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Home My WebLink About2010-01062 - mechanical r; , CITY OF ORONO PERMIT NO.: 2010-01062 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 10/28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 407� HIGHWOOD RD PIN : 07-117-23-44-0009 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT O11 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,050.00 NO"1'G: 1 PnYNG NAI�URAL GAS FURNACE APPLICANT MECHANICAL 50.00 AIR JEFF'S HEATING & AIR CONDITIONI STATE SURCHARGE MECH (VALUATION) 5.00 3028 WESTEDGE BLVD MOUND, MN 55364- TOTAL 55.00 (952)270-0668 OWNER PROCHNOW, ROBERT& SARAH 4075 HIGHWOOD RD MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is fssued shall be performed according to the approvcd plans and specifications,applicablc Ciry approvals,and the State Quildin�Code. This permit is for only the work dcscribed and docs not grant permission for additional or related work which requires separate permits. All provisions of la�vs and ordinances governing this rype of work shall be compied with whether or not specitied herein.This pennit will expire and become nuil and void ifconstruction authorized is not commenced within I 80 days of thc date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsiblc for assuring all required inspcctions are requested in conforn nc with e State Building Code.This permit may be revoked at iy n fo ue � use. `� � � � / / A plic, P r� 'te . ignature Datc Issued 13y ig ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � � � FOR CITY USE ONLY ,4�� City of Orono O O P.O.Box 66 Date Received: Permit# �,�,,,� 2750 Kelley Parkway i�a � ✓9f;r� �. Crystal Bay,MN 55323 Approved By: Amount$: �� '�j�-�`w'r�.G� Phone(952)249-4600 Fax(952)249-4616 � \t''tiseso$� CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Officia]or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pern-ut 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. Mechanicai Desiens—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 final. TYPE OF PERMIT (Check All That Apply) � Residential ❑ Commercial(Approval Required) . � ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: �� 5 /��'� ln^tf.►Q l� �� Owner: Mailing Address: City: Zip: Home Phone: ��: y�Z' �9�'7 Alternate Phone: Contractor Information: Contractor: ✓..�'�� S !d% 7 ��G� Contact Person: . � p Address: 3 0 L� f�l/pSI�P�'j z° /3LU� State Bond #: � City: T'[�i7l1 � Zip: .�Sj 3Cq`�xpiration Date: 7" z �A � �b i j Phone: � '�'2' 27�` �� 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: ��/!'� /J � � Fuel: ,S Flue Size: 2 f' Input BTUs: '� Output BTUs: � . �W 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 VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(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 , , . . 1 ' PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of a Residential fixture or ap liance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludine 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 $ 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 guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3� D�`'�� x A125 $ � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) �, � �Z�� x .0005 $ contract price) (minimum$5.00) 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 pernutted 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. ■ **The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. 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. Applicant's Signature: Date: J� �Zg �- �� 3 � `� ^ � TIME L I N /� �',� CITY OF ORONO AL ED /� �.,Y.�— INSPECTION N��ICF+ SCHEDULED �.� PERMIT NO.�� U MP ED ADDRESS OWNER EL ONE NO. � 7d�� CONTRACTO �; DESCRIPTION � Lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ RI ❑ L�FINAL ❑ FOUNDATION/REMOVAL OWNERICO ACTOR TO MEET YOU• YES_NO cn COMMENTS: � W � � J O � � O � W � Q � Z w � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 4 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: + Inspector. L' r 1 '�-, � White Copyllnspector's File Canary CopylSite Notice