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Home My WebLink About2010-00399 - mechanical CITY OF ORONO PERMIT NO.: 2010-00399 + ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 05/27/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3115 NORTH SHORE DR PIN : 09-117-23-32-0013 LEGAL DESC : REG.LAND SURVEY NO.0269 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTE: INSTALL GAS DRYER APPLICANT MECHANICAL(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE MECH(<$500) 0.50 3670 DODD ROAD-SUITE 100 EAGAN,MN 55123- MAIL-IN FEE 2.00 �� MISC FEE 0.00 Minnesota State License#: 61770PM TOTAL 17.50 OWNER VOGT,ELIZABETH 3115 NORTH SHORE DR WAYZATA,MN 55391 AGREEMEIVT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This petmit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with jhe State Building Code.This permit may be revoked at any time for due cause. �/� �"'� / / / / Applicant Permitee Signature Date Issued By nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . � ' FOR CITY USE ONLY ,��4� City of Orono ' � *•� /�g' � ', P.O.Box 66 Date Received: Permit# f��; -�� 2750 Kelley Parkway � �'� 1� �.� Crystal Bay,MN�5323 Approved By: Amount$: \��'��,}�c`� (952)249-4600 . � `;aa9o�i s CITY OF ORONO—1VIECHANICAL PERiVIIT (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. PERNIITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditionin�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 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: � ` `� � `� �� J ►� (��'�' ��` Owner: � � ��a � Mailing Address: ) a�l'Q, City: Zip: Home Phone: �� ^ �/�5 Alternate Phone: Contractor Information: Contractor: Champion Plumbing Contact Person: C��l U � � #61770-PM Address: � 651-365-1340 State Bond#: Eagan, MN 5�5123 City: ip: Expiration Date: Phone: Alternate Phone: � Insurance—Current: 1 �� \�� .. - _ I��HANICAL S�'�'STE��'l B�'�'�'�'�'INS�'�T:��.= � . , 4 : PERIVIITa FEE CAL�UL�.'F�O�I�S� ,`, f � �_�� _— ° ,� i?�I �: 4. B�SED�F�—2�0�STATE STAT� � -,.�� —�Wa � �� . ,:. .- , � 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;e�cludine 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 $ t� _S(7 —�� ,-��'�'�Z�l�'��`'��E��'AL��':T�:.�TT,�N � ,-;�t�B��_+�3�1�_�5��f�t��" _:�;��a�� -�,�� ;�� a _ — � : If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(��inimum Fee of�.50) Y.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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 fumished 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 actual contract. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. ,�� 1Vl��I�I��=PERIVTI"��P�.I�A:`��}�n�A��E�� _P��,�� ;i��r��a��,��. 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: 4-/ —�— `" _ .G:'�" �eS�� 0�1't��,-� .. '��1; _ ._ .�__� . _. 3 �� ,�j ¢�rN'U T DATE TIM�� // CITY OF ORONO CALLED IN V INSPECTION NOTICE SCHEDULED PERMIT NO. � � �6"��9�COMPLETED ADDRESS � � ��J N • �S I/10 r'e. ��_ OWNER TELEPHONE NO. CONTRACTOR �.V�C3f'i�IID 1(� PI LlY1t� � DESCRIPTION �i ha 1 C a.s ,�t,�- ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC I ALL � OWNERfCONTRACTOR TO MEET YOU:_YES NO c��, COMMENTS: � W a � J O ). o� O � W � Q � 2 W � W � � J W ❑WORK SATISFACTOflY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. (J �249-46�� OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice