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Home My WebLink About2012-00233 - mechanical � `'� CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 2 - PJ P1 2 3 3 * DATE ISSUED: 03/29/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3340 GRAHAM HILL RD PIN : OS-l17-23-11-0012 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 4 BLOCK 2 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 34,680.00 NOTG: (3)HEATING SYS"I'EMS AND(2)COOLING SYS'I'I:MS,GAS FACTORY F[REPLACE,(I)KI"1'CIiEN EXHAUST,(7)BA"fl l EXHAUS'1' GASLINGS FOR OUTDOOR GRILL,2-DRYERS,3-FIREPI,ACES-POOL AND RANGL APPLICANT MECHANICAL 433.50 HORIZON CONTRACTORS, INC. STATE SURCHARGE MECH (VALUATION) 17.34 8197 HOR[ZON DR SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 (612)508-9226 TOTAL 452.84 OWNER MCCARTY, LEROY& LISA 3340 GRAHAM H[LL ROAD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 'I�his pennit is for only the wark described and does not grant permission for additional or related work which requires separa[e pennits. All provisions of laws and ordinances goveming this type of work shall be compicd wit1�tChaCher or not specitied herein.This permit will expire and become�ull;tnd void if construction authorized is not commenced withiyl 18ddays of the date of issuance,or if construction is suspended for a pi riod of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confort�ylance with the State Building Code.This permit may be revoked at any,�ifiie or due cause. �� /� / � Appl'�ar�fiermitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. � � �� FOR ITY SE ONLY �,�` City of Orono �} 7 4 `r P.O.Box 66 Date Received: ✓ �it# G— Z �� 2750 Kelle Parkwa � �,e,�,,,�. � Y Y a ��','�� F Crystal Bay,MN 55323 Appmved By: Amount$: � �.,. t�'��o� Phone(952)249-4600 Fax(952)249-4616 ��g0�� CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or I�ire Marshall) GENERAL INFORMATION l. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification, and air conditioning installarion 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 required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That Apply) �-Residential ❑ Commercial(Approval Required) �ew ❑Addirional ❑ Repairs ❑ Replace Job Site/Owner Information: � �� '� ' Site Address: ��yU V.ca�1Q.��v► i Owner: / '<<�C�'� Mailing Address: 35'yf� �j,a�iCLr1a �•�( �V City: �i�'�U- Zip: Home Phone: ��- (�7"5��lO Alternate Phone: JS��t 7' ��Zc� Contractar Information: Contractor: ��'��n `��5,3-�� Contact Person: %J��I�Cs S�"�vit� Address: �S'1�1� !-�v(+2u✓� �r State Bond#: _!�LZ v S �, �(7(�� City: Zip:�_ Expiration Date: ��/�(�. Phone: �,�SU� � `��:� Alternate Phone: �1,�'�-y�,�� ❑ Insurance— Current: 1 �.--� � MELHANICAL 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: � � / Make: ! � �[ '�.�_ /�L)c�1 v� Model: ��119`��v�U ��T��:�U � �` Fuel: c�`u/� �C�/l� �/y�l '� I Flue Size: � � �� Input BTUs kU,(�� f�L�i� k�(/i�'U �_ Output BTUs: �'�`/CJ �/f��(� �/�.G�(� '- r CFM: COOLING SYSTEMS Quantity: _� � Make: 1 ( !ti !J(yG�.t1.� -T Model: I��B)�1�I C� j��'U �� Tons: � �� H. Power FIREPLACES � Gas Factory Fireplace Brand Name: Q�{� Wood Burning Fireplace ❑ Wood Stove Model No.: �.�;�� ❑ Wood Stove with Flue/Masonry VENTILATION � Na � Kitchen Exhaust��duct recirculating ��v cfm No. � Bath Exhaust(must have duct outside) �'O cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must bc approved by Fire Marsha[l 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: �[�(�-Ul ; �"��p�Q cl�, �Gi'�� (�LK� , 2 � . � PERMIT FEE CALCULATION(S) BASED �FF - 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; excluding 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 $ �.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � PERMIT FEE CALCULATION(S}-JOBS OVER$�t�0 Ofl x "� ` If above does not apply; follow�guidelines belo��: 1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$50.00) �1�t�S5U x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE �� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT 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 esrimated cost or contract price far 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. � MECHAN.ICAL PERMIT APPLICATI4N AGREEMENT The undersigned hereby applies to the-,C�y for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the Ur,�finances 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. � .� - .��'r Applicant's Signature: � ' �� Date: �,� � � 3 �� 1 �� DATE TIME ✓ CITY OF ORONO CALLED IN '� � INSPECTION NOTICE � SCHEDULED 9— / � � �� PERMIT NO. D�^ .?� � COMPLETED ADDRESS 33�G � � �c�» �i�� OWNER �/' C,1vti� _ TELEPHONE NO. �' �a' -5�'� � ��-�G CONTRACTOR /�'�+-�n� �: DESCRIPTION �'��°'�"-' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIL�ING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 ❑ COMPL4INT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � n o ' 6��0��Q�-� �S � � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ 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 O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice