HomeMy WebLinkAbout2008-00042 (Mechanical) �
���rVL� '�� �a�- ( CITY OF ORONO PERMIT NO.: 2oos-00042
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/14/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2180 ABINGDON WAY
PIN : 03-117-23-24-0012
LEGAL DESC : N/A
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 56,000.00
NOTE: HEATING SYSTEM(BOILER)MODEL GB-142,GAS 20QOOO INPUT BTU'S.
COOLING SYSTEM,MULTI-AQUA,5 TONS
AIR EXCHANGE,200 CFM
APPLICANT MECHANICAL 700.00
S R MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 28.00
7320 OXFORD ST. SUITE 200 TOTAL 728.00
ST. LOUIS PARK,MN 55426
(952)933-6933
OWNER
GAGE,RICK&BRITT
2180 ABINGDON WAY
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 sepazate
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
revo im or e cause.
. 7 i��I i `� Ce�Z �,t 7// l !��
Applicant �rmrtee Signature Date Iss ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
' - )� �--7 3�
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CITY OF ORONO APPLICATION FOR MECHAI�TICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI, 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 2 working days.
2. Permit cards will be sent by retum 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. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a separate building pemut 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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: �Tew V Addition Repair Replace
ti Residential Commercial
.roB s�: a I �.� , .� r. �.�; �� z�p:
Owner's Name: �.- , .}- �,ti d FL:< <« c�.:�- Telepho e Number:
Mailing Address• City: Zip:
Contractor's Name: , " M�CUti� � �C � Telephone Number:
Mailing Address: �7 � o�-O O 1C��� (' ��-i- City: 5�� �o� �� 4�,��t`Lip: � -�"� �/ ,� �,
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SYSTEM DESCRIPTION
HEATING SYSTEMS ' (?j� � (e�'
Quantity:
Make: �3U�:l�L''� V 5
Model: Cs��3- IW c�,
FueL• � c� 5
Flue Size: 3" v G
Input BTUs: a�,��o�..�
Output BTUs: `
CFM:
COOLING�YSTEMS . �
Quantity:�l � � � 1 1 -�-' �
Make: � � ( F � � R ��p
Model:
Tons: �
H. Power �
WOOD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
� Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. _� Other Fans: Locations ,���,� cfm
l`� � ^ F � c.�l.�u� �, �
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee f$35.00) � ,�n � �
S �,r���, , � � x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division � � ��
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ —1 � �, � Q
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
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 installation aze fumished 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 pemut 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 contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services 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 Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant's Signature: ���-�� Date:
Approved By: Date:
.1J��� DAT TIME �
CITY OF ORONO CALIED IN 7 I
INSPECTION NOTICE SCHEDULED 7-�5-08 �:.3�U
PERMIT NOR�B'-OOD S�a' COMPLETED
ADDRESS a180 �
OWNER CONTR. �'� /�'t �
TELEPHONE NO. ���' Z g 2— 56 Z. /
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Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
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❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor site•
Inspector.�1 �
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� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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❑CORRECTUNSAFECONDITIONWiTNIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra r si •
Inspector. ��`��
White Copyllnspector's File Canary CopylSite Notke
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CITY OF ORONO CALLED IN 9'
INSPECTION NOTI € SCHEDULED -6 !v�- �
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_ ❑ PLUMBING RI p SEPTIC FINAL ❑ HARD COVER REMOVAL
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INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor site:
Inspector.
Wh1te Copyllnspector's File Canary CopylSite Notice
C� D E TIME v
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" CITY OF ORONO CALLED IN f�� �
INSPECTION OTICE SCHEDULED �//�� � �-
PERMIT NO. � - ��c�cOMPLETED
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� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
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Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
�SPECTION REQUIRED.CALL TO ARRANGE ACCESS. _
Call for the next inspection 24 hours in advance. �952� 249 46QQ
Owner/Contractor on site: �
Inspector. _
White Copy/lnspector's File Canary Copy/Site Notice