HomeMy WebLinkAbout2011-00168 - mechancial CITY OF ORONO PERMIT NO.: 2011-00168
. 2750 KELLEY PARKWAY
� ORONO,MN 55356- DATE ISSUED: 03/2U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 110 SMITH AVE
PIN : 02-117-23-21-0026
LEGAL DESC : ORONO ORCHARDS HIGHLANDS
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,200.00
NOTE: 1 LENNOX NAT GAS FURNACE
4 BATH EXHAUST
1 DRYER FAN
GAS LINES TO FURNACE&WATER HEATER
APPLICANT
MECHANICAL 90.00
PERFECTION HEATING&AIR STATE SURCHARGE MECH(VALUATION) 5.00
1770 GERVAIS AVE
MAPLEWOOD,MN 55109 MAIL-IN FEE 2.00
MISC FEE 0.00
TOTAL 97.00
PAID WITH CC# 2068
OWNER
� FISK,JAMES
110 SMITH AVE
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 does
not grant permission for additional or related work which requires separate
permits. All 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 1 SO days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�'�11�Gc.��l 1/1�� � � l l
� Applicant Permitee Signature Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
Mar21 11 10,22a PerFection Heating 651-777-3252 p.2
���a� -s �G�'�'�J
• FOR C1TY USE ONfLY
%�' �'!�_•, City of Orono
���'Q'•��°� DateRcceivod: Pcrmillf
P.O.Box 66
,;�a._ �`��,
i 2750 Kelley�arkWr+y
�' li'�•'x• • ��•' Crystnl8ay,MN 55323 Approved By_ Amount S:
�� tiy�`�:,1,o`% P6one(952)249-4600 Fax(95Z)249-4616
ti\�.� .
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CTTY OF ORONO—MEC$ANICAL PERNIIT
(All Commercial permits must be approved by the Buifdir�g OfficiaC or I�pector and/or Fi�M�a�shall)
GENERAi,II��FORMATION
l. You may apply for mechanical pe�mits by mail or in persoa at the City o�ces. Applications will
be reviewed artd a perrttit witl be issued within tw�wortcing days.
2. Perrnit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERIRIT. WORK ML7ST i�OT BEGIN UNT1L THE
PERMTT CARD IS POSTED ON THE JOB S1TE.
3, vlechenical Desi¢ns—Complete calculations,details and specifications are required for each
heating,veotilation,humidification-dehumidification,and air condidoning installation including
heat lossTheat ga.in calculation,design temperatxues,equipment ratings aad identification as to
type,manufactu�and model. Data si�all be preseMed on form provided.
4. Whe�any new canstructioo or remodeling is invo[ved,a separate building perrnit must be
obtained.
S. All wortc must be done in accordance with the Uniform Mechanical Code/State Building Code
requisements.
6. All work must be inspeeted(rough-in and finan. Call(952)249-4600.
{2448 hoar n�tice reqnired)
7. House Heating Test Record must be su6mitted before final.
TYPE OF PERMIT
Check Al� That A 1
�Residemial ❑Commercial(Approval Required)
[�New ❑Additiona] ❑Repairs �Replace
Job Sitel Owner Information:
Site Address: �!O
Owner. �G'I.YY]P.S �i s�'., Mailing Address: `'
City: ZiP:
Home �hone: Alternate Phone:
Cor�tarractor Information:
�}�r
Contractor: �p_r ��-i o n �-� ���-r��" Contact Person: �1(�n 2
Address: ��'10 �a PJ-VGUS �'U2 State Bond#: I�� Z U 4'�
City: �2wn Zi�:S'51U9 Expiratian Date: � • �� -ZC���
Phone: (a��•7'1�-�(0 20 Altemate Phone:
❑ Insurance—Cunrent:
1
Mar21 11 10:22a Perfection Heating 651-777-3252 p.3
� MECHATTICAL SYSTEMS BEiNG Il�TSTALLED
Note: All Geothermal Systerns wi11 now require a Site Ptan&Review by our Building Offi�ial.
IS TffiS GEOTAERMAL? ❑Yes �No
HEATING SYSTEM5
Quantity: � d7 LLCG�
Make: �IlLr1.�X 3�Z 'L�f�l � �C•(
ModeL• �a 5�-�4 8� I�� ��C
Fuei: ��{�,,��l.S
c1
Flue Size: �� VG
Jnput BTUs: �1 f,�� ,TC]U O
� ow�uc B�rus: r G(� 20 b
c�: .�.��
COOLING SYST�MS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
� Wood Stove Mode!No.:
❑ Wood Stove with Flue/Masonry
VEl�"TIGATION
❑ No. Kitchen Exhaust duct recirculatin� cfm
�' l�[o. � BaEh Exhaust(must have duct outside) chn
[� No. �_ Other Fans_ Loca#ions ��i�" cfm
�UEL STORAGE (Mwsl b�e appmved by Fire Marshall ifproposrng ta ahandon eo�tk in placeJ
❑ Installation ❑ Removal
Fuel OiL- gallo�s �] Underground ❑ Inside ❑Outside
LP Gas: galions
Other:
GAS LINE ONLY
❑ o�,�r�u ❑ om�i L��wt�at�wf►ere:�'('1�,Ct,S -�U,Y r�.Ct C� �F-
2 UUQ,fer h e�'
Mar21 11 10,22a Perfection Heating 651-777-3252 p.4
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATU.� _
❑ Yes,this section applies
The replacemerrt of a Residential fi�ttpre or appli��g that meets all three of the foElowing requiremems:
F. not c�equire modifcation to eiectrical or gas senrice.
2. Iias a tota c of$500.00 or l�ss; udin the cost of t6e fixture or appliance:and
� 3_ Is improved,instal[ed or replaced by the homeowner or livensed contr�tor.
Skip next seotion,i�this applies; Cost of Permit $ 15.00
Stabe Surcharge $ 5.•00
Mail-1n Fee(If Applicabie) $ Z.QQ
Total Permit Fce $ 22.00
PERMIT FEE CALCULATION S —JOBS OVER$500.00
!f above does not ap�ly;fvllow guidelines below:
i. CONTRACT PR[CE *is 125%of�ntract price with a(Minirnum Fee of$50.00)
724�. D� x.0125�
(cpntratx price) (mioimum S50.00)
2. SI'A7'E SURCHARGE **Add the State Bldg Code Div. Surcharge(i►iin'iman:Fee of 53.00}
7,�.D 0 X.000s $5'00 �:OD
(conu�act pricc) (minimum S 5.00)
3. POSTAGE&HAND�.ING(Only on Mail-In Rpglications) $ 2.00
4. TOTAL PERhQT FEE(Add Lines l-3 Above) S ��.d� .
� " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for th
permitted work including rnaterials,iabor,profFt,and other fixed costs. 1t is the amount to be charg
to the cLLsbomer for the work done. If any material,equipment,labor or installations are fumished b
the ovmer,tenant or any o�er party,the reasonable roarket value of such items must be added to th
estimated cost or contract price for perrnit fee purposes. In the event that there is a dispute on th
amount of the job cost, the City may request the submissian af a signed copy of the actua[ contra
� **'Ihe STATE SURCHARGE is.0005 times tt�e Can�-act Price a a minimum of�5.00.
MECHAMCAL PERMIT APPLICATION AG1tEEMENT
The undersigned hereby applies to the City far issuance of a Mechanica] Permit, agrees to do all
work in strict accordance witli the ordinances of the City and the regulations of the State o
Minnesota, and certifies that all statements made on this application are complete, true an
correc�
Applicant's Signature: f����?.Q� . Date: � ' z1- z�`�
Reset Form 3
DATE ` TIME ✓
CITY OF ORONO �_ ��' � J t�-`' CALLED W C._ -r� �"I 1
INSPECTION NOTICE SCHEDULED —Z2�
PERMIT NO. I�G�r�� COMPLETED
ADDRESS � I � � �'�YY�--�'� T„�> i.l r
OWNER ��►��5'�� `�`:>Y TELEPHONE.NO.L' � ( � � �".'��"��
CONTRACTOR � F>� �c� t� c��, �-�C'C�� r'�
� DESCRIPTION r C-� ��ca ,�--� c-�< +: �-� �.�- -�� ��'�1 r-k'��t _
� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL [j],,.IGIECHANICAL RI ❑ LAKESHORE/WETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL
v ❑ PLUMBING RI ❑ SEPTIC FI ❑ FOUNDATION/REMOVAL
� OWNER/CONTRAC4 R TO MEET YOU: ES_` � F}�1 i y��J •'��j
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v, COMMENTS: �:
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��\WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
WY Q'CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� RRECT WORK,CALL FOR REINSPECTION TEMPORARY
BE RECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITH�N HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46��
OwnedContractor on site:
Inspector. � b l �`f._(��S�S
White Copylinspector's File Canary CopylSite Notice
�v� D TE TIME V
CITY OF ORONO CALLED IN 7 �
INSPECTION NOTICE SCHEDULED �- -� -��
PERMIT NO�D//- ���loS COMPLETED
ADDRESS �l a S��h ��
OWNER TELEPHONE NO.�5� 777 76 Zp
CONTRACTOR ����� ��5� �` �C�
a DESCRIPTION ���� - �e�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
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
� ❑ 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
� COMMENTS:
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W� ❑W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CO ECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice