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Home My WebLink About2010-01177 - mechanical ' . CITY OF ORONO PERMIT NO.: 2oiaoii�� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 12✓02/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4196 NORTH SHORE DR PIN : 07-117-23-44-0090 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,400.00 NOTE: HOMEOWNER INSTALLING NEW FURNACE AND A/C (1)YORK-TM9X060BNMIIA-NATURAL GAS-2"FLUE-60K INPUT,57K OUTPUT, 1200 CFM'S (1)YORK TCUF3054153A-2.5 TONS APPLICANT MECHANICAL 50.00 CAMPBELL,BRETT COOK& SHERYL STATE SURCHARGE MECH(VALUATION) 5.00 4196 NORTH SHORE DR MOLJND,MN 55364 TOTAL 55.00 OWNER CAMPBELL,BRETT COOK&SHERYL � 4196 NORTH SHORE DR MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. 7'his permit is for only the work described and does not grant permission for additional or related work which requires separate � permiu. 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for d e cause. s 12r 2. i c7 /�,.i D o�i !7 Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f , � i 1 � `, l��c�'us��+�' �,�� City of Orono � �� : ' P.O.Box 66 Dats�eee��l ' P�.�# ` 2750 Kelley Parkway � � > � `�� `° ' ��h Crystal Bay,MN 55323 �,ppro3ced]dy: A�o�� ,� dS' Phone(952)249-4600 Fa�c(952)249-46]6 �r�_' s CITY OF ORONO-MECHANICAL PERMIT (All Commercial pernvts must be approved by the Building Official or Inspector and/or Fire Marshall) �T��'�`t�?�.-��`�`� ` �, . , ,.._ �. �_ � �� , ut . - _ � �� , , , .x � . ., . „ ..� 1. You ma.y apply for mechanical permits by ma.il or in person at the City offices. Applications will be reviewed and a permit will be issued within two worldng days. 2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calcularions,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,ma.nufacturer 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. ' T�P��P�RlY.1�T ��, � ; � �. � � r ��"� �i��'' .-�'�I.'d.�"�. �. � �� ` � '` � �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace `;T��ite 1(�n$r-��ormation Site Address: �t 9lp �oQ't�.} s�a�L�.. �iZ , p �.pr�c� Owner�{L�-rc �o� Mailing Address: `��°��0 1�� -1(Z 0� City: G�� Zip: �5 3(�`� Home Phone: `7f�3-3�c�~�'/[�o Alternate Phone: ��tr�c��r�s'��o��" �:;'� ,, �,' Contractor: (''u1Yv��, Contact Person: Address: �'1�°r,lo �v� �}.j� �� State Bond#: City: C��.�7�N� ZipS�3�� Expiration Date: Phone: `7b 3-3�6'`�►�C� Alternate Phone: ❑ Insurance-Current: 1 . . � [,. �4 • � , :�t..«»�Z`�,,v. �c'tats,+£�`.'z� '��y'�' ,�j[:��t�� »,� A3 �� *��`� �'� ; � ��'": w a.. �?. Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑Yes �10 HEATING SYSTEMS ��,; t Make: Model: ri4 (�lr� Fuel: �j� �� Flue Size: `L. Input BTUs: (D�'�- Output BTiJs: �� t� CFM: 12�� COOLING 5YSTEMS Qua.ntitY: Make: 'D�-�` Model: "�"/` ��'�3�1 Tons: � H.Power "� FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTII.ATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FiJEL STORAGE (Must be approved by Fire Marshall if proposi�g to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � ' . s"�'�i�fl��.� �,a�. s '�:-'� ea#h�'$ r.� ��.��V�� .� ,��i��`�.0 t3 �:� � . �'��' '�"�'1 �, t �� r �,,�"�3�,��' �rt �a�t��'.'�. �`" �� , �-� �.� "� 3 ��` � ��..� � �s t��; ��`�.� ,�l ��„, ��• � � . �:.:' � �w�.w., �; ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;excludin�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 $ :�� ' � � � ��, � � " � � , _ .��< .��,. ��" �. �: � ;��°'s If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��1�� x.0125$ ,�� (contract price) (minimum$50.00) 2. STATE SURCHARGE '�*Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ �' � (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �5 ' � ■ * CONTRACT PRICE or JOB COST means the actual or estima.ted 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. 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 coniract 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 times the Contract Price or a minimum of$5.00. f" �,�. k �F '` � ^'�, � p, — �.v_ 5 �' `' t��:�"`��"�.' '� ��`.,r,y ��.5 � �,.5.�%`s 1 }I.�..e The undersigned hereby applies to the City for issua.nce of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Sta.te of Minnesota, and certifies that all statements made on this application are complete, irue and correct. Applicant's Signature: Date: Z Z )� 3 J p`�1 D E TIME �/ / CITY OF ORONO CALLED IN �Z � INSPECTION N,O��E D/�7� SCHEDULED ' -�� PERMiIT NO. ��, COMPLETED ADDRESS - ��9�0 /�DD7'� c�2Z�P1�P �'(/ OWNER �T� ��-- TELEPHONE NO. 76 3 370 �IOZj CONTRACTOR � DESCRIPTION �G�1� �"��e � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOFI TO MEET YOU:_YES_NO y COMMENTS: � a � 0 a O � n ` � W � Q � � Z W � W � � � - � ❑WORK SATISFACTQRIf:PRQ�EED PROJECT COMPLETE W ❑CORRECT WORK&PR�EED ❑ UE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN IIdSPECTOR W{LL REfIJRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Catl for the next inspection 24 hours in advance. (952) 249-460� Owrner/Corrtractor on site: Inspector. � ' White CopyllnspectoPs File Canary CopylSite Notice