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Home My WebLink About2011-01581 - mechanical CITY OF ORONO PERMIT NO.: 2011-01581 ' 2750 KELLEY PARKWAY ' ORONO,MN 55356- DATE ISSUED: 12/22/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2507 KELLY AVE PIN : 20-117-23-12-0063 LEGAL DESC : NAVARRE COVE : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 9,500.00 NOTE: 1 TRIANGLE TUBE GAS HEATING SYSTEM APPLICANT MECHANICAL 118.75 OWENS COMPANIES,INC. STATE SURCHARGE MECH(VALUATION) 4.75 930 EAST 80TH STREET BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00 (952)8543800 MISC FEE 0.00 TOTAL 125.50 OWNER RITCHIE,THOMAS&KRISTEN 2507 KELLY AVE EXCELSIOR,MN 55331- 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 rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if wnstruction 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 inspections aze requested in conformance with tTie State Building Code.This permit may be revoked at any time for d�e cause. / �(�� _ 'l. / / / / Applicant Permitee Signature Date Issued By i ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � FOR CI7'1'USE O�LI' � "` City of Orono �� '` P.O.Bos 66 Uate Received: Pemiit# ��; �'��- 2750 Kelley Park�cac � �'�x 'tt� � kf� Crystal Bay,MN 55323 Appro4�ed[3y: Amoimt$: ' �� '�� .�$o�,>` Phone(952)249-4600 Fax(9�2)249-4616 � �� CITY OF ORONO—MECHANICAL PERMIT (All Commercinl permits must be approved by the[3uildine Of(icitil or Inspector and/ar Fire Marshall) GENERAL 1NFORMATION � �� 1. You may apply for mechanical permits by mail or in person at the City offices. Applications 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 Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calcu(ation,design temperatures,equipment ratings and identification as to type,manufacturer and model. llata 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. � ''I�YPE OF PERMIT � (Check All That Apply) �esidential ❑Commercial(Approval Required) ❑New ❑ Additional ❑ Repairs �eplace Job Site/Owner Information: Site Address: ,�c�)(� 1 +� �� I �. � ` 1 1 �� Owner: �' �Y"1 � g �� .��,�� ,V" , �( � �)�C� Mailin Address: t� c�ty: �� )(� z�p: S�»�I � Home Phone: ��I ��`��(�� Alternate Phone: Contractor Information: � ' � � Contractor: C'��7��✓j'I�Gyi7-�� Contact Person: ��Y��G�Y��Gt ,��t(_-�� `��i J � `'�rt� �i�- Address: � _ �C State Bond #: Ci 1 �;� Y�, �.� �,� Z� �' � ty: 3 p:��-k��xpiration Date: � , .. Phone: ��,� �� -��C�� Alternate Phone: ❑ Insurance—Current: 1 , ` MECHANICAL SYST`EM�BEING INS'TALLED ' �` � �� ` ��.�� ..., Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �'No HEATING SYSTEMS Quantity: � Make: t(��P �'� Model: ��_ Fuel: �' G(,� �— Flue Size: Input BTUs: �jV (�� Output BTUs: ��, � �� CFM: COOLING SYSTENIS Quantiry: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILAT[ON ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing 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 r � � � � PERMIT FEE CALCULf1T10N(S) � � � - BASED OFF -�?002 ST�1TE STATUE � � � �� ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ P�RMIT�EE'CALCULAT��}�T �}',-�CJBS C7VER$SOO,UC} � �` .',, �,.' �. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) I / c1 � SC�. ��X) X.oias$ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE � ,., ` � , ��-�� C�i 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 permitCed 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. �� ..... '��-� MECHAI�iI��L PERM�, ,�1'�LI �'� (��AGR��rI��' ... '�� ;;: �� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accardance 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. i Applicant's Signature: �"�'�UG' i� ' i Date: � � � �� _ �� Reset Fo�rn � 3 S�� DATE TIME � CITY OF ORONO CALLED IN �- �3 INSPECTION NOTICE SCHEDULED 3 -IS- I�-� PERMIT NO. dD//-O/S� � COMPLETED ADDRESS 4�SD 7 ��,a—� a�C� OWNER l arn l�-7��-�2 TELEPHONE NO.�ia a �o �9 7� CONTRACTOR ��'a � DESCRIPTION ��J � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL � ING RI ❑ SE�%IC FINAL ❑ FOUNDATION/REMOVAL � OWNER/ ONTRACTOR TO MEET YOUF YES_NO y OMMENTS: � W a � ��(A-C C�/'��,� 0 a � 0 � W � Q � z W � W � � � � ❑WORKSATiSFACTORY:PROCEED �JECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. Whlte Copyllnspector's File Canary CopylSite Notice