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Home My WebLink About2012-00475 - cooling systems , CITY OF ORONO * 2 0 1 2 - 0 0 4 7 5 * , 2750 KELLEY PARKWAY DATE ISSUED: 05/30/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2765 PHEASANT RD PIN : 21-117-23-23-0025 LEGAL DESC : PHEASANT LAWN : LOT O10 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,488.00 NOTE: 1 LENNOX 3 TON AC APPLICANT MECHANICAL 50.00 ABEL ONSITE STATE SURCHARGE MECH(VALUATION) 1.74 8750 HIGHWAY 7 ST BONIFACNS,MN 55375- MAIL-IN FEE 2.00 (952)446-9545 MISC FEE 0.00 TOTAL 53.74 OWNER BAKKE,STEPHEN 2765 PHEASANT RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specificatioos,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 perrnits. A(1 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 Buiiding Code.This permit may be revoked at any time for due cause. `'h�co..�-C �-.�.. � i i i Applicant Permitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. FOR CITY USF,ONLY - ��1�� City of Orono �• • �¢ `��ti P.O.Box 6G Date Received: Permit# '�� 2750 Kelley Parkway a r��`x �� Crystal Bay,MN 55323 Approved By: Amount$: �a � j �yo�'�' Phone(952)249-4600 Fax(9�2)249-d616 ��o�.; CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial 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 Desiens—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 CodelState 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 1 ) ❑■ Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑■ Replace Job Site /Owner Information: s�te aaaress: 2765 Pheasant Road oWner: Steve Bakke Mailing Address: NaVal'I"@ c��,: Orono zip: 55331 Home Phone: �952) 471-7264 Alternate Phone: �952) 261-4655 Contractor Information: Contractor: Abel OrlSlte Contact Person: FreC� RICII@r aaaress: 8750 Hwy 7 state Bond #: M B003400 St. Bonifacius 55375 10/14/12 City: Zip: Expiration Date: _ Phone: (952) 446-9545 Alternate Phone: �952) 292-3134 ❑ Auto Owners Insurance Insurance—Current: 1 � �� „{ �;� t� .:3'�"�`� <�-�i �� a:: � . � ' Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑■ No HEATING SYSTEMS Quantity: Make: ModeL• Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quant�ty: 1 Make: Le n n OX Model: XC 14-036-230 Tons: �� H.Power • FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILA'�ION ❑ Na Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � � ��.�`�� x�`��,�� x��,� �� .:�� `Y`��S ��'�"��,��t�: y„: :a,c �� , .;�3 -.�]'�� . F ��. +..' ❑ Yes,this section applies The replacement of a Residential fixture ar 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;excludine 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 $ . � r ,.,, _< � �� , � _� _ ��4,� � � �." �=. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3,488.00 X.o,2s$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 3,488.0� 1 .74 x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $53.74 ■ * 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. F�� s� � � '�� f � �` ' �� . � 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: O5/22/�2 � �� ; � ��_ f��? � �� '`�, .., 3 /�, DAT TIME `� CITY OF ORONO �✓��ALLED IN INSPECTION NOTICE '/ SCHEDULED PERMIT NO.r�/a7-DD�`'7So PLETEO ADDRESS � OWNER TELEPH NE NO. -� -�s� CONTRACTOR �� DESCRIPTION ,,�/ l �- � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVA� 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 � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a J O �. � O � W � Q � 2 W � w � � W ❑WORK SATISFACTORY:PROCEED �SL�c)JECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL{NSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: inspector. �.-V �' � White Copyllnspector's File Canary CopylSite Notice