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Home My WebLink About2011-00167 - mechanical � s ~ CITY OF ORONO PERMIT NO.: 2011-0016� 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 03/2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1280 LYMAN AVE PIN : 35-118-23-34-0014 LEGAL DESC : LYMAN WOODS : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,500.00 NOTE: (1)LENNOX HEATING SYSTEM MODEL#SLP98UH-90,000 OUTPUT BTU'S APPLICANT MECHANICAL 93.75 OWENS COMPANIES, INC. STATE SURCHARGE MECH(VALUATION) 5.00 930 EAST 80TH STREET BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00 (952)8543800 TOTAL 100.75 OWNER HANSON,HARLAN&MARCIA 1280 LYMAN AVE 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 pemiit 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 a8er work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked t any time for due c use. � �� ia�i �/ App icant Permitee ignature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . FO CIT USE ONLY � ,,�� Cit of Orono / � , P.O Box 66 Date Receive � �/f Pennit# �D//� � � � ' 2750 Kelley Parkway �' �i�'� �� Crystal Bay,MN 55323 Approved By: Amount$: f�� vti� ��;' 64; Phone(952)249-4600 Fax(952)249-4616 � ?y$�ei, CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspcctor 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 RECE[VE 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 hearing,ventilation,humidification-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 permit must be obtained. ��EIVED 5. All work must be done in accordance with the Uniform Mechanical Code/State Building requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. M�R 2 � �,j�� (24-48 hour notice required) 7. House Heating Test Recard must be submitted before final. (�'`�'�"�� 1'YPE OF PERMIT � �� (Check All That A ly) � � � � �� '�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �teplace Job Site /Owner Information: Site Address: �� ./ {'1')�i( /� � (�� Owner:�l �Gir'� �- �G�G'� I�Gi�nMailing Address: (��S(' �--�-/yr'1Gs/] �(,� City: _��1�1� � � � Zip: _ .�S�CI � Home Phone: (.��ol' 7�f�' �ol `6Gl Alternate Phone: Contractor Information: ' Contractor: �1�)�S C,U�i-1OG�r]��S Contact Person: �V►')GI/Y�(� �l f>�� y� Address: �3� L�� State Bond #: City: 3� �� ,�� Zip:�j��EXpiration Date: Phone: �Sa-�l�,3-S7�-1 I Alternate Phone: ❑ Insurance—Current: �,/�� 1 —�� °'�� 4�`�ANIC'' 5��"�� 1ING INSTALLED �; .. o:�. .�..�, � ..;., Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes `�No HEATING SYSTEMS Quantiry: Make: r/►1 Model: L.�—/`D U tJ' Fuel: Flue Size: Input BTUs: oUtpUt BTus: D U CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: I-�.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VEN'i ILAT'ION ❑ 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 Mnrshall ijproposing 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 � PERMIT FEE CALCULATION(S} � � � �� BASED OFF -2002 STATE STATUE ❑ 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 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 $ ,�''. , IT FEE CA��ITLATION S —J�JBS OVER . ,,�(�� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � ��, C�J x.0125$ � �� (contract price) (minimum�50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) � ✓W. OU 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) $ 1 � � �� ■ * 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 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 ac[ual contract. ■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. MECNANICAL PERMIT APPLICATtOI� AGREEMBNT 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: � � Reset Form 3 �� DATE TIME ✓ CI ORONO CALLED IN INSPECTION NOTICj� SCHEDULED � PERMIT NO.o��l` '�� COMPLETED � ADDRESS � �� OWNER � � E Nd�� 7' CONTRACTOR j DESCRIPTION �il/��Q G� 7��if�L � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 0 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 ❑ FOUNDATIOWREMOVAL � RIC TRACTOH TO MEET YOU:�YES_NO c�., COMMENTS: � W C � O a � O � W � Q � Z W � W � j � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: Inspector. . White Copyllnspector's File Canary CopylSite Notice