HomeMy WebLinkAbout2012-00296 - mechanical CITY OF ORONO * Z 0 1 2 - 0 B Z 9 6 *
. 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 75 STUBBS BAY RD N
PIN : 32-118-23-34-0014
LEGAL DESC : UNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : UNDEFINED
VALUATION : $ 825.00
NOTE: ADD 2 SUPPLY AIRS TO ROOM ABOVE GARAGE. ADD 1 RETURN AIR TO ROOM ABOVE GAE2AGE.
APPLICANT MECHANICAL 50.00
METRO AIR INC. STATE SURCHARGE MECH (VALUATION) 0.41
16980 WELCOME AVE SE
PRIOR LAKE, MN 55372 TOTAL 50.41
(952)447-5124
OWNER
MALBY, DONALD
75 STUBBS BAY RD N
MAPLE PLAIN,MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,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 c formance with the State Building Code.This permi[may be /,�
revoked af a' time fqr.-due eause. �
�.�.�=��% " i `,� ',� �. C G'`1 � / /�f=-i �
�= ���'`�� �/� /�P� ,� � ,� ��-y, �
Applicant Permi ' 'gnature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NOR CI'PY USE ONLY
" `0A� City of Orono
� fO¢ `rO�, P.O.13ox 66 Date Received: Permit#
� �,, ' 2750 Kelley Parkway
� ,���,�;. �� Crystal 13ay,MN 55323 Approved[iy: Amounf$:
L'� �•�t+��r,�y=yo`r Phone(953)249-4600 I�ux(952)249-4616
`��tt�Kovr ,
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be:�pproved by the I3uilding Official or Inspector and/or I�ire Marshall)
GENF,RAL INFORMAT[ON -�
I. 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 ARL:NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation ir�r,�udinb
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.
fi. 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 Apply)
�Residential ❑ Commercial(Approval Required)
❑ New �Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Addr s: � � ��`'��b S �� �� �'1 � C�
,� ., r
Owner "�l _ Mailing Address: �� S 1�`'�r,•S �� r�� "��\
City: v ,^ U Yl U Zip: � S �� `�
F[ome Phon� �� L )��� Alternate Phone:
Contractor Information:
Contractor: ��r� �t� --_1,r1 � Contact Person: ��''` ��/ S \�1� �, p-
Address: 1��b� �"�"��v�''�►.�J� State I3ond #: l9 � ���3�
City: � :����.'-��� Zip�g3�� Expiration Date: � - �� - 1�_
['hone: �1� a u�-1-�� a.� Alternate Phone: v�a ���� `�'� ��
�i�l C.
❑ Insurance-Current: ��- �_ �� c�_ ►_ � �
l
' � MECHANICAL SYST'EMS BEIN�''r INSTAL'LED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ,�]No
HEATING SYSTEMS q�\ �, a S ,�,� P I , }(�,�, �, S 1'`, ��,�,,.i c,� u��
°��' ``�� � �� c� � �
Quantity: � ' � 'r1 � ^ � �J U� � �W
Make: \ �� �'� � �
Model:
Fuel:
Flue Size:
Input BTUs: �
Output BTUs:
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/Masonry
VENTILATION .
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfrn
F[JEL STORAGE (Must be app�oved by Fire Marshall iJproposing to abandon tank in p[ace.)
❑ Installation . ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
� , .
� tERMIT FEE CALCULATIQN(�a�' `.
,:. , � .::
BASED OFF =2002�ST`A'T�S'�1-4'�UE:: '''..
❑ Yes,this section applies
The replacement of a Residential fi�cture 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. Is 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 App(icable) $ 2.00
Total Permit Fee $
PERMIT FEE CALGULATION S ��JOBS O�R"$SOQ:00 .
If above does not apply;follow guidelines below:
1. CONTRACT PRICE �` is 1.25%of contract price with a(Minimum Fee of$50.00)
�� � e� x.0125$ ��J ��
(contract price) (minimum$50.0!1)
2. STATE SURCAARGE �� �� x.0005 $ e ��
(contract price)
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 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.
MECHANICAL PERNIIT 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.
Applicant's Signature. ti` Date� � �� — � �
:Reset Form
3
� _� � /
1
DAT� TIME V
CIN OF ORONO C LED IN �� � � � /
INSPECTION NOTICE �EDULED �"` l�-�
PERMIT NO. =.xC'�=� - C�=��r1'�' COMPLETED
ADDRESS ��> J � ��hb5 I�Jc� i,i �c� I��
OWNER TELEPHONE NO. �^�j� 4��-��"�`I
CONTRACTOR ��"��71 C f� rF� �la �.�'3J
�; DESCRIPTION � '��I � � �� ���'K �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ CAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS
� ❑ 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 ❑ SEP IC�FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
��1pLQRKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK E�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on sit •
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice