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Home My WebLink About2011-00248 mechanical CITY OF ORONO PERMIT NO.: 2011-00248 , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUEu: 04/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3215 GRAHAM HILL RD PIN : OS-117-23-14-0066 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROI'ERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 8,925.00 NO"I'1?: INSTALL IN-F1,00R FII:A"CING SYSTGM APPLICANT MECHANICAL 1 11.56 STEWART PLUMBING, INC. STATE SURCHARGE MECH VALUATION 4.46 13025 GEORGE WEBER DR � � SUITE#1 TOTAL 1 16.02 ROGERS, MN 55374 (763)428-1833 OWNER KORSI, KEITH& AMY 769 BOULDER DRIVE LONG LAKE, MN 55356- ACREEMENT AND SWORN STATEMENT 'I�he work for��hich this permit is issued shall be perYonned according to � the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission Yor additional or related work which requires separate permits. nll provisions of laws and ordinances governing this type of work shall be compicd with whether or not specified herein.This permit will ! expire and become null and void if�construction authorired is not commenccd within 180 days of the date of issuance,or if construction is suspended ibr a period of 180 days at any time after�cork has commenced. The applicant is responsible lor assuring all required inspections are requcsted m conform ince with the State Building Code.This permit may be ��;7 revuked at an��time tor due cause. � �� ' . > �� , � ,� _ ,, n ,� � �� , -- l l ;�'y,� � ��',� f � - l � i i A p� ant c.rmit�Sig ature Date Issucd [3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CTTY'LrSE ONLI- ` O¢Q�O Ciri of Orono P.O Box 66 Date Rrcci�aJ: Y�nu;t= _ _ -. ._ ---- 2750 Kel►cy Parkway a ' R Crystal Bay,MN 55323 _�ppro�cJ Bc: �monnt$: t�t � `c` Phone(952)249-4600 Fax(952)249-4616 ��Kpe CTI'Y OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by thc Building Otlicial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City off�ices. Applications will be reviewed and a peiniit will be issued within two working days. 2. Permit cards will be sent by rehxm mail after a re�•iew is completed. PERMITS ARF?NO'T VALID LJN"I'IL 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 speci�cations 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 moclel. Data shail be presented on form provided. 4. When any new construction or remodeiing 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 fmal). Call(9S2)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check Atl That A 1 ) �Retiidential ❑C�mmercial(Approval Reqnired) (� Ne�� ❑AJ�litiunal ❑RePairs ❑Replace Job Site/ Owner Information: Site Address: L��S 1.��ham �;(� �d Owner: Mailing Address: Ciry: Zip: Home Phone: Alternate Phone: Contractor Inforniation: Contractor: �e Qf �D,r�c�,iJ„c_ Contact Person: �e�� a�C f J' Address: I�=� --�'��t�e � ��`. State Bond#: �� N1.g S��-�� i City: _��_ Zip: 5�7� Expiration Date: �- 15-�I Phone: 7103 4 Z� )��3 Alternate Phone: L.f>>�-3l�'lo�- �1 q I � 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: �r�STA<< 1 n-�lt�ur SyS�p'l (� 's��t �^ Make: �� P_�P C�"�(�C ��Q�( �pr I,3 J� i r ��-U1�Q r'�P ri� . Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Yower FIREPLACES ❑ (ias Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry• VENTILATION ❑ No. Kitchen Exhaust duct recirculating efm ❑ No. Bath E�chau.st(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plaee.) ❑ Instaliation ❑ Removal Fuel t)il: gall��nti ❑ i l��erground ❑Insi�lr ❑Outside I,P�i.iS: �.11j011S Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . . PERMIT FEE CALCtTLATION(S) BASED OFF- ?00? 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 modif�ication to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fi�cture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Perniit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Tot:il Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 If above dces not apply,follow guidelines below: l. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$5U.00) ��,`� ,OD x.0125$ � 1�•rJ�P {contract price) (minimum$50.00) 2. STATE SURCHARGE � �C�5�� X.000s $ �.�1 l� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��lF.L,2, ■ * CONTRACT PRICE or JOB COST means the actual or estunated doilar amount charged for the permitted work including materials,labor,profit, and ott�er fixed costs. It is the amount to be charged to the customer for the work done. If any matenal,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 tnay request the submission of a signed capy of the actual contract. MECHAIVICAL PERMIT APPLIC�TION 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 alI statements made on this application are complete, true and correct. Applicant's Signature: ' Date: �7" �� ' / f � Reset Form 3 � � A TIME CITY OF ORONO CALLED IN � l INSPECTION NOTI��_D� �CHEDULED �•� PERMIT NO. COMPLETED � � ADDRESS �� G � ��- OWNER TEL NE N01�13 �– �� CONTRACTOR �� >; DESCRIPTION — �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: U tit.2_ �� t- �1 � � W C � � O >. � O � ti � Q � Z W � W � � a ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractqr�yi ' Inspector. �� White Copyllnspector's File Canary CopylSite Notice � �� DATE TIME � `+' C�OF ORONO CALLED IN �/Z�{/ !1 INSPECTION NOTICE SCHEDULED �/2�r"�� -C� PERMIT NO�O�� -�� COMPLETED �� ADDRESS ��i� �r��'X'�-o'")'� '�-�_(-(I C�7. OWNER TELEPHONE NO. � - � - b�� CONTRACTOR b � DESCRIPTION �� d�� ``-�Q-�� J�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 PTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO�_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED [_7 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next ins ction 24 hours in advance. (952� 249-460� OwnerlContracto Inspector. White Copyllnspector's File Canary CopylSite Notice