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Home My WebLink About2008-00126 - mechanical - CITY OF ORONO PERMIT NO.: 200�-00�26 ,, 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: OS/12/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2509 KELLY AVE PIN : 20-117-23-12-0037 LEGAL DESC : REG.LAND SURVEY NO. 1428 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 6,000.00 NOTE: 1 LENNOX FURNACE-GAS 1 LENNOX COOLING SYSTEM-2 TON APPLICANT MECHANICAL 75.00 KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 3.00 6365 CARLSON DRIVE SUITE G EDEN PRIAIRE,MN 55346 MAIL-IN FEE 1.50 (612)941-4211 TOTAL 79.50 OWNER NADLER,CHARLES&CANDICE 2509 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 goveming 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. 1'he 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 ca�se. `�Y�� l/r�- � � �; Zr � Applicant Permitee Signature Date Issue B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ABOVE. A 1 FOR C1TY USE ONLY p City of Orono • O¢ '�� P•O•Box 66 Date Received: Permit t! � �?, 2750 Kelley Parkway ��2�`� r Crystal Bay,MN 55323 Approved By: Amount S: ��.;��,,��- (952)249-4600 CITY OF ORONO—MECHA1vICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION - 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 Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation includin� heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to rype, manufacturer and model. Data shall be presented on form provided. 4. When any ne�v construction or remodelin�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)2�19-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �esidential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ,�Replace Job Site/Owner Information: Site Address: I Iv �i• O�vner� .r 1.�1,t� ��Q� ailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:K1PVP ut-g . �, a�c� Inc ContactPerson: -A�h�p�„� �Y'^I�\� _ � Address: 6365 Carlson Dr . Ste GStateBond #: RT,T-56� 165 City: Eden Prairie Zip: 55346E�piration Date: 8/14/06 Phone: 9 5 2-9 41-4 211 Alternate Phone: 9 5 2-3 4 5-7 2 4 2 ❑ [nsurance- Current: 1 . '=ta�tS4F'��C'�'�•�s"��Y1EGI�ANT��T..�'�Y,S�1VIS�BE�iGF�ST��ED�i�'�';7�;,�;��,.��a��?±,,,:;� HEATING SYSTEMS � Quantity: Make: ��Q�" Modei: l.i �uT�`��v Fuel: Flue Size: Input BTUs: Output BTUs: ��/`-/ CFM: COOLING SYSTEi�iS Quantity: � i�lal:e: Model: � '� Tons: !� H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: [�todel No.: VENTILATION ❑ 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) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Under�round ❑ Inside ❑ Outside LP Gas: eaflons Other: CAS LiNE ONLY ❑ Outdoor Grili ❑ Ottier! List What�� Where: � ^�,�5 ,�,y, �y�ti;�a �ti 4_` �'�RMIT FEE,�CALCULATION(S) ;3�,` ' ,' � , ti` 5,�4 ��,,, ::� , `„`;';� , � ;�,��"i� ';?4 y f';BASED.OFE=�2002:'STATE STATUE�, � 4��..-='� �:`� ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or�as service. 2. Has a total cost of$500.00 or less; excludino the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Ship next section, if this applies, Cost of Permit $ I 5.00 State Surchar�e $ .50 Mail-In Fee(If Applicable) � 1.�0 Total Permit Fee $ - - PERMIT FEE CALCUI;ATION S —JOBS OVER$500.00 If above does not apply; follow guidelines below: l. CONTR.aCT PRICE * is .?�°b of contract price��ith a(1linimum Fee of 53�.00) �l��`� _ . .oi,� s �`�. � (contract pnce) (minimum 5��_00) 2. STATE St!RCH.aRGE ** Add the State Bld��Code Div. Surchar_e (�tinimum Fcc ofS.SO) Od x .000� S � (contract price) (minimum S 501 3. POSTAGE & HA;�'DLING (Onl�� on tilail-In Applications) S 1.50 -1. TOTAL PER�IIT FEE (.�dd Lines 1-3 Above) S I •�� • * CONTfZ�,CT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted worh includin� materials, (abor, profit, and other fixed costs. lt is the amount to be char�ed to the customer for the work done. [f 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 of the Building Department at(9�2)249-4600 for the price. - : ' MECI-IANICAL PERMIT APPLICATION AGREEMENT The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, a<=rees to do all ��ork in strict accordance �vith the ordinances of the City and the re«ulations of the State of Minnesota, and�certifies hat all stateme ade on this application are complete, true and correct. I / \ � � Applicant's Si�ns e: Date: " � D � �;� Reset Form .. � . . `�','.. . .. . ..... . . � J �4 � Ct� ATE TIME � � CITY OF ORONO <�D IN INSPECTION OTICE SCHEDULED _,�' ' !� PERMIT NO. DO - 1 COMPLETED ADDRESS � OWNER CO TR. TELEPHONE NO. — ' �'- s � DESCRIPTION � C�� _ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING �IECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTICfINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOFi T ET YOU: YES_NO / � COMME TS: � w J a � J O >. � O � W � Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN tNSPECTOR W{lL RETItRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal1 forthe next inspection 24 hours in advance. (952) 249-4600 Owner►Contractor on s' e: Inspector. White Copyllnspector's File Canary Copy/Site Notice