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Home My WebLink About2009-00697 - mechanical � e CITY OF ORONO PERMIT NO.: 2009-00697 4 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSVE�: 10/13/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4099 HIGHWOOD RD PIN : 07-1]7-23-44-0012 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 014 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 5,000.00 NO'1'E: (2)MR HEATER-NATURAL GAS-45,000 INPUT,36,000 OUTPUT (1)TF,MPSTAR-NATURAL GAS-40,000 INPU"I',38,000 OUTPLJT (1)COOLING SYSTEM-TEMPSTAR- 1.5 TONS APPLICANT MECHANICAL 62.50 [[[, ALONZO SERAN STATE SURCHARGE MECH(VALUATION) 2.50 4099 HIGHWOOD RD MOUND, MN 55364- TOTAL 65.00 OWNER I11,ALONZO SERAN 4099 HIGHWOOD RD MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT Thc worh 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 pemiit is for only the work described and does not granl permission for additional or related wark which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 commenccd. The applicant is responsible for assuring all required inspections arc requested in confonna ce � the State Building Code.This permit may be revoke an ti due cause. : G��J-�. lG �f, �, � a /3 0 Appli a Pern ' e�S gnature Date Is. By ignature Date ✓ SF,PARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. � } �. FOR CITY IISE ONLY ' � � Cit�of Orono d �� /�� N.O.Box 66 Date Receive�� Permit# ��— � ii � � 2750 Kelley Parkwa�• \� �° ?�`"`. F� Crystal Bay,MN 5�323 Approved B}�: Amount�. S ��" ��,�rt�+';�.$b` (952j 249-4600 � �� r, $ i �eeso CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector andior Fire Marshall) GENERAL INFORMATION � 1. You may apply for mechanical pernzits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two workino days. � 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID LINTIL YOU RECEIVE A PERMIT. V��ORK MUST NOT BEGI'�� UNTIL THE PERMIT CARD IS POSTED ON THE JOB SiTE. 3. Mechanical Desiens—Complete calculations, details and specificarions are required for each hearing, ventilation, humidification-dehumidification, and air condirionin�installation including l�eat loss/heat gain calculation, desien temperatures, equipment rarings and identification as to type, manufacturer and model. Data shall be presented on form provided. 4. VVhen any new construction or remodelina 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: � � � 9 ��l(��-�.✓�0 0 �.9-/> 6 2or�v �'h r1/ S 53G ca Owner: /T L ��1�-1`� Mailing Address: �� City: a�DA/17 Zip: SS�<i� �� t�Z- 21'i o w- Giz- �z3 , �4oz Home Phone: Alternate Phone: C�1.1� �jS 2 � l�a�—"1 d`�`� Contractor Information: Contractor: �wlv� Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— CulYent: 1 �� . MECHANTCAL SYSTEMS BEING INSTALLED ! Note: All Geothern�al Systems w�ill no��require a Site Plan � Review by our Building Official. IS THIS GEOTHERMAL`' ❑ Yes ❑ No HEATING SI'STEMS Quantity: � � Make: ��2 -14��- TF�'J��7''� Model: �''�� _%��9�'�x Fuei: � � /L'� �>' � ir Z , r Flue Size: Input BTUs: ��' �� ' `'�� OutputBTUs: _��' Q (,� ��''� (;� CFM: COOLING SYSTEMS Quantity: � Make: .�1: 5��' Model: �X ��/Ci'G' Tons: I ''� H. Power j� �,:,'�'�,,- FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Firepiace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue �'ENTILATION ❑ , I��o. Kitchen E�haust duct recirculating cfm [1� No. _t_ Bath Exhaust(must have duct outside) cfm ❑ I�To. Other Fans: Locations cfm FUEL STORAGE (Must be approved b��Fire Mai�shall if proposing to abandot7 tar:k irr place.) ❑ lnstallation ❑ Removal Fue1 Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: �allons Othei-: � GAS LINE ONLI' ❑ Outdoor Grill ❑ Other/List What R Where: 2 �� : - t PERMIT FEE CALCULATION(S) ; BASED OFF - 2002 STATE STATUE ' � ❑ Yes,this section applies The replacen�ent of a Residential fi�:ture or appliance that meets all three of the following requirements: l. Does not require n�odification to electrical ar gas service. ?. Has a total cost of$500.00 or less; excludin�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 � .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ; PERMIT FEE CALCULATION(S) —JOBS OVER�500.00 If�above does not apply; follo�� guidelines belo��: 1. CONTRACT PRICE *is 1.25% of contract price with a(Minimum Fee of$50.00) / _ ;;�., .� �:�/ �� x.0125 $ l.� � -� (contract price) (minimum$�0.00} Z. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of'�.50) ��;�: �� i x .0005 $ Z -'" (contract price) (minimum S .50) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $�� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��5'�� • * 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 furnisbed 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 tbe job cost, the City may request the submission of a signed copy of the actual contract. • **The STATE SURCHARGE is .0005 of the BuildinR Department at(952) 249-4600 far the price. � MECHANICAL PERMIT APPLICATION AGREEIVIENT� � � � � � The undersigned hereby applies to the Ciry 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, �rue and correct. � �Applicant's Signature: Date: � Q 3 �� DAT TIME CITY OF ORONO CALLED IN � �r-� INSPECTION NOTI E SCHEDULED ' ��CL PERMIT NO �COMPLETED ADDRESS � �� OWNER L�/" TELEPHONE NO.��z —�.�`70�� CONTRACTOR �: DESCRIPTION �Q��- �a�� r TC S� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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 ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o _ _ � � �S.J.— /�•''� �'s.1 "�' �`'�_ a � O � w � Q � Z W � W � j a W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT CQRRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED : STOP ORDER POSTED.CALL INSPECTOR ' INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: Inspector._ �_��_� , � White Copyilnspectors File Canary CopylSite Notice