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HomeMy WebLinkAbout2008-00257 - mechanical CITY OF ORONO PERMIT NO.: 2oos-oo2s� 2750 KELLEY PARKWAY . ORONO,MN 55356- DATE ISSUED: 09/29/2008 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1135 SPRING HILL RD PIN : 26-118-23-43-0006 LEGAL DESC : SPENSER ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,500.00 NOTE: 3 FUJITSU A/C ADD BATH FAN&MINI SPLIT AC TO BONUS ROOM APPLICANT MECHANICAL 43.75 VOGT HEATING&AIR COND 3260 GORHAM AVE STATE SURCHARGE MECH(VALUATION) 1.75 ST.LOUIS PARK,MN 55426 MAIL-IN FEE 1.50 (952)929-6767 TOTAL 4'7.00 Minnesota State License#:61725 OWNER FULLERTON,ROBERT&CAROLINE 1135 SPRING HILL 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 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 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 for due cause. `�.t.� C� � i � ��i���2 9, Z9 , D � Applicant Perm�tee ignature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r • � • , FOR CITY USE ONLY .y''"p``�,, City of Orono / � ��` P.O.Box 66 Date Received: Permit# :�O 4'1 �+ 2750 Kelley Parkway \�A '��r�t},��/1' (952)2 9a4600 55323 Approved By: Amount$: ??t�o'j CITY OF ORONO—MECHANICAL PERMIT (All Commercia]permiu must be approved by the Building Official or Inspector and/or Fire Mazshal]) 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 rivo 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 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. 4. When any new construction 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 final). 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: Site Address: ' � ��Z�I�Y�I I�G ��( ��� Owner: �IAI��i�� Mailing Address: City: _ �(��V Zip: J J �'�� Home Phone: Alternate Phone: Contractor Information: COritl'1Ct01': Vogt Heating,AC,Plumbing Contact Person: � - ACICIPeSS: 3260 Gorham Avenue State Bond#: Clty: St.Louis Park Zip. 55426 Expiration Date: Phone: (9sz�929-6�6� Alternate Phone: ❑ Insurance—Current: 1 . a c�lcl b�.tl� �t,n �- rn�n� i�'� �G � bo�Us �o��n� - � . 1 MECHANICAL SYSTEMS BEING 1NSTALLED • HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: I � � ,� ,,�� Make: , Model: �O�o���IIL.I /���( l���m�-� Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Buming Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin (v]� No. _1_ Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � , PERMIT FEE CALCULATION(S) BASED 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 ar 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) � x.0125$�r3 •� ( ontract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) ' x.0005 $ 1 � �� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��` W ■ * 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 pariy, the reasonable market value of such items must be added to the estimated cost or contract price for permit 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 APPLICATION 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. � 1 /) , Applicant's Signature: � Date: —� (/ ,��tI7Q Reset Form 3 � �QT �U� TIME � CITY OF ORONO CAILED IN ` V � INSPECTION NOT E SCHEDULED PERMITNO.a00�-[�.�� COMP,LETED 'f -G�C � ADDRESS �v OWNER C TR. TELEPHONE N0._�I=Q �o� ��� '�c�Oa�� � DESCRIPTION `� /������=�/ � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � �`RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Catl forthe next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector. / White Copyllnspector's Ffle Canary CopylSite Notice �� � V � � ATE TIME � CITY OF ORONO CALLED IN �D � g INSPECTION NOTICE SCHEDULED �� � PERMIT NO.aO D�-UO�COMPLETED ADDRESS ��3S r `� OWNER CO R. � TELEPHONE NO.���� — � �"� �'� � DESCRIPTION <�� Vw�'l- � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FIU.ING Q ❑ FRAMING `�MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ` O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IIVSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 2a'hours in advance. (952) 249-4600 Owner/Contractor on te: inspector. � White CopyllnspectoPs File Canary CopylSite Notice