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Home My WebLink About2010-00517 - mechanical 1 - CITY OF ORONO PERMIT NO.: 2010-00517 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4725 NORTH SHORE DR PIN : 07-117-23-32-0017 LEGAL DESC : BERGQUIST&WICKLUNDS PARK : LOT 005 BLOCK 005 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 5,000.00 NOTE: DATING SYSTEM-MODEL#BUDDERUS-NATURAL GAS-4"FLUE-299,000 OUTPUT BTU'S APPLICANT MECHANICAL 62.50 MANATEE PLUMBING STATE SURCHARGE MECH(VALUATION) 2.50 11525 199TH CIRCLE MN 55381- TOTAL 65.00 (612)756-1172 Minnesota State License#:005923PM OWNER ROEDEL,JOHN 4725 NORTH SHORE DRIVE 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 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 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 d at any time for d e. Applicant Perififtee Signature Date I d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 7 a5 F -VSE City of Orono P.O.Box 66 Date Received. Permit 2750 Kelley Parkway �h Crystal Bay,MN 55323 t�pppaed 8yi Amount$: 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) 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. 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)2494600. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF I?ERMTT " (Cheek All That A l Residential El Commercial(Approval Required) �ew ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: ; Site Address: H p r--k SJ Clv 2 ,� r Owner: 33 "ae Mailing Address: City: D K 0 V\ 0 Zip: Home Phone: Alternate Phone: Co1.;itractor Izformaton: Contractor: M kY\CL. -+F 1901�Ivk�Contact Person: D11 d( I ooP Address: 15 5 l q C- VC le State Bond#: City: Zips�� Expiration Date: d a—3 I— rib Phone: 141Z —D-56 Alternate Phone: ❑ Insurance—Current: 1 ® UE Note: All Geot iermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEO HERMAL? ❑Yes �<No HEATING SYSTEMS Quantity: Make: Model: v Y y Fuel: 111t Flue Size: Input BTUs: Output BTUs: 6 0 D CFM: COOLING SY�TEMS Quantity: Make: Model: Tons: i H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATIO ❑ No. Kitchen Exhaust duct recirculating elm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORA E (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE O Y E3 Outdoor Grill ElOther/List What&Where: 2 P: ❑ 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;excluding 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 $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 5100c x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.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 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. 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. 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: lQ_ In 3 F/-7 < -D�ATTE TIME Y CITY OF ORONO CALLED IN 6) INSPECTION O ICE algr7 SCHEDULED v PERMIT NO. 00051 COMPLETED J,,,,,,,, ADDRESS <9AY - OWNER TELEPHONE NO47ia--16-&-Il ZX CONTRACTOR e--- DESCRIPTION tLju ❑ FOOTING BING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING -W-MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 11A ,4✓Ldt rTz!!3 ,f— OK W a J 9 epiy_<,r / x V J v U. f�CAy If, LuoeW &X A-T- is W P<WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE Lu W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Cj BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours In advance. (952) 249-4600 Owner/Contractor on site: Inspector. � White Copynnspectoes File Canary Copy/Site Notice