HomeMy WebLinkAbout2012-00321 - mechanical CITY OF ORONO * 2 0 1 z - 0 0 3 z 1 *
� 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2012
r ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2690 RAINEY RD
PIN : 04-117-23-43-0016
LEGAL DESC : TREES TO BE
: LOT 003 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIaN TYPE : HEATING SYSTEMS
VALUATION : $ 2,500.00
NOTE: GARAGE IN FLOOR HEAT 24'X 32'
APPLICANT MECHANICAL 50.00
MR.ROOTER PLUMBING STATE SURCHARGE MECH(VALUATION) 1.25
5155 E.RIVER ROAD TOTAL 51.25
FRIDLEY,MN 55421-
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Minnesota State License#: 58659PM
OWNER
SMITH,JASON&JODY
2690 RAINEY RD
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 dces
not grant permission for additional or related work which requires sepazate
permits. All provisiont of laws and ordihances governing this type of work
shall be compied with whether or not sp@cified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 18�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 co o ce with the State Building Code.This permit may be
revoked y or due c se
/ / / /
Appl' t Pe 'ee Signature Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED A VE.
�
� '�" _ � FOR�CIT�°USE�DNL�, , :
N t_
� • ���0 City of Orono
P.O.Box 66 Date liec:e�ucd.� Permi�#
, 2750 Kelley Parkway ` %� � �'�
� � Crystal Bay,MN 55323 A�p�oved�By:.� Atraouttt�'.
L_ ' � Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
NER�l �RMATIC��f` �: * § :�.
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pernut 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 DesiQns—Complete calcularions,details and specificarions are required for each
heating,ventilation,humidification-dehumidification,and air condirioning installation including
heat loss/heat gain calcularion,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new consirucrion or remodeling is involved,a separate building pemut must be
obtain�d.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requireriients.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-481�our notice required)
7. House Heating Test Record must be submitted before final.
��.'�T'E L?F�.PEI�2
`,���eck Ail`T'hat A `l � ;'
[�Residential ❑ Commercial(Approval Required)
❑ New [�Additional ❑Repairs ❑Replace
� "`�i�e:lu0 '- er`�c�r`riiat�Qn ':
Site Address: Z�/d a�l�'t� 1`Cr9a�.�'
—�
Ownei�� ,LC�! Mailing Address: _�4�G
City: Zip:
Home Phone: Alternate Phone:
�tr.ac;�or°Ixt��rmation:
Contracto��'�� � Contact Person: �, �� L(/�1�'
y'/5'��' ,��- ,���
Address. �►__^_�_ .•i.�i� State Bond#:
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City: �/�,l� :� Expiration Date:
Phone:�l�3 ,� /—D�� Alternate Phone: ��2 ��3 _G�f��
❑ Insurance—Current:
1
� _ �
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. '
IS THIS GEOTHERMAL? ❑Yes [�No
HEATING SYSTEMS
� �
Q�nh'� ,� r� �d!32
Make:
e , �
Model: J/�e,,,� C
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
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 cfm
❑ No. Bath Eachaust(must have duct outside) cfrn
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plac�)
❑ Installation ❑ Removal �
Fuel Oil: gallons ❑ Undergroiuid ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
r �
❑ 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;excludin�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 Pernut $ 15.00
State Surcharge $ 5.00
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$50.00)
� � '� x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT F'EE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pern�itted work including materials, labor,profit, and other fixed costs. It is the amount to be chazged
to the customer for the work done. If any material, equipment, labor or installations are fixrnished by
the owner, ten8nt or any other party, the reasonable market value of such items must be added to the
esrimated cost or contract price for pern-rit 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 undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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
�% ` A TIME /✓
CITY OF ORONO CALLED IN `��
INSPECTION NOTICE SCHEDULED —�Z %4�
PERMITNO. a�l�-oo3a � COMPLEfED
ADDRESS b9�
OWNER ELEPHONE NO.
CONTRACTOPi �I� �DO�f�/"'
� DESCRIPTION � �/�� �� �
� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICJ,pI RI ❑ LAKESHOREJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
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 ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEEi YOU:_YES_NO
� COMMENTS:
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W �KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT 1NDRK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT1fUpRK,CALL FOR REINSPECTION TEMPORARY
V BEFORECaVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECfOR W{lL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor site•
Inspector. � �
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White Copyllnspector's Ffle Canary CopylSite Notice
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