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Home My WebLink About2013-00081 - mechanical CITY OF ORONO * 2 r� 1 3 - 0 0 a 8 1 * ' ` 2750 KELLEY PARKWAY �ATE �ssu�n: OU3U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1205 NORTH ARM DR PIN : 07-117-23-41-0013 LEGAL DESC : SAGA HILL REVISED : LOT 001 BLOCK 004 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 1,200.00 NOTE: FURNACE-GOODMAN-NA"I'URAI,GAS-70,000 INPU"1 I3TU'S (I)KITCHEN EXHAUST GASLING TO DRYER AND RANGE APPLICANT MECHANICAL 50.00 THARALDSON, BREVIK STATE SURCHARGE MECH (VALUATION) 0.60 1205 NORTH ARM DR MOUND, MN 55364- TOTAL 50.60 OWNER THARALDSON, BREVIK 1205 NORTH ARM DR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issucd shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This perniit 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 governing this type of work shall be compied with whether or not specitied hercin.This permit will cxpire and become null and void if construction authorized is not commenced within 180 days of thc date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicanC is responsible lor assuring all required inspections are rcquested in conforniance with the State Building Code."l�his permit may be revoked at any time-for due-caus�,__ .��_ ::.-- ' � � , �-�, ��>,s/ � � � l ,�� , i3 pp erTT1TTe�"Signatur� Dale Issued y Signaturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �• •- FO CI USE ONLY � City of Orono / -�/� 7 �/ , 4O� P.O.Box 66 Date Received Permit#�/�✓ U/ ��,,5,�, � 2750 Kelley Parkway a �'�� Crystal Bay,MN 55323 Approved By: Amount$: ��` � � 4.^�� ti � d� �� ;�n o Phone(952)249-4600 Fax(952)249-4616 r„�r�ill�.,-y 88A�� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building OfFciai or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut 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 Desi�—Complete calculations,details and specifications are required for each heating,ventilarion,humidification-dehumidification, and air condirioning 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 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) � Residential ❑ Commercial(Approval Required) ❑ New ❑Additional "�Repairs ❑Replace Job Site/Owner Information: Site Address: ?�S ti�� ''"` �1� Owner• ��K- 1 �'��.�'"` Mailing Address: 5�`''�E City: �j'��%� Zip: �`-� �E;7 Home Phone: ��/��v�� - ��C7� Alternate Phone: Contractor Information: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � �, , �� „ �`.� ' ; MECHANICAL SYSTEMS BEING INSTALLED ` `�� ,. :� �� ' , „� ,,�,�� Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �o HEATING SYSTEMS Quantity: Make: � Model: Fuel: �� ( _ ��S 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 E�aust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marsha[Z if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grili � Other/List What&Where:��`-(�/� � ��' �"C... � � PERMIT FEE CALCULATION(S) ; BASED OFF — 2002 STATE STATUE ' ❑ Yes,tlus 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; 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 CAL�ULATION(S}��-�TOBS OV�R$Sfl0.00 �� . ��`��'�, If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � I �7�">�" X.oi2s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE c� �I '��'` x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �—(� , �o C� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 pernut 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. MECHANICAL PERMIT APPLTCATTON AGREEMEI`�TT ��;�ba , ; ; The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in stnct accordance with the ardinances of the City and the regulations of the State of Minnesota, and cerfifies that all statements made on this application are complete, true and correct. �-- Applicant's Signature: ��` ^� � �ate: ��l — l � 3 DATE TIME � CITY OF O NF�� CALLED IN � I� � INSPECTION NOTICE �/J / SCHEDULED �� oZ.`4� PERMIT NC1�Df 3 � !/!/��` COMPLETED ADDRESS � �5 OWNER U� � TELEPHONE NO. � —� �� CONTRACTOR ��'�` '�� DESCRIPTION C ,/ v�� /� � `,' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F�LLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � W a o t� d �� 5, �' i;� �-{�.� � '_'� S (,�� 0 � w � Q � Z W � W � � d W� .d4AiORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. �`"`l �J � White Copyllnspector's File Canary CopylSite Notice .-� -� � (� :,-"�` L'f ✓ �F� �/ `-� � ATE , TIME CITY OF ORONO CALLED IN � " INSPECTION NOTICE r SCHEDULED / ` � � PERMIT NO.� /'I�"'L�� COMPLETED ADDRESS �,� �` �" �/Y� �j�' . OWNER ' '� " TELEPHONE NO.LC'�� .�1� -I�1�C� CONTRACTOR � DESCRIPTION �� C��`l �`"� //�� ( � � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICA�RI ❑ LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � O- WNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS:_�/.�,�/_�� 1,(�r� �� W a � J O �. o� O k W � Q � 2 W � W � � J W�J WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN �NSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex�nspection 2a hours in advance. (952� 249-46�� OwnerlConVactor Inspector. i {/ White Copyllnspector's File Canary CopylSite Notiee