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Home My WebLink About2011-00403 - mechanical CITY OF ORONO PERMIT NO.: 2011-00403 . 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE tSSU�n: OS/3U2011 � 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 : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: HET N GLO 6000C-IPI APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUATION) 1.00 2700 FA[RVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.00 OWNER KORSI, KEiTH& AMY 769 BOULDER DRIVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for�vhich this permit is issued shall be performed according[o the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein."rhis permit will expire and become null and void if construction authorized is not commenced with�n 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Buiiding Code.This permit may be revoked at any time for due cause. `y�� / / � Applicant Permitee Signature Date Issued By gnature te SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO FOR CITY USE ONLY ��%`" '",. City of Orono � ��4�� P.O.Box 66 Date Received: Permit# I�`' �1� 2750 Kelle Parkwa i *: , Y Y �3,� li`'�`-�' Crystal Bay,MN 55323 Approved By: Amount$: �� T�;��r„}•y�f� Phone(952)249-4600 Fax(952)249-4616 ��od� 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 Desiens—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 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 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 I �]Residential ❑Commercial(Approval Required) �� [�New ❑Additional ❑Repairs ❑Replace /� Job Site/Owner Information: � C_ 1,� f Site Address: �<- � � �% ' c.�� °"�-, �� ' ' J C�p �-c�- , Owner: �2c�ti-,��;, �r.�c�C� �--L- Mailing Address: �,Z! `� ��i�l��.,., �-�� , city: L-:�c�_� zc��C� 7ip: :��3��, Home Phone: �i! 2" 3 3'�" �-��C Alternate Phone: Contractor Information: Contractor: Contact Person: H ome echnologies,Inc. d��a�� m•�. dba Fireside Hearth 8 Home Lic�nso 2pg12pgp Address: ucense 2051208o State Bond#: 2� a rv ew Ave. Rosevilie, MN 55113 Rosevills, MN 55113 651/833-2581 City: 85t/833-2581 Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 , MECHANICAL SY�TEMS BEING INSTALLED ' ' Note: All Geothermal Systems will now�-equire a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS 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: (��1.%'(U ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ��f�� ❑ Wood Stove with Flue/Masonry VENTILATiON ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ 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 ❑ Outdoor 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 Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � � � �� PER�YIIT.�FEE CALCtJL�iTIOi�(S)-JOBS vVER��G0.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��i�'�i � �.��;' x.0125$ �CJ. �'�� (conVact price) (minimum$50.00) 2. STATE SDRCHARGE �� , � � � x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `> � � � � ■ * CONT`RACT 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 fumished 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. 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. C' �� Applicant's Signature:�/ �� "�" t Date: S '� �—� � Reset Form �;" 3 DAT TIME �/ CITY OF ORONO c,a D IN �� INSPECTION NOTICE SCHEDULED - '� � PERMIT NO.��-ODS�03 COMPLETED ADDRESS 3a i 5 GYGt-kl3-s^�� (. � OWNER TE EPHO E NO. (2I Z ��7T" CONTRACTOR L�S l� �J �� >; DESCRIPTION � 1�`� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 a � J O � � O � W � Q � Z W � W � � GW [��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W1LL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site Inspector. • � White Copy/lnspector's File Canary CopylSite Notice � �DP,T� TIME ✓ CITY OF ORONO cA��Eo iN � INSPECTION NOTICE �( SCHEDULED — — PERMIT NO.db l�1 UO T�3 COMPLETED �, H ADDRESS o3 Z I S �l�a-�1 LL✓vL � � OWNER TELEPHONE NO. �`Z ✓7'lD3 �Z��/ CONTRACTOR �l V'e�l cL� �� `►-�' �: DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANtCAL 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 Z OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d / W� ORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContract 't : Inspector. White Copyllnspector's File Canary CopylSite Notice