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Home My WebLink About2009-00274 - mechanical CITY OF ORONO PERMIT NO.: 200�-00274 ' 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 06/03/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 580 NORTH ARM DR PIN : 06-117-23-42-0005 LEGAL DESC : VICTORIA ESTATES : LOT 006 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,500.00 NOTE: 1 -HEATING SYSTEM, 1-COOLING SYSTEM APPLICANT MECHANICAL 106.25 COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 4.25 65ll HWY 12 MAPLE PLAIN,MN 55359 TOTAL 110.50 (763)479-1600 OWNER JOHNSON,BRYCE&PAULA 580 NORTH ARM DR MOUND,MN 55364 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 gant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become nu11 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 reyuested in conformance with the State Building Code.This perrt►it may be revoked at any time fo e. l fo � - �-/`---�--�.. �ynce.Y' � �`' � 3 ��j App ic ee i Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � FOR CITY USE ONLY �D�O City of Orono P.O.Box 66 Date Received: Permit# �y 2750 Kelley Parkway �i �� i� Crystai Bay,MN 55323 Approved By: Amount$: �� ,j�%,v�o��/ (952)249-4600 ,ssno�-" CITY OF ORONO—MECHANICAL 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 DesiQns—Complete calculations,details and specifications are required for each heating,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 ar 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. TYPE OF PERMIT (Check All That A 1 ) ❑� Residential �Commercial(Approval Required) � New ❑Additional ❑Repairs �✓ Replace Job Site/Owner Information: Site Address: 580 NORTH ARM DR Owner: BRYCE JOHNSON Mailing Address: City: MOUND Z�p. 55359 Home Phone: �952)472-5117 Alternate Phone: Contractor Information: Contractor: COUNTRYSIDE Contact Person: MAGGIE Address: 6511 HWY 12 State Bond #: C�Ty: MAPLE PLAIN Z�p: 55359 Expiration Date: Phone: (763)479-1600 Alternate Phone: � Insurance—Current: 1 � ' Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑� No HEATING SYSTEMS Quantity: � Make: BRYANT 355CAV060100 Model: Fuel: NAT GAS Flue Size: Input BTUs: 100,000 Output BTLTs: CFM: COOLING SYSTEMS Quantity: � Make: BRYANT Model: 124ANA042 Tons: 3.5 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue 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 if proposing to abandon tank in plac�) ❑ Installation a Removal Fuel Oil: gallons ❑ Underground �Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: 2 ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine 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 $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 8,500.00 x.0125$ �0625 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) 8,500.00 x.0005 $ 4.25 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 110.50 ■ * 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 actuai contract. ■ **The STATE SURCHARGE is.0005 of the Building Deparhnent at(952)249-4600 for the price. 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. ApplicanYs Signature: Date: -■ 3 � /D TIME �/ CITY OF ORONO CALLED IN `� INSPECTION E SCHEDULED - � PERMIT NO. 7 COMPLETED ADDRESS � m �'r � . OWNER CONTR. TELEPHONE NO. ��Z=7'7�-�J��7 � DESCRIPTION � �� FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL � ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP p PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � a � � O � � O � W � Q � Z W � W � � � �/ � ❑WORKSATISFACTORY:PROCEED Q�'PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED I ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETl1RM 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on s' e: Inspector. Whfte Copylinspector's Flle Canary Copy/Site Notice