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Home My WebLink About2011-00171 - mechanical � CITY OF ORONO P�am�T No.: 2oi�-ooi�l 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSVEn: 03/22/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1 179 NORTH ARM DR PIN : 07-117-23-14-0054 LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATiON : $ 950.00 NOTE: VGNT(1)I3ATH GXHAUST APPLICANT MECHANICAL 50.00 G-HVAC 16036 MALLARD WAY SE STATE SURCHARGE MECH(VALUATION) 5.00 PRIOR LAKE, MN 55372- TOTAL 55.00 (612)619-9322 OWNER CHRISTIANSON, SCOTT& DAWN 1179 NORTH ARM DR MOUND, MN 55364 AGREEMENT AIYD SWORN STATEMENT The work for��hich this permit is issucd shall be performed according to Ihe approved plans and specifications,applicable City approvals,and the State Building Code. 'I'his pennit is for only die work described and does not grant pennission for additional or related work which requires scparate permits. All provisioi�s of laws and ordinances governing this type of work shall be compied«�ith whether or not specified herein.This permit will espire and become null and void if construction authorized is not commei�ced 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 requeste in conformance with the State Building Code.This permit may be revoked t any time fo ue cause. ` � ��2 � �� ' - �� 3 �� ermitec ignature Date s d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �. ` FQR CI Y USE ONLY ,�� City�of Orono �31 O . O P.O.Box 66 Date Receivey� Permit# �0��r� /�� ti; 2750 Kelley Parkway .� ��?��'=_ �� Crystal Bay,MN 55323 Approved By: Amount$:�� d��,�j�r j�n�o Phone(952)249-4600 Fax(952)249-4616 uaso$ CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Officiai or Inspector and/or Fire Marshall) GENERAL 1NFORMATION l. 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 MLJST NOT BEGIN iJNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calcularions, details and specifications are required for each heating,ventilation, humidification-dehumidification, and air condirioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and idenrificarion 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 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 Apply)�' �esidential ❑ Commercial (Approval Required) � ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: /�// �7 N'�r��/� ��, Owner: Mailing Address: �� City: �I�C��-v Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �� Contact Person: �� " � �,� Address: ��'�� lG��State Bond #: '' City: ��"" ��C Zip;S�..�7,2 Expiration Date: � � �� 0 � � Phone: �� Z�t1��y' �� Alternate Phone: ❑ Insurance—Current: 1 � ,i ,. , . , Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry 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 place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � . y '� � PERMIT FEE CALCULATION(S) � � BASED OFF - 2002 STATE�STATUE � ❑ �'es, this section a�plies The replacement of a Residential fixtw-e 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; excluding 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 $ PERMIT'FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; follow guidelines below: L CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$50.00) � v ' �� .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) �J� �v x .0005 $ (contract pnce) (minimum�5.00) 3. POSTAGE 8r.HANDLING (Only on Mail-In Applicarions) $ 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 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 subnussion of a signed copy of the actual conhact. ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. MECHANICAL PERMIT APPLICATION AGREEMENT 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 Signatur : i'" � Date: � �� 3 � ��`��Q�TI � DAT TIME � ITY OF ORONO CALLED IN �� 3""� INSPECTION NOTICE o SCHEDULED � PERMIT NO.�IJ�IJ�J�d co PLETED ADDRESS OWNER � TELEPH NE N . �� CONTRACTOR � DESCRIPTION � � + V � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL $"RAECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OW IC6 EET YOU:�YES_NO � COMMENTS: � W a � �� I�- T�� ,i� S � i� 0 � � � . I�J r�� A��.� — Q � ��,,�� o� �-� � z W � W � � � GW�UQ.RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK ED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WO CA EINSPECTION TEMPORARY V BEFORECOV N ' PERMANENT ❑CORRECT UNSA N WITHIN HOURS. � pHOTO TAKEN �NSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: - Inspector. White Copyllnspector's File Canary CopylSite Notice ("4`'�'1 ��I_� ' � � DATE TIME V CITY OF ORONO CALLED IN INSPECTIO TIC �°CHEDULED �� PERMIT NO. ��-"COMPLETED ADDRESS �� 79 /V ' /T� M � OWNER TELEPHONE NO. w�L �4 � �� CONTRACTOR �rin'le �rD/eq°` 7bN� � DESCRIPTION ��G � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHRNICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING o ❑ MECFFANICAL 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMIII��NTS: ��'' �r ;.�,��1 � s �: tiA � ,� � sc�— W � � ; ,--o� i --� I j O � fZ �Cf�� ,� Qc� � �I�Cl �"�l�l 1�•��L. LC30 � Q 1�n G� [7 J�.L� � rl I'^�l�L. �3 P c��.c,, z �� , �� C� (� r��(�-�! f �-'� � j�^f�inJ � /(� � �d' �-'C�� `f � C��IGYJ�-t — � eo ��s-r� c�.r �� l S� c f m � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. � ./r � White Copy/InspectoPs File Canary CopylSfte Notice