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Home My WebLink About2010-00609 - mechanical �� CITY OF ORONO PERMIT NO.: 2010-00609 ` 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 07/27/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3590 NORTH SHORE DR PIN : 08-117-23-34-0062 LEGAL DESC : N/A : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,300.00 NOTE: 1 CARRIER NAT GAS HEATING SYSTEM APPLICANT MECHANICAL 50.00 SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00 3062 RANCHVIEW LN N PLYMOUTH, MN 55447 MAIL-IN FEE 2.00 (763)473-2267 MISC FEE 0.00 TOTAL 57.00 OWNER PAID WITH CC# 1207 FEGERS, LOU &MARILYN 3590 NORTH SHORE DR WAYZATA,MN 55391 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 no[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 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 conformance with the State Building Code.This permit may be revoked at any time for due cai}se. �_� c�� / / ��?�-�,� / / Applicant Permitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . f . h FOR CITY USE ONLY " '�` City of Orono ,�'�¢O`r '' P.O.Box66 DateReceived: Permittt '� �' 2750 Kcllcy Parkway `.+ iii R• �' Crystal Bay,MN 55323 Approved By: Amount$: i �t� �r�� (952)249-4600 �x�op�% CITY OF ORONO—MECHANICAL PERMIT (All Conuncrcial permits must bc approvcd by thc Building Official or lnspector and/or Firc Marshall) � C'EN RE AL 1NFORMATION 1 You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pern�it 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 Designs—Complete calculations,details and specifications are required for each heating, ventilation,humidification-dehumidification,and air conditioning 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 Apply) �Residcntial ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace � Job Site%Owner Information: Sile Address: ��((� '.�(s� �l >j` tc"?v'r �� Owner:��V_ /�//1 Mailing Address: `1��L City• zip� �5��-/�l_ Home Phone: Alternate Phone: (_,P/ Z �'�� y--� L--Contractor Information: ---- --- Contractor: ��I�t��)j��1 Contact Person: � C�v►�1•2�' �G,�hv� c ,/1- f� Address: ��✓ ►'�� State Bond#: � [)��Z�1 �p, I � City: �' U Zip__�-1 Expiration Date: C1, i 0�� Phone: �Cv� 1��3- 'Z �� Alternate Phone: ❑ Insurance— Current: 1 � �' :NZE�L��1��':�,.�''Y�T��y1�� `� �d ' , �., ,. , . . , �� ; , . ��. , > � :,, , ,,,.»_ .,�>,,- HEATING SYSTEMS Quantity: Make: Q Y r l.� Model: �lJ �,� Fuel: � , __ Flue Size: Input BTUs: Output F3TUs: � - CFM: COOLING SYSTEMS Quantity: Make: Modcl: fons: H. Nower FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove , ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. __ _ Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FIJEL STORAGE(MLJST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � �� FI��T ��:��:ca�,cULaTloN�s) BASED_OkF - 2002 S'I'ATE STATUE ❑ Ycs,this section applies "fhc replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modi�cation to electrical or gas service. 2. Has a total cost or$500.00 or]ess;excludin�the cost of the fixture or appliance: and 3. ls improved, installed or replaced by the homeowner or licensed contracror. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Maif-In Fee(If Applicable) $ 1.50 Total Permit Fee $ , PER3VIIT�F.E CALCULA"!,10?�r�S)-70BS Q��ER$SQ0.00;. .� ' � lf above does not apply; follow guidelines befow: i. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ?�� C� x .0125 $ �f�-�+�L� (contract pricc) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) r�1��Y��L�� x .0005 $ � • �� (contract pricc) (minimum$ .SO) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL NERMIT FEE(Add Lines 1-3 Above) $ 2��.( �Ci �_ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the , pennitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. [f 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. [n 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. � **l�he S"I�ATF SURCHARGE is .0005 of the Building Department at(952)249-4600 t"or the price. [___u 'MECHANYCAL PERMTT APPLICATIOl�'AG�2�;LMENT.:; , 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 � ,, Da[e: I� D ; � Reset Form 3 �' � T TIIaE " CITY OF ORON INSPECTION NOTICE SCHEDULED v�� PERMIT NO. coM TED ADDR S OWNER ELEPHONE NO. �`7'"7�%`�� CONTRACTOR �: DESCRIPTION �� \ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL 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 ❑ S T FINAL ❑ FOUNDATION/REMOVAL � `�ACTORTO MEEfYOU�YES_NO � COM NTS: � W � � � O �. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. . � rt � _ �s � White Copyllnspector's File Canary CopylSite Notice