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HomeMy WebLinkAbout2009-00542 - mechanical CITY OF ORONO PERMIT NO.: 2009-00542 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/31/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4105 OAK ST PIN : 06-117-23-41-0095 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 007 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 6,800.00 NOTE: HEATING SYSTEM-(1)BRYANT-MODEL#355CAV-NATURAL GAS-2"PVC 80 INPUT BTU'S 74 OUTPUT BTU'S-1400 CFM (1)COOLING SYSTEM-BRYANT 124A-2.5 TON APPLICANT MECHANICAL 85.00 HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 3.40 18550 COUNTY ROAD 81 TOTAL 88.40 MAPLE GROVE,MN 55369- (763)428-3677 OWNER THOMPSON,MICHEAL&STEPHANIE 4105 OAK ST 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 revoked at any time for due cause. ¢ �j ��e 009 O SApplature Date I d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. w 40 City of Orono FO CI YiUSE ONLY P.O.Box 66 Date Received: �✓ f 01 2750 Kelley Parkway Permit'# d. 6 cr7 y� Crystal Bay,MN 55323 A roved B a (952)249 4600 pp Y' Amount$ gl o$� ` CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL:INFORMATION L You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A ly) Residential ❑ Commercial(Approval Required) ❑New ❑Additional ❑Repairs Replace Job Site/Owner Information: Site Address: a �,3N4 Owner: ` Mailing Address: City: - �m 9 Zip: Home Phone: (-y' 3S W13 Alternate Phone: Contractor Information: Contractor: Contact Person: HEATING&COOUNG TWO jut% Address: 1 R n r•...m4f Rd.81 tate Bond#: Maple Grove, MN 55369-9231 City: (763)4677 Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 y . r HEATING SYSTEM . - �ri 1 Q� (\J Y1 Y. f Moe 'yj dl , ,- , s - r ?i Flue Size K NYa (�5 I Yt Blu s t COOLING SYSTEMS Quantity / Make. ° Model �e Ton$. H.Power FIREPLACES ❑ _ Gas Factory Fireplace El Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.. VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm El No.No. Bath Exhaust(must have duct outside) cim ❑ No. Other Fans: Locations cfrn FUEL STORAGE(MUST 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 il ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following'requirements Does not require modification to electrical or gas service. 2 Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and s Is;' rove installed or replaced by the homeowner or licensed contractor.' }# Slap next section,if this applies;" Cost of Permit 4 y A Surcharge D a r State $ 150 5F; `n �•y. Mail-In Fee(If Applicable) Y $ 150 s3 k Total Permit Fee ' z If above does.not a 1 'follow pp y, guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35 00) x.0125$ £ - . (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $" 1.50 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. adispute 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 11 correct. Applicant's Signature: \`r-., _ Date: 3 e✓C/{ DATE TIME V CITY NO CALLEDIN INSPECTION NOTICE SCHEDULED PERMIT NO JW!?-6jQT�& COMPLETED ADDRESS �/OSQ-L/ S-f- OWNER sA2A-.t-t SU..,t.dS�G)PeONTR.4_ingf'!!�Aobm TELEPHONE NO. ��✓O 355 DESCRIPTION El FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q El TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNEWCONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a j O O LL W cc Q W W Cr LU ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next Inspection 24 hours In advance. (952) 249-4600 OvvnedContractor on s e: Inspector. White CopyMspector's File Canary Copy/Site Notice