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Home My WebLink About2011-01122 - mechanical t � CITY OF ORONO PERMIT NO.: 2011-01122 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 340 LEAF ST PIN : 04-117-23-23-0008 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 028 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 1,500.00 NOTE: 1 INFLOOR HEAT-ELECTRIC-4,500 WATTS APPLICANT MECHANICAL 50.00 JUUSOLA&BETH H,BRENT 340 LEAF ST STATE SURCHARGE MECH(VALUATION) 0.75 LONG LAKE,MN 55356- TOTAL 50.75 PAID WITH CC# 9044 OWNER JUUSOLA&BETH H,BRENT 340 LEAF ST LONG LAKE,MN 55356- 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 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 after work has commenced. The applicant is responsible for assuring all required inspections are requested in confoym ce with the State Building Code.This permit may be /i%J revoked at any ti or du euse. � 1 ' � lZ� l Z�%/ � G''YYt� / / Z(� �� Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f �, , � �OB�CI'�'-��JSE(�N�.rX ¢0�, City of Orono � y � Q P.O.Box 66 �a#e''3tecetv�tl:� �er�rdY#� � � � 2750 Kelley Parkway - € rA b� � � � � Crystal Bay,MN 55323 �pgro�edBy ' A.rrtonnt$ `�4 �� Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) `G:EI�ERAI,Il�FORMATION ; ,� 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,venrilation,humidification-dehumidification,and au conditioning installation including heat loss/heat gain calcularion, design temperatures,equipment ratings and idenrification 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. 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. r'�'Y.�'E OF�'E1�IT `_ : . , . �: Chec�A�l°That� , `1�. ❑Residential ❑ Commercial(Approval Required) ��New ❑Additional ❑ Repairs ❑Replace 3�ca�°�e l�D,�er�n;for�a��on � �, � _,_ � Site Address: �� `'�`� Owner: �('�rw� �a11�►,{nS0/�i MailingAddress: �y� L�� S�� city: �!r(�n� zip: ,��,�� Home Phone: z'yl�'3�b Alternate Phone: ;Co�tractor 1�c��rn�tirari: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 L . ` � Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: � � or n�� Model: Fuel: e 1�� Flue Size: Input BTUs: 'M ` � t''��`'� Output BTiJs: 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 cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FLTEL STORAGE (Must be approved by Fire Marshall iJproposing to abandon tank in plac�) ❑ Installation ❑ 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. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ 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 $ If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 1�(r0 X.oi2s$ (contract price) (minimum$50.00) 2. STATE SURCHARGE , �.�� x.0005 $ (contract price) 3. POSTAGE&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 installarions are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated 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. 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: �'V �� _/� 3 �� D T TIME CITY OF ORONO CALLED IN �� , � INSPECTION NOTICE SCHEDULED � � PERMIT NO.�� °��a�- COMPLETED ADDRESS 3�D G�� OWNER /��-�� q TELEPHONE NO. ��Z � 3L6� CONTRACTOR �: DESCRIPTION e� / �� , , �'�1 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � f Vl.�C� �r�'�3-� � � t p � T��n��- � � Q � z � � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � ❑CORRECT WORK&PROC�EED l-: ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on si e: � f Inspector. White Copyllnspector's File Canary CopylSite Notice