential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: l � Site Address: _�1� � C� C�r��t �'r� l'� t �� Owner: Mailing Address: c�ty: D v� r,�� Zip: .� 5�5 �, Home Phone: Alternate Phone: Contractor Information: Contractor: m�t�►�i�C'� � �U M ��r h`� Contact Person: L�� c C b�C Address: I I�JJrJ � �Z°ly �'L ; r L� State Bond#: �l 13 �� Cit � �� e`+ �4 �4 Zip�3� Expiration Date: � —� •- �� % � � y: S Phone: C�� --�'S�'— � (� �- Alternate Phone: ❑ Insurance—Current: 1 . MECHANICAL SYSTEMS BEING 1NSTALLED � � � . Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS ��.�� ' � 'j V��l � 6� �y ....�, ( J Quantity: Make: Model: Fuel: Flue Size: Input BTUs: 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/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoar 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 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;excludinQ 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S `—JOBS OVER$SOO.QU If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) q �� X .o12s $ (contract price) (miniroum$50.00) 2. STATE SURCHARGE x.0005 $ (cootract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE ar 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 pariy, 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. 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��-z�1�� Date: � '� � �— � � 3 �- J DATE i— TIME CITY OF ORONO CALLED IN / /-5 INSPECTION TIC a SCHEDULED ��-�S !/_'3� PERMIT NO. � l� COMPLETED ADDRESS �� / O �a-�/�-a—h'L � l I OWNER T NE NO. a 7S�p—� Z CONTRACTOR � DESCRIPTION � Y �- ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI � ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBiNG FINAL � �„„ �] TREE REMOVAL Z ❑ RADON SLAB �MECHANICAL RI/yk<< �`"�❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMME TS: � ,� • a � L� (,� r � • �og ..� - � - g•� � �� is �ld��-�s — 0 � ° �X � G�� ✓ W � Q � 2 W � w � j W '��4t6F11E3ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDEN POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: t Inspector. � White Copyllnspector's File Canary CopyfSfte Notice