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Home My WebLink About2011-00382 - mechanical CITY OF ORONO PERMIT NO.: 2011-00382 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/23/2011 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) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 19,500.00 NOTE: 2 BRYANT NAT. GAS PURNACES 2 C3RYANT 4 TON AC 1 KI"I'CHEN EXHAUS�� 4 BATH EXHAUST GAS LINE-FP GAS LINE TO RANGE&DRYLR APPLICANT MECHANICAL 243.75 HEATING &COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 9.75 18550 COUNTY ROAD 81 MAPLE GROVE, MN 55369- TOTAL 253.50 (763)428-3677 OWNER KORSI, KEITH&AMY 769 BOULDER DRIVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and speeifications,applicable City approvals,and the State Building Code. Thts permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. nll provisions of laws and ordinances goveming this type of work shall be compicd 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 180 days at any time after work has commenced. The applicant is responsible for assuring II required inspections are requested in con�orrparfce with the S[ Building Code.This permit may be revoked a y tin e for due caus¢.-� f�� --� �1' � .�'� �� / `l _.��{� �// \ ) � � Ap licant Permitee Signature Date Issue By Si ature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCR[BED AB E. �-� FOK CITY USE ONLY ' j.�y p�,� City of Orono �� . Q Q\ P O.Box 66 Date Received: Perrriit# �, � 27�0 Kelley Parkway � � � ��1' k:`'- � Qysta]I3a MN 5�323 � � 1 t _. ` y' APproved By: Amount�: �' 1� �x�,� � (952 249-4600 t7 w� � � kEexo�: CITY OF OROi�rO — 1�TFCF�ANICAL PEI2i��IIT (Ali Commercial permits must be aporoved by the Building Ofilcial or Inspector and/or Fire Nlarshall) � GENERAL Ii�FORI'�IATION 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. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. �VORK NIUST NOT BEGIN UNTIL THF, PERNIIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi ns—Complete calculations, details and specifications are required for each heating, ventilarion, hunudification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, inanufacturer and model. Data shall be presented on forni provided. 4. When any new consriuction or remodeling is involved, a separate building pennit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requuements. 6. All work must be inspected(roudh-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 Apply) �,Residential ❑ Commercial(Approval Required) �e`� ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Inforniation: Site Address: �e� � �R ,,,,,�`�� d Owner: Cfta��S �i� d�, Mailing Address: c�ty: �`�,��,� � Zip: Home Phone: Alternate Phone: Contractor Information: Contractq��AT(�i� R rnn► 1 ��'f�� yC� Contact Person: �L, � � 18550 County Rd. 81 Address: Maple Grove, MN 55369-9231 State Bond #: www.heatcool2.com City: Zip: Expiration Date: Phone: Alternate Phoi�e: ❑ Insurance— Cuizent: 1 , MECHANICAL SYSTEtiiS BE1�1G Ii�TSTALLED > HEATING SYSTE�IS - Quantity: o� Make: �� Iodzl: 35�se Fuel: �( Flue Size: Input BTUs Output BTUs: CF�I: COOLING SYSTEI�IS Quantity: o� i�-1ake: Model: / Tons: � H. Power FIREPLACES � t_;, n.� o n� Gas F ❑ Wood Burning Fireplace ❑ `Vood Stove ❑ Wood Stove`Vith Flue Brand Name: Model No.: VENTILATI0�1 � ❑ No. � Kitchen Exhaust�duct recirculating (p� cfm ❑ No. � Bath Exhaust(must have duct outside) ��p cfm � �� ❑ No. Other Fans: Locations cfm FUEL STORAGF, (MUST BE APPROVED BY FIRE MARSHALL) � ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY � r�.� � �b�`�� '� Outdoor Grill ❑ Other/Li t What&Where: 2 � ��;1��ilT r�,�, c.�Lcvi._�rlo��s�-- � �3_LSED O�F — 2002 STrLT�; S`1��'�U�;� �� ❑ Yes,this sectioil applies The replacement of a Residential Fixture or a�pliance that meets all tlu�ee of the following requirements: 1. Does not require modification to elech-ical or gas service. 2. Has a total cost of�500.00 or less; escludin� 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 � #::` PERIVIIT 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) � � �� x.0125 $ � ( ntract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (viinimum Fee of�.�0) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HA�IDLNG(Oz�ly on Mail-In Applications) $ 1.50 4. TOTAL PERI�IIT 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 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 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 Buildin�Department at(9�2) 249-4600 for the price. NIECHANICAL PERIv1IT APPLICATION;AGREEMENTs , , i ' - 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 state ts mad ory'this application are complete, true and correct. / / i /, J, Applicant's Signature: -�"�� --'� Date: `� � 3 � � �� DATE TIME V Y OF ORONO �CALLED IN � / INSPECTION �/� SCHEDULED � . � PERMIT NO. � °`CO LETED `� ADDRESS � i OWNER TELEPHONE NO � 7 CONTRACTOR � >: DESCRIPTION \� � `�`�`/vV � � � � ❑ 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 � ❑ 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 r� � - � O � � � � �r= 0 � W � Q � z W � W � '—_— � d W� `;�.INORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ��CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ;� pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnedContractor on site: Inspector._�o_1�'� ��'� b � White Copyllnspector's File Canary CopylSite Notice � � � -�C• f � 1� �� _ DATE TIME ITY OF ORONO CALLED IN ` /� � T� INSPECTION NC� ICE �SCHEDULED �" /C' t" �� PERMIT NO. �C� I�C�� COMPLETED ADDRESS �� <�Z(�.�,I�f/}�T�/�� OWNER TELEPHONE NO. �� '��` �� CONTRACTOR - " � " � � � �� — �� l, >; DESCRIPTION � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � 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 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 � � � O ,. � O � W � � Q � �� Z � � W � � GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑COR CT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 r Owner/Contractor on site: � Inspector. I White Copyllnspector's File Canary CopylSite Notice