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Home My WebLink About2011-00198 - mechanical CITY OF ORONO PERMIT NO.: 2011-00198 ' 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE IssuEn: 04/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 155 �t�1'� IJ'� PIN : 32-118-23-43-0016 LEGAL DESC : KINTYRE TWO : LOT 2 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) ; .PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 23,000.00 ' NOTE: 1 TRANE NAT GAS FURNACE ' 1 TRANE 5 TON AC � 1 KITCHEN EXHAUST 1 DRYER FAN 2 GAS LINES APPLICANT MECHANICAL 287.50 RAY N. WELTER HEATING CO STATE SURCHARGE MECH(VALUATION) 11.50 4637 CHICAGO AVE MINNEAPOLIS,MN 55407- MAIL-IN FEE 2.00 (612)825-6867 MISC FEE 0.00 TOTAL 301.00 OWNER ROLL&JACQUELINE WILLIAMS-ROLL,MICHAEL 75 FERNDALE RD N WAYZATA,MN 55391- 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 sepazate �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. 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 cause. ��(�(,C.1/� �-- / / / / Applicant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. FOR CITY USE ONLY. . p,�O�O �City of Orono ; P.O.Box 66 Date Received: ' Permit# 2750 Kelley Parkway � � �' ;.;- Crystal Bay,MN 55323 Approved By: Amount$: � � Phone(952)249-4600 Fax(952)249-4616 �'i+r�so8�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permiu must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORIVIATION 1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be reviewed and a pernrit 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,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 pernut 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 fmal). Call(952)249-4600. (24-48 hour notice required) - 7. House Heating Test Record must be submitted before fmal. TYPE O�PERIVIIT (Check All'That Ap 1Y) �Residential ❑Commercial(Approval Required) Q New ❑Additional ❑Repairs ❑Replace 7ob Site/Owner Information: � Site Address: �s� i�e�%,t1,�1�.,cJ s 11�� /� Owner:�Gf�{G� �al�i�/�' � hTA��l�f Mailing Address: ��3 /A�A/� G��C��(/c? ��ty: (�J�-�� -7� Z�p: s��y i Home Phone: gSo�- L��I�-•5�/1�`�f Alternate Phone: d� Gontractor Information: , ' 1 � Contractor: , W�(, �l�l/l �' Contact Person: /� ° L 1 Address: � �C / �UC� State Bond#: �3 (o(L��gy� City: I,` Y��,S. Zip:��U�Expiration Date: �'� � �— � � Phone: b�o�� a�,>'' �� Alternate Phone: ��a� g��` c��d,3 �,� ❑ Insurance—Current: �,f LS 1 u:�� F=2� �.,��'��1��[��'��.��,,�`��.'��'��`B��+i��.�ili,��;� � ��'n r: �� ,� Note:All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes To IiEATING SYSTEMS Quantity: � Make: ' 1'�J1�1� Model: ��U�/f �� Fuel: Flue Size: �� /C Input BTLJs: ��U Output BT'Us: � , CFM: COOLING SYSTEMS _ Quantity: + Make: ��i I� Model: '7 � 5�(�/ Tons: �� H.Power FIREPLACES ` ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace _ ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION _ _ _ [� No. _� Kitchen Exhaust duct recirculating cfrn No. Bath Exhaust(must have duct outside) ' cfin No. � Other Fans: Locations��yL� cfin 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 d Other/List What&Where:�;y�1(, � � �ini?��n�(.�1��(�� v 2 . . '� � �`� �� ,�� '� � � o� �.��'� �� `�` �� , � �r�� . z �"�� e�` �� -''�' '� � s; � � �� `� � �` * �� „�,� ��`; �� a� >'s°:,.,,�� .at.,^ '�,,��,..'� ��s ��e� r�f��.��'��3�,�'�.��€ ': � c �� i� � � _�� . _ �^ x�.*? r.*' e, ❑ Yes,this section applies The replacement of a Residential fixture or a h ce that meets all three of the following requirements: 1. Does not require modification to electrica r gas service. 2. Has a total cost of$500.00 or less; excludine e cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeo er or licensed contractor. Skip next section,if this applies; Cost of Pe $ 15.00 State Surcharge $ 5.00 . Mail-In Fee(If Ap 'cable) $ 2.00 Total Permit Fee $ x �:, rk�a-�T°'',�;�' F�� t'.�,��.'��W� 45e ��,�.,�"��,��.. . �� pkv 1„y �,... If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) m- _ �D �� , x.0125$ �a /, (contractprice) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) � �y�Il�(�r `-�"' x.0005 $ II��a (contractprice) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��'� � ■ * CONTR.ACT 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 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 rrin;mum of$5.00. � ��`'��,��:..,�,_��;�CI�Pa��;AI��,�'��i�A�.fiO�?A�'r��.�NT='� t� �;:.. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in sirict 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. _. _.._. �� 7 �''/. ApplicanYs Signature: Ll�JJ ' °i- : Date: �'"3�'�� 3 � �_ 3 � r_DAT ''13b CITY OF ORONO ALLED IN d . INSPECTION NOTICE r/ SCHEDULED -� 29-�I � PERMIT NO.a?Dll-ODl YO COMPLETED � ADDRESS �SS /� ��1� /Jf/VL� OWNER TELEPHONE NO. �g� CONTRACTOR � DESCRIPTION 1�'�`�- /"�� I�"��,� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING R� ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL � OWNE CONTRACTOR�MEET YOU:�YES_NO �- y COMMENTS: �I �- � W C o �1�c G ti.-e,�r `TC�> � �L a � 0 � W � Q � z W � W � � d � 'ODORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECAND1710NWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. � .�"j d3_S White Copyllnspector's File Canary CopylSite Notice