HomeMy WebLinkAbout2010-01053 - mechanical r - CITY OF ORONO PERMIT NO.: 2010-01053
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 10/27/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 465 SPRING HILL RD
PIN : 25-118-23-34-0002
LEGAL DESC : UNPLATTED 25 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 28,600.00
NOTE: (2)BRYANT-MODEL 355BAV6080-NATURAL GAS-3"PVC- 160,000 INPUT BTS'S, 144,000 OUTPUT BTU'S
(2)TRIANGLE TUBE-MODEL PRESTIGE-NATURAL GAS-3"FLUE-60,000 INPUT BTU'S,55,000 OUTPUT BTU'S
(1)MODINE-MODEL HD60-NATURAL GAS-4"FLUE-6Q000 INPUT BTU'S,45,000 OUTPUT BTU'S
(20 COOLING SYSTEMS-BRYANT-MODEL 126BNA048-TOTAL 8 TONS
(1)KITCHEN EXHAUST-600 CFM
(7)BATH EXHAUST 7 X 80 CFM
GASLINE FOR(2)DRYERS,(1)COOKTOP,(4)FIREPLACES,(1)LJNIT HEATER,(2)FURNACE,(1)BOILER
APPLICANT MECHANICAL 357.50
HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 14.30
18550 COUNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 371.80
(763)42&3677
OWNER
ZONA TRUSTEE,RICHARD A
55 ARBOR CT
TONKA BAY,MN 55331-
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 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 180 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 ause.
_ o , �� , �o �v id,� `�, ia
Ap �cant Permitee gnature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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FOR �TX E ONI�Y
4p�, City of Orono j� y, //� Fj /�
. _ Date;Recerve� lW��rinrt#. ��/''' T(/`�""'r
Q 0 P.O.Box 66 �
'^ 2750 Kelley Parkway '
� �R. .,� � Crystal Bay,MN 55323 Approved Byc. Amount$
� �i,�o�a (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All CoFnmercial permits must be approved by the Building Official or Inspector and/or Fire Marshail)
;-GENERAL INFQRMATION , _
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applicarions wi1L'
be reviewed and a=perrnit will be issued within two vvoiking>days.
2. Pernut eaid"s will be sent hy retum mail after a review is eompleted, PERMITS ARE NOT
VALID;LJI�TIL YOiJ RECEIVE A PERMIT. WORK�IVIUST 1�TOT BEGIN UNTIL THE
PE°R1VI�T C�RD��Y'OSTED ON THE JOB SITE
3. Mecha�cal Desiens'-Complete calculations;details and speeifications are required for�each
heatmg,�venhla�ion,humidification-dehumidification,and ai€condifianing installarion including
heat loss/h�at gain calcularion, design temperatures,;equipment�ann�s and idenrification as to
` typ�,�iu��cturer and rnodel. Data shall be presenfed�fortn�rovided.
4• When�ar���ne�v construc,tion or remodeling is'mvolved,a�p��te buxlduig,permit r�usf�e;
; ot�tain� � , ; y ;
5. All`w } s`�;be��Qn�in accordance with the Unifo_ ���ha�v�al�Code/5tate Build�g Code
�re�u�e�n�s x� ` ,� ��,�� • r
�
6 'A1`�1 u`vo� �� sf=T�e�uis���`ct�d(rough-in and final) Call� �� 4600 „
�2�4�,���no�trc�,�"��;c�ui�ed) ` � �
° 7. ;I�ous�� t`iig��`t R�co�'d must be subrrutfed befoxe�ir�����.r,.,
- .;n� � - .. � � -;r"s�,..�. -� .
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' TYPE OF.�ERI�i�'�� `
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esidex�t�a� �Commercial(Approval Requued)
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01�ew " ��c�iirrional
°.. '. � '' - 0 R?Pa�s . ... �Replace i
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-7oh Sl��/���x�ifQ w� ahan , .
SiteA ' �J� ,�.� .� f .y
: ddress: � _ � . , .��
Owner: Mailirig�4�tdress:
City: :.Zip:
: Home Phone: Alternate Plio�e:
: ;:Contractor Information: :
Contractor: Contact P�rson: :
��pTINQ�&�4�11.1lda TWO ING,
A�cldres�550�aa,aa.�+,-l3ti. �i State Bond#:
Mapie Grove��tIN 55389-9231
City:� {763)426-367� Zi
� p: Expiration Date:
Phone: Alterna�e Rhorie:
. `❑ Insurance=Cur�ent: .
1
, MECHArTICAL S�STEMS BETNG IhTSTALLED
�
` Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
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IS THIS GEOTHERMAL? ❑ Yes�No
HEATING SYSTEMS
Quantity: � ! �
Make: �i�� ,� /�l�1'�✓ ` !/ �'`� ���i.
Model: /� � '�• �
Fuel: /v . /'��
�� �� //
Flue Size: !�
Input BTUs: ���_����� (�JOj�"U �
ouc�ut s�s: 000 � d� ��
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
VENTILATION
❑ No. � Kitchen Exhaust_�duct recirculating � cfm
❑ No. � Bath Exhaust(must have duct outside) 7'x�cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation � Removal
Fuel Oil: gallons ❑ Underground �Inside � Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:�� �`,� ��(�O/G O�
2 '�" i`�r'.��'�hc�/ l�l�,���ffr�.
����,J. , �-��o%���
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PERMIT FEE CALCULATION(S)
' BASED OFF - 2002:STATE STATLTE '
❑ 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;excludinQ 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 $ .50
Mail-In Fee(If Applicable) $ 2.00
Tota!Permit Fee $
PERMIT FEE CALCULATION S -JOBS'OVEI�$SQQ 00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�Zv� DO �tf� x.0125 $ ���• �O
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
Zo,G o�. �o X.000s $ /`f, 3 0
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � ` `�
■ * 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 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 APFLICATION 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.
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Applicant's Signature: ` Date:
Reset Form
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J " O�� AT TIME �
CITY OF ORONO CALLED IN 3 ��
INSPECTION NOTICE SCHEDULED 3 Z I ,�
PERMIT NO.a DI D-D�D 53 COMPLEfED
ADDRESS `'�lo� S a r�n q �l �� ('-tl
OWNER TELEPHONE N0.112��FZ� �7
_ .. CONTRACTOR 'L°G�"�hCt -� Cob l��T[,�n
� DESCRIPTION I rl I�G �' LIt.U/' `E'C-S "f'
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORON' CALLED IN �� ��
INSPECTION OTICE SCHEDULED �D'�
PERMIT NO. �1 �'�� `� COMPLETED
ADDRESS �� �-
OWNER ELE ONE NO. � �F��
CONTRACTOR `�' ��� �` ���YL
� DESCRIPTION �� �3���
� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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 ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
v�, COMMENTS:
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL 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. (952) 249-46�0
OwnedContractor on site:
Inspector. � �3� �
White Copyllnspector's File Canary CopylSite Notice
J_� DATE TIME , /
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � a �
PERMIT NO.�D� ��O53COMPLETED
ADDRESS �
OWNER T LEP O NO.���'�$ ���
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CONTRACTOR ry 1
�: DESCRIPTION 5 �
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� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING R ❑ SEPT FINAL ❑ FOUNDATIOWREMOVAL
� OWN NTRACTOR TO EET YOU• YES_NO
c�., COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector. � r""!'
White CopyllnspectoPs File Canary CopylSite Nofice