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Home My WebLink About2009-00842 - mechanical .. CITY OF ORONO PERMIT NO.: 2009-00842 f 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 95 HACKBERRY HILL PIN : 33-118-23-44-0013 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 007 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 6,500.00 NOTE: REDO DUCTWORK AND SOME SUPPLY AND RETURN AIR REDO SOME GAS PIPING ADD SA&RA TO ADDITION 1 BRYANT GAS FURNACE 1 BRYANT 2.5 TON AC 1 BATH VENT APPLICANT MECHANICAL g�,25 METRO AIR INC. STATE SURCHARGE MECH(VALUATION) 3.25 16980 WELCOME AVE SE PRIOR LAKE, MN 55372 MAIL-IN FEE 1.50 (952)447-8124 TOTAL 86.00 OWNER SULANDER, DUANE 95 HACKBERRY HILL 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 City approvals,and the State Building Code. This permit 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 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 all required inspeclions are requested in conformance with the State Building Code.This permit may be revoked a[any time for due cause. �'11�,,c.( 1�1�� l l l l Applicant Permitee Signature Date Issued By 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB FOR CITY USE ONLY ' ��` City of Orono O'� ''rO y.p_F3ox(�, Date Received: Permit# _ 2750 Kelley Parkway �7 Crystal Bay,MN 55323 Approved By: Amount S: �,.�� ,:='_ � �� (952)249-4600 _ CITY OF ORONO-MECHANICAL PERMIT (All Commcrcial pertnits musl be approved by the Building ORicial or Inspector anJ/or I�ire h1arsl�all) GENERAL INFORMATION 1. You may apply for mechanical perrnits by mail or ir.person at the City offices. Applications will be reviewed and a permit will be issuecl within two working days. 2. Pecmit cards will be sent by retum mail aAer a review is completed. PLI2MI"1'S AI21;NO"C VALID iJN"fIL YOU RECEIVE A PERMIT'. WORK MUST NOT BEGIN UNTIL TN� PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mcchanical Desi�,ns—Complete calculations,details and speciCications are rcquired Cor each heating,ventilalion,humidification-dehwnidification,and air conditionvig inst�illation inclu�ling heal loss/heat bain calculation,design temperatures,cquipment ratings and identificalion as to type,manufactwer and model. Data shall be presentcd on form provided. 4. When any new construction or remodeling is involved,a separate buildivg pe►7nil�nust Ue obtained. 5. All work must be done in accordancc with thc Uniform Mechanical Code/State l3uilding Co�e requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Hcating'1'est Record must be submitted before imal. TYPE OF PERMIT (Check All That Apply) �]Residential ❑Commercial(Approval Required) ��D �� ` C�� 1 v s� ,.�� ,y �� ,�� Y,�,,�, r�, � r�� ,� ❑New ,�Additional ❑Repairs �Rcplace �� Job Site/Owner Information: ��"P' n� , , `, `� �� s �\ �, �'; ►� -��, ��,c�,�,ch Site Address: �� °- f'1i ��,� `\ Owner.��w��'� ��"�� r L�� S.:�'wti`�V Mailing Address: �►.S `��L��.•��'�J I� � l� L.�- �;�� S � -�� _� City: Zip: Home Phone: �='`�' S S� �� Allernate Phone: Contractor Information: Contractor: � � ��-'v�� ^� � � Contaci Person: � `�`��"\) � ��F�� — Address: 1�� L State Bond#: �, �� 5 ��+�3� City: � ' '`'��''"�I� Zip?5 5�� Expiration Date: �� 1 �- c�� 1 � Phone: �i � �' ��4�" �� y Alternate Phone: L��r��— �U�U� �.�'�t c. �u � �-�ti- 1 ❑ [nsurance-Current: __�___ � 1 � MECHA1�iICAL SYSTEMS'BEING INSTALLED� '< HEATING SYSTEMS Quantity: 1 -- Make: ��)C..'�� ---- Model: 3��, N'� �V��1r� F'uel: 'V ��T --- -- — Flue Size: �� -- Input BTUs: ��.� �� — output BTvs: S� `�� — CFM: ,� � � — --- COOLING SYSTEMS Quantity: 1 — ----- Make: �= �-i'7� --- Model: � ��' ` ``� ��`� --- 'I'ons: '� y� --- H.Power � FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stovc ❑ Wood Stove With Flue Brand Name: Model No.: _____.__ VENTILATION ❑ No. Kitchen Exhaust du�t recirculaling _____cfni Q No. � Bath Exhaust(must have duct outside) "-)_�___,cl'm No. Other Fans: Locations c(iit FUEL STORAGE(MUST BE APPROVEll BY FIRE MARSIIALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑[nsidc ❑Oulsi�lc I,P Gas: gallons Other: GAS LINE ONLY ❑ (lutdoor Grill ❑ Other/List What&Where: 2 • f::��,>.. -----'----'�-----------i � PERMIT FEE CALCULATION(S) � ��`�' ' BASED OFF-2002 STATE STATUE � ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tluee of the following requiremenls: 1. Does not require malification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluciinQ the cost of the fixture or appliance: and 3. Is improved,installeci or replaced by the homeowner or licensed contraclor. Skip next seclion,if this applies; Cost of Permit $ 15 lr) State Surcharge �____5t� Mail-In Fec(If Applicable) $_ 1.50 Total Permit Fcc � , PERMIT�FEE CALCULATION(S)-JOBS`O�ER$500:00 _ __ If above does not apply;follow guidelines below: 1. CONTRACT PRICE 'is 1.25%of contract price wilh a(Minimum Fcc uf�35.00�. ' �% �� S tJ�� X.o�zS� � � --- (contract price) (miuimum b.Z5.00) 2. STATE SURCHARGE *'Add the State Bldg Code Div. Surcharge(Minimum I�'ee uf 5.50) �� . ��` � � `'�� x.o(�5 g �� (contract price) (minimum S .50) 3. POSTA('�F_;&HANDLING(Only on Mail-In Applications) $_ 1.50 ___ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ' ��,�_� ■ • CON'I'RACT PRICE or JOB COST means the actual or estimated dollar a�uount ch�rge�l li>r thc permitted work including materials,labor,profit,and other fixed costs. It is the amotuit to be c:harE,ed to the customer for the work done. If any matenal,equipment,labor or installaticros arc fiimislied b�� the owner,tenant or any other party, the reasonable market value of such items must be acidcd t�� Il:c estimated cost or contract price for permit fee pucposes. In tlle event that tlierc is ,� dis��ute �>n (hc amount of the job cost,the City may request the submission of a signed copy of thc actuai conlraat. ■ *�`The STA'TI; SURCHARC'lE is.0005 of the Building Department at(95?)249-46(l�f��r�hc liri�•�c. - MECH.ANI�AL1'ERMIT APFLICATTON AGREEMENT � The undersigned hereby applies to the City for issuance of a Mechatiical Permit, agrecs to �lu .�il work in strict accordance with the ordinances of the City and the regulations ol' thc Stalc of Minnesota, and certifies that all statements made on this application are complete, truc ancl correct. , � � ��_ \ — Applicant's Signature�� r�1 Date: \ , � r Reset Form 3 �'�' -� °� � �� q � �� CITY OF ORONO CALLED IN I I IAT.��/� TIME � �1 INSPECTION NO/T�ICE n SCHEDULED / � �Z PERMIT NO. `�ll.'�� OL%��a COMPLETED ADDRESS__ ��7 /—�C1 C 1� L'�C i'-t�� -/� /I OWNER CONTR.��1"�`D��'{ j�' TELEPHONE NO. `�/ � � y� � ��y �: � �, ,,�,� R�� DESCRIPTION ��,i C� ,tiG � �� .,/ f'�.�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAI. ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�L YES_NO � COMMENTS: � W a o � �v�,.��-c� -� s� � ' a- j— � nd �, � 0 � W � Q � z W � W � j W� �WORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE W O CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALI FOR FEINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n, pH0T0 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 OwnerlContractor on sit : r Inspector. /' l . � � White Copyllnspector's File Canary Copy/Site Notice � � r / 'C� T TIME CITY OF ORONO CALLED IN � � INSPECTION TI �/ B��EDULED �0/�7 oZ�B� PERMIT NOD COMPLETED � ADDRESS � ' OWNER CON . /i�,(�1�d TELEPHONE NO. �� -lJ� 7 0 l� � DESCRIPTION��%' �' C � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d �s�WORK SATISFACTORY:PROCEED ��ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspe 'on 24 hours in advance. �95Z� 249-46QQ Owner/Contract i • Inspect _ hite Copyllnspector's File Canary CopylSite Notice