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Home My WebLink About2011-00273 - mechanical � CITY OF ORONO PERMIT NO.: 2011-00273 ' 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 05/02/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1709 NORTH FARM RD , PIN : 27-118-23-44-0006 LEGAL DESC : THE FARM AT LONG LAKE : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) : PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,741.00 NOTE: (1)LENNOX HEATING SYSTEM-GARAGE UNIT HEATER NATURAL GAS-MODEL#LF24-45 4"FLUE-45,000 INPUT BTU'S AND 36,900 OUTPUT BTU'S APPLICANT MECHANICAL 50.00 DITTER INC. STATE SURCHARGE MECH(VALUATION) 1.37 820 TOWER DRIVE TOTAL 51.37 MEDINA, MN 55340 (763)478-9558 OWNER ROSENGREN,MR.&MRS.RANDY 1709 NORTH FARM RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding 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 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 null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consvuction 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. � ` /`-' .S—1 �d� l ol D!� � ��l l App�icant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. *05i0?�2011 12:11 DITTER INC � 9522494616 N0.436 D02 �Cl U6�ONLY O��O City of Orono � Permit a �,��d � p P,Q,[iox 66 Aate Receiv ( 2750 Kelley Parkwery Q 'y r Cry�nl.13ay,MN SS323 Appravcd By, , Acnount S: �/. 3 � � fi phone(952)249�-0600 Pux(9S2)2a9�61l� � CITY OF ORON'O—1VtEC�IANICAL PERIyi[T (Aii Commerciul permi.0 musf bo app�ov�d by the Building Off'icial or laspeclar qnd/or�'ire Marshall) G�NERAI. INFOI�MATfON 1. You mAy spply for mechanical perm:ils by mail or in person at the Cit�+offices. Applications will be rovicr,ued.�nd a permit will be issued within two working clays. 2. Permil cards vu�ill be sent b�+retum mail after a review is compleled. PGktM[TS Alt�NOT VALID UNT1L YOCJ RGCf l�'�A P�RMJT_ 'WORK MUST NOT fiFrrN 1 CNTTT.�THR PGMt1V1fT CA�1�Y�,S�Q4Ti�A ON TT�E dOB SITE. 3. Mechanical Deci*�—Complete ealeula�,io:ns,d.otails a��d specifications are required for eacli heating,ventila�ion,humidification-dehumidifcatian,ond air condirionins ins��llation including hesE loss/heat gain ealeulation,clesign temperatures,equi�ment t�ttzngs nn.d iclentification as to rype,manufacturer�nd moctcl. Dota sholl be presented on:Form provide�l. 4. When Any ntw constructlun or r.e�mocleling is Involved,R sepacate building perm.it must be nbt8lned. 5. All work must be don.e in accor.dAnce with the Uaiform Mechnnice]Code/State Building Code rQqUir�on[S. 6. All work muat be inspected(rough-in and�.nal). Co.11(952)249-4600_ (24-08 hau�notice regulred} 7. House Fiea�iog Test Reco�d must be submitTed Gefore final.. TYPE OF AE.RM1'C Chec.k Al.l Th.at A 1 �Residential �]Commercial(hpproval Required) ❑New �Add.itional ❑Repai�s ❑Re�lace ,lob Site/4wner l.n:fo.rmation: Site A►ddress: I�� /+�o r�-. �...r� f Lo a a� Own.er:� �-oS��^��•� MailingAdd.ress: 1 �� °I Nu,'�l, �r'^ n-a�. City: �-r,�� .c.�-- Zip: �� 3 S � 1-fam�Phone: ��- �g� �J ry6� Al.ternate phone: Cantractor inform�tion: Coniractar: � �'�'�' �o��'�� Cantact Person: ��m' Address: $� 'fa v�rt- �v� State Bond�": ��~�?Q City: Zi.�a: S�`3y6 Expiration baie: d�I�..11/� Fhonc: ��3J�7�'9�' �(� l Alte.rn.ate Phone; � lt�surance—CurrEnt: ��Urr� 1 05i62i2011 12:11 DITTER INC � 9522494616 N0.436 D64 � . - ��:'' ,� ��.• . .. . '� �. ' .. �� . � •• . �.Q . Notc:A�i Geothermal S�stems rvill oow reyuire a$i�e Plan&$eview by ow Building Official. iS THI5 GEOTHEAMAL3 ❑Yes �No �4'I''YNG S�'S'l'EMS Quantiry: N�ake: ti Model: -F .1,� -� �9�°'`� cJ��_ d*,,,�"``" Fuet: �va.��9� _ !f Flue Siu: � InputB7'Us: �ovv Output 6TUs: �� C�'M: ,� CU�OLING SYSTEMS Quantixy: MA1cC: �, Model: Tons: _._.._._.��„.�.,.... .. _.. .. H.Powor F'IAEPLACES ❑ Ga8 Factary Fireplarx �rand Nazne: ❑ 'Wood Burnin�Fiir�eplace ❑ Wood Stove Model No.: ❑ 'yVood Sto�e with Flue!Mesomy V�NTXI.ATXON ❑ Na- Kitcben Exhaust duct reciroWating cfin ❑ No. Bath Exheust{muat harre duct outside) efin [� No. Othar Fans: I.ocations cfm FilEL STOAAGE (Mas�be approved by�'!re M+�sbaAif�c�a4�+�M abc�don lank i+�place) ❑ installation ❑ �temovaJ Fuel Oil: gal.loes [] Underground ❑lnside ❑Outside Lp Gas: galions Other: GAS LINE ONI.Y ❑ Outdoor Grili ❑ Other/�.ist'GVhst&Whero: ,,.,. 2 05/02i2011 12:11 DITTER INC � 9522494616 N0.436 D03 C �"'.li' of r{.l: : ' t . h:. � i•hn � : rt�k . ;,. �l.i' �i� ':i.�.1: •� • '•. ...'. •', . ',1�:.. . �:i n yy�F �d/ 1. �� . . . .•��,�„1 •�I`�8'��' Y �� ❑ Yea,this section applies 'C'he replace�ment of a Residsntial_f�reior a,p�lian�th�t meets ali tht+es of the following roquir�tments: 1. Does no require modification to electrical or��s sorvice. Z. Haq a to c�of$500.00 0�less;e�rsl in the c�t of the fi�re or applience:and 3. fs improved,installed or ceplt+ced by the homeowne�c or licensed wnlractor. Skip next sectio�,if this epplies; Cost ofPermit $ 15-00 State 5urcharge �_ S•� Mail-Yn Pee(if Applicable) $ 2.QQ Totnl eera�it Fee S .. ,� �'�� £�� ,�T�. �; � $�00. � If above does not epply;foltowv guidelines 6olow: 1. CO�TRACT PRICE "`is 1.2596 of contrsct prisx with a(Min9mam Fee o�$50.00) � a7Y� x.o,zss_ . (conawcc prico) (aa�otaium s9o.00) 2. �{'A�ARG� �� x.Q005 $ �' � (conQacc prico) 3. 1�OSTAGE&�ANDLTNG{OWy cn Mail-In Applica�ions) S z.� af�� ? A. TOTAI.P�RM1T FLE(Add�in�s l-3 Above) S ■ y CONfRACT P�CE or IOB COST rneans che sc�usl or estimated dollar amount ch�gal for the pe,mimd work including meteriafs,taboz,profrt.and other fixed cosrs. rt ie the amount to be cAarged to tho customer for the wrork done. If eny meterial,�q,uipment,labor or iastaila�ions are t'umished by the ovmer,tenant ar aay oiheT party, �he r�asonablo market valuo of such items must be added to the esmnaioed cost or eontract prias for permit fee pur�wses. [n tbe event that rhera is a dispvice o� the pmount of the job cost,the City mfly request tl�e submission of a signed capy of the acw�l conbaet. . �. % � :� .; The undersigned hec+eby applies to the City for issuanoe of a Mechanicat Permit,agrees to do all work in strict accordance with the or+�inences of the City and the r�gulations of the State of M�ota, and ceTtif�es that all stat�ments made on this application are complete., true and c.�mec:t. Applicant's Sig�aturc_ b�: ~"Z' '�� lr . �• - �' ••�G.i ,�, � , �� 3 05/02i2011 12:11 DITTER INC � 9522494616 N0.436 D01 . 820 Tawer Drive - Ham��, MN 5 S 3�0 � (763}47$-95 5 s-afc � (�s3�4�g-2�26-F�ax �p�g,gN� $.�EATiNG �` � .�S[AiCE �9�6 = 1- �� T0: C i�-� d� d ro n�v FROM: �'n�, C ONlPANY: �DATE: �� _�� PHONE: � PAGES: 3 FAX: y�a- � a '��— L/�!� RE: �, �err�� D � � � � � , .,.: �� l��,�' ,�rN�N � ' � S -�-e . . �cQ . � 'e. -� �1�..�. �S�e. `�-� r�e � . � � � � �b 3 ,�'�O —�/ � � Ge l( t-" M '_ - ��. r��' • . . irr"; ' �'~r�� The original copy will also be sent�to�rou hy mail. ��.� . ��.�. . .., �- ��', r�� •. . �� 1'his FAX is d�e only copy you will receive. •��•�- •^'' '+'�IrRyY+�• iinwq,:rwr�' ��+r^� I �P'��r!�� • � '.�.�. . I ' . ' '' � I � �i � , I ./ •�nrnxnrnnNPOA•�>HANACi:C�nGw'fP17MMy�nO1�.ER9•IIl��101PISQ8�Al11G{.BAKCIlS-6tIEP.7'MF.TM- �� // AT TIME✓ CITY OF ORONO CALLED IN 5 ` �� INSPECTION NOTIC ��d a SCHEDULED /l � PERMIT NO. �� COMPLETED ADDRESS 0 � OWNER PH NE NO� � v�� CONTRACTOR � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/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 ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: I � W a � ,� � � � �-- 1�!� -�f�� '`� ' �'�-�1 ��/t S t� t--I--e...� -�-c��-- ° ��= ( ( W � Q � Z W � W � � d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 Owner►Contractor on site: - Inspector. r l � ' White Copyllnspector's File Canary CopylSite Notice