HomeMy WebLinkAbout2011-00043 - mechanical i CITY OF ORONO PERMIT NO.: 2011-00043
� + 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: OU20/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1350 REST POINT LA
PIN : 07-117-23-32-0039
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 021 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 1,200.00
NOTE: MOVING DUCTS 6"RECIRCULATING 300 CFM
APPLICANT MECHANICAL 50.00
HEILAND HEATING STATE SURCHARGE MECH(VALUATION) 5.00
14835 RASPBERRY DRIVE TOTAL 55.00
ROGERS, MN 55374-
(763)377-2942 '
OWNER
HOXIE,MIKE
1350 REST POINT LA
MOUND, MN 55364- i
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 apd does
not grant permission for additional or related work which requires,separate
permits. All provisions of laws and ordinances governing this typ�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 f d e ause.
( lZ� l2al� / � z0/ /
Appli ermitee Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� � FO CIT USE ONLY
""�A`�_ City of Orono � �/, T
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y, � 2750 Kelley Park�vay
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,h:>�}�a� Phone(952)249-4600 Fax(952)249-�61(>
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permfts must be approced 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 YOL' RECEIVE A PERMIT. WORK MLIST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are req�ired 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 canstruction 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 tinal). 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:
1350 Rest Point Lane
Site Address:
Mike Hoxie 1350 Rest Point Lane
Owner: Mailing Address:
Cit Orono Zi 55364
Y= P�
Home Phone: Alternate Phone:
Contractor [nformation:
HEILAND HEATING Steve Heiland
Contractor: Contact Person:
14835 Raspberry Dr. 5442-MB
Address: State Bond#:
Rogers 55374 08/13/11
City: Zip: Expiration Date:
(763)377-2942
Phone: Alternate Phone:
❑ Insurance—Current:
1
MECHANI AL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems wull now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
lnput BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
:�IREPLACES
❑ Gas Factory Fireplacb Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
fl
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfin
❑ No. Other�ans: Locations cfin
FUEL STORAGE (Must be approvedi by Fire Marshall if proposing to abandon tank in plac�)
❑ Installation ❑ � Removal
Fuel Oil: I�gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other. �
GAS LINE ONLY
❑ Outdoor Grill ❑ � Other/List What&Where:
2
, � ,
PE T FEE CALCULATION(S)
s BAS D 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;excludine the cost of the fixture or appliance:and
3. Ls 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 S
PERMIT FEE C CULATION S -JOBS OVER$500.00
If above does not apply;follow guidelit�es below:
1. CONTRACT PRICE *�is L25%of contract price with a(Minimum Fee of$50.00)
1,200.00 x.0125$ 50.00
i (contract price) (minimum$50.00)
2. STATE SllRCHARGE �**Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00)
� 1,200.00 x.0005 $5.00
� (contract price) (minimum$5.00)
3. POSTAGE&HANDLING�(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Aldd Lines 1-3 Above) $55.00
■ * 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 partp�,the reasonable market value of such items must be added to the
estimated cost or contract price fot permit fee purposes. In the event that there is a dispute on the
amount of the job cost,the City m,�y request the submission of a signed copy of the actual contract.
■ **The STAT'E SURCHARGE is.0,005 times the Contract Price or a minimum of$5.00.
MECHANICAL RMIT APPLICATION AGREEMENT
The undersigned hereby applies to tt�e City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the i rdinances of the City and the regulations of the State of
Minnesota, and certifies that all st�tements made on this application are complete, true and
correct. �
Applicant's Signature: � Date: 01/19/11
� Reset Form I 3
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CITY OF RONO CALLED IN =L�
INSPECTION` IC CHEDULED �e�7' ' ` / " "
PERMIT NO. ��'0D co �E�
ADDRESS <��� � l���Z��
OWNER � TE PH NO? � � � y
CONTRAC'irOR
� DESCRIPTION � �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMEN7S:
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W��WORKSATISFACTORY:PROGEED ❑ PROJECT COMPLETE
W� ❑CDRR�CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HdURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUtRED.CALL TO ARRANGE ACC�SS.
Call for the next inspection 24 h'ours in advance. (g52) 249-46�0
Owner/Contractor on site:
r;
Inspector.
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