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Home My WebLink About2010-00696 - mechanical � • CITY OF ORONO PERMIT NO.: Zoiaoo696 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuEn: 08/1 U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1200 PHILLIPS DR PIN : 27-118-23-32-0009 LEGAL DESC : PHILLIPS WOODLAND TERRACE : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,930.00 NOTE: FACTORY GAS FIREPLACE HEATILATOR-MODEL NO CD4236IR-C APPLICANT MECHANICAL 50.00 AUTOMATIC GARAGE DOOR&FIREPLACE STATE SURCHARGE MECH(VALUATION) 5.00 8900 109TH AVE N SUITE 1000 TOTAL 55.00 CHAMPLIN, MN 55316 (763)571-2525 OWNER JOHNSON,CHRISTIAN&BETH 1200 PHILLIPS DR 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 no[specified hecein.This permi[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 cequested in conformance with the State Building Code.This permit may be revoked�t `ny tim for due cause. /��+��' �// / �D g i /�-�- /D icant Permitee Signature Date Issu d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � CIT]' iSE ONLY . ` � � O,��O City of Orono �� !� b P.O.Box 66 Date Receive . �Rermit# ��d ' � � � � 2750 Kelley Parkway �., a ��z� �. Crystal Bay,MN 55323 Approved By: Amount$:� , . �'��-��.�,o� �9sz�aa9-aboo � �_� CITY OF ORONO —MECHANICAL PERMIT (All Commcrcial 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)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. : TYPE OF PERMIT (Check All That App1Y) - �Residential ❑ Commercial(Approval Required) I�Tew ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: . Site Address: /v`-�� {'l,f �l�/� s �1' Owner: ,L�,�-�► 1 ohnso,� Mailing Address: !�°� �ti-�� Y City: o1�oN� Zip: J�cS.3S�o Home Phone: 1/�0�"3�g�,3 ,3 �O t° )Alternate Phone: / Contractor Information: Contractor: � G �. �/JCCSContact Person: ' ��1�' Address: �lva�(}�,A(IG��Ur.k[pCb State Bond #: ��JS��lv� City: ' Zip:�,3�� ExpirationDate: �'�/- lc� Phone: '�,�-'rj�-'�,5� Alternate Phone: �Insurance— Current: ��S��ro � �-��' �� 1 . � . • � , �� .� :11��IC.A�.�,� ,{ �`��1?�'r�1`�, �:��;� � � ` HEATING SYSTEMS Quantity: J� Make: t'(G��,I��' Model: ��O,�f Z�G Fuel: � � Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � � Make: Model: Tons: H.Power FIREPLACES �- Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove � ❑ Wood Stove With Flue � ��o2��Q-� - � Brand Name: �(� Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recuculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm 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 � PERMIT FEE CALCULATTON(S) , ; °` � � BASED OFF�- 2002��S'i'ATE STAT�UE ❑ 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; 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ �.}.:; w. PERl�LIT FEE CALCULATION(S}—JOBS OVER$5'00 00 ' —� If above does not apply; follpw guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) � a, �3� �o X.o�25$_ 3� . �.3 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � �a•"° /. y�- X.000s $ (contractprice) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ , (p � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 pernut 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. �� '- �� . ' MECHANICAL 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. � c ( � Applicant's Signature: , Date: �� 3 � � � � DAT D TIME CITIf'OF ORONO LLED IN �� INSPECTION NOTICE SCHEDULED PERMIT NO.v�/G—00 PLETED . ADDRESS / o2OU OWNER T�LEP E N07 " 7 � CONTRACTOR � � DESCRIPTION d�� v — ��• � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMEWTS: � W a J '��' o �,�— '9'. � � 0 � W � Q � Z W � W � � d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORREC7UNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER P06TED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CAII TO ARRANGE ACCESS. Cali forthe next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice