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CITY OF ORONO * 2013 - 01034 *
2750 KELLEY PARKWAY DATE ISSUED: 10/02/2013
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 3590 NORTHERN AVE
PIN 17-117-23-43-0138
LEGAL DESC WILEYS PARK LAKE MTKA
LOT 008 BLOCK 002
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
VALUATION : $ 11,000.00
NOTE: (1)RHEEM NATURAL GAS FURNACE
(1)RHEEM A/C
(4)BATH EXHAUST
GASLINE TO DRYER
APPLICANT MECHANICAL 137.50
TONKA PLUMBING HEATING&COOL INC. STATE SURCHARGE MECH(VALUATION) 5.50
265 CTY RD 110 NORTH
MOUND,MN 55364 TOTAL 143.00
(952)472-9200 PAID WITH CC# W08
Minnesota State License#:060524-PM
OWNER
MAENNER,BRADLEY&AMANDA
2130 TAMARACK
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 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
revked at any time for due cApse.
A&R]1&t1 to/ Z2 i ,l3
Applicant Pe t "e Date Is By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono R TY USE ONLY15AT �( z
�Of VO P.O.Box 66 Date Permit# ✓,
2750 Kelley Parkway
Crystal Bay.MN 55323 App—vd By: Amount S: /4-3
Phone(952)249-4600 Fax(952)249-4616
eq�ESHO��G 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
PERNUT CARD IS POSTED ON THE JOB SM.
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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply
Residential ❑Commercial(Approval Required)
J&New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information: pp
Site Address: 3 ID Nho trrI'httetn-
Owner: h-,rzx&mare-h1neas Mailing Address: N'10 -rA me-K&Ic lz,
City: Zip: SO
uk
—k 1 e Phone: `—�Oc�-33.Sr�a�S Alternate Phone:
Contractor Information: o
Contractor: Its e. 1P °Atact Person: a
Address: ?,b 5 (,®, d-tt®d State Bond#: hA 6 00
City: YV130 w� Zip: * Expiration Date: 11 114
Phone: x,51-kn aA 10 Alternate Phone:
Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes &LNo
HEATING SYSTEMS ff
Quantity:
Make: Dy.✓
Model:
Fuel:
Flue Size:
Input BTUs: Q5 "�o�QQD
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: _
Tons: 3�Psi�
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
FUEL STORAGE (Must be approved by Fire Marshall Ifproposing to abandon tank In place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill KL Other/List What&Where:
2
PERIUIIT FEE CALOLJL ION(S)
BASED OFF 2002 STATE STATUE
❑ 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 $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERmrr FEE CALCULATIONS JOBS OVER$500.00
If above does not apply,follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
11.1700!� x.0125$
cUt&ct trice) (minimum$50.00)
2. STATE SURCHARGE )1 ,000—'--
x.0005 $
(cojkr act trice)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �-
P * CONTRACT PRICE or JOB COST means the actual or estimated dollar amouat 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 fiunished 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.
MECTIANICAL PERMIT APPLICATION AGREEMENT
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:
3
Cqsz; DTE TIME
CITY OF ORONO CALLED IN /
INSPECTION NOTTISE SCHEDULED ` -
PERMIT NO AO/.3l�3 COMPLETED �I
ADDRESS L35 7
OWNER T LEPHONE NO.
CONTRACTOR
DESCRIPTION /T
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
Q TREE REMOVAL
2 ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
OWNER/CONTRACTOR TO MEET YOU:—YES—NO
COMMENTS:
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uj by A� SATISFACTORY,PROCEED El PROJECT COMPLETE
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W0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C 1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
next inspection 24 hours in advance. (952) 249-4600
OWnerl ntractor on sit
Inspector. I _
White Copy/Inspector's File Canary Copy/Site Notice
zDATE TIME
CITY OF ORONOA j � CALLED IN
INSPECTION NOTICE SCHEDULED -.7Z'>✓ 3:
PERMIT NO.c.2O/-3'-010351 COMPLETED
ADDRESS 35gb
OWNER A ELEPHONE NO.
CONTRACTOR
Q/ -�oi3�ia33 - c�
DESCRIPTION 714d t*
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G G/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WE LANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION Cl 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS. fqQe
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Wj ❑WORK SATISFACTORY:PROCEED XROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN ❑ORATION ISSUED
11STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaPCopynnpwectWae.
on 24 hours In advance. (952) 249-4600
Owne ntr
Ins
Canary Copy/Slte Notice