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Home My WebLink About2011-00523 - mechanical � � CITY OF ORONO PERMIT NO.: 2011-00523 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssuE�: 06/27/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 1 180 HERITAGE LA PIN : 10-117-23-13-0002 LEGAL DESC : FOXHILL : LOT 002 BLOCK 001 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 1,000.00 NOTE: GASL[NE TO KITCHEN STOVE (1)KITCE IEN EXHAUST-6"DUCT-300 CFM (1)BATH EXHAUST-75 CPM APPLICANT MECHANICAL 50.00 LEWIS HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 0.50 1371 144TH STREET TOTAL 50.50 NEW RICHMOND, WI 54017- (612)940-4565 PAID WITH CC# 4454 OWIYER ZIEGLER& KELLY RISCHE, DAVID 1180 HERITAGE LA WAYZATA, MN 55391- AGREEMENT AND SWORfY STATEMENT l'he 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 separa[e 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 no[ 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 inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due causc. + J�n��l;.,,�u.-= l i �j/d�7/ pplicant Permrtee Signature Date I d By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � � ~ FOR CL /--1��USE ONLY �� City of Orono �--j � �4 � � P.O.Box 66 Date Receiv� Yermit�r�6�� `/a ��y-,,,, �� 2750 Kelley Parkway a '�1'��;�� I Crystal Bay,MN 55323 Approved By: Amount$:� �� ^ `��'��o` Phone(9�2)249-4600 Fax(952)249-4616 ��KO$� CITY OF ORONO -MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or hispector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions 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 DesiQns—Complete calculations, details and specifications are required for each heating, ventilarion,humidificarion-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 remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanica] Code/State Building Code requirements. 6. All work must be inspected(rouah-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Hearing Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) � � Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional �] Repairs ❑ Replace Job Site/ Owner Inforn�ation: Site Address: f� i�L� /-1 C'f� �c,q e 1� n � Owner:�:I i��:��,i�r Mailing Address: City: ��cG-��, Zip: � Home Phone: ��- ��(J- �G! 3 Alternate Phone: Contractor Information: Contractor: ��,J� S f�C�.`i'ny G(�D � �-Contact Person: �r�� Address: I�7 J J�y�I� 5�-�- State Bond#: City: � Zip 5��1 Expiration Date: Phoile: � �� q��(,� -�I�(_5 Alternate Phone: ❑ 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: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION << � No. � Kitchen Exhaust � duct recirculating C(� cfm � No. � Bath Exhaust(must have duct outside) �cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must 6e approved by Fire Marsha[l if proposing to abando�i tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: �� j��GU� �(� ��C�f/� 2 � / PERMIT FEE CALCtJLATION(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 inodification 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 hoineowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER�500.00 If above does not apply; follow tuidelines belo��: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � ! x.0125 $ �b � � � (contractprice) (minimum$50.00) 2. STATE SiTRCHARGE �� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 0 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ �d , � � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernlitted 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 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. Iv1ECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agree$ to do all wark in strict accordance with the ordinances of the City and the regularions of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �,�� `Z.� v*r� Date: ��7�� 3 / " �C DA TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED oL'3v PERMIT NO.0�0//� ��d� co P ETED ADDRESS � v ` �--- OWNER TELEPHON NO.��O�-�� rs� CONTRACTOR S `yL�Z ��-�C.L�_ � DESCRIPTION �L— �� "`-' � � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � O >. � O � W � Q � Z W � W � j GW [�C]WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE WV❑CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ��CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 4 h�,t s ��ance. (952� 249-4600 OwnerlContractor on sit : Inspector. White Copyllnspector's File Canary CopylSite Notice