HomeMy WebLinkAbout2010-00067 - mechanical .� CITY OF ORONO PERMIT NO.: 2010-00067
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE IssuEn: 02/10/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2105 SUGARWOOD DR
PIN : 34-1 l 8-23-21-00 l 7
LEGAL DESC : SUGAR WOODS
: LOT 003 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULT[PLE
VALUATION : $ 22,000.00
NOTE: TH[S PERMITIS FOR A BO[LER AND INPLOOR HEA7':
MAKE-LOCKINVAR-MODEL-KBN210
NATURAL GAS-FLUE SIZE-3"
210,000 INUT BTU'S
199.500 OUTPUT BTU'S
APPLICANT MECHANICAL 275.00
B& D PLUMBING& HEATING INC. STATE SURCHARGE MECH (VALUAT[ON) l 1.00
4145 MACKENZIE CONST TOTAL 286.00
MN 55376-
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OWNER
SMITH, THOMAS& VIRG[NIA
2105 SUGARWOOD DR
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 specitications,applicable City approvals,and the
State Building Code. This pennit is for only the work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governii�g 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 atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conforman ith the State Building Code.This permit may be
rev � ny for d ause.
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Applicant Pennitee Signature Date �s � By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCR[BED ABOVE.
�
FOR Tl'Y USE ONLY
�p� City of Omno /l / 00�7
+ Q O, P.O.Box 66 Date Received: �� l�Pe�mit#(�D/b—
2750 Kelley Parkway � ��_ �
a r R Cryatal Bay,MN 55323 Apprwed By: Amount S:
�'e+ � ' �.; �` (952)249-4600
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CITY OF ORONO—MECHAIVICAL PERMIT
(All Commercial pe[mits muat be approved by the Building Official or Inspector and/or Fire Mazshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed a�a pernut will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desig,�s—Complete calculations,details and specifications are required for each
heating,ventilation,humidification dehumidification,and air conditioning installation i�li�ding
heat loss/heat gain calculation,design temperattues,equipment ratings and identification as to
type,manufact�rer 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 insp�ted(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 PERNIIT
Check All That A 1
�Residential �Commerciat(Approval Required)
�New ❑Additional ❑Repairs Q Replace
Job Site/Owner Information:
Site Address: �IDS �v,aa�i..�moa ��;�c
Owner: Mailing Address:
City: Zip:
Home Phone: Altemate Phone:
Contractor Information:
Contractor: �i� I�K.r.�; ��� A.C. Contact Person: �oc ��3cchl
Address: '��4�5 /� sac: �� State Bond#: Z��y$G 9
City: ������C�ca�l� Zip:�/�/ Expiration Date: /Zl����0
Phone: �`3,�y�17'Z2t0 Alternate Phone: �i�z 37S-o3Z�
❑ Insurance-Current: ro��' �a 3"d`'�y C o ,
1
„ -'� '�1�t17 i s � a ,�;�� S �J��io.� �� pN��
MECHANICAL SYSTEMS BEING INSTALLED
Y Note:All Geothermal Systems will now require a i Plan 8t Review by our Building Of�icial.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATIl�TG SYSTEMS
�hry: 1
Make: i
Model: ��2��
Fuel: K �•
., � c
Flue Size: '
Input BTUs: f C7,5700
Output BTUs: ��}� SC�
CFM:
COOLING SYSTEMS
Quantity.
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen E�aust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
0 No. Other Fans: Locations cfm
FUEL STORAGE (Must be approNed by Ffi�e Marshall if proposing to abardon tank in place.)
❑ Installation a Removal
Fuel Oil: gallons ❑ Underground �Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
T'he replacement of a Residential fixture or anvliance 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;excl ' the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed coniractor.
Skip next section,if this applies; Cost of Petmit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
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$50.011)
Z Zi DO� x.0125$ �7S ��
(contract price) (minimum$50.00)
2. STATE SURCHARGE '*Add the State Bldg Code Div. Surcharge(M'in'�mum Fee of 5.50)
ZZ cc�'� x.0005 $ /!.O o
(con acc price) (minimum S .so)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNIlT FEE(Add Lines 1-3 Above) $ �g$ ��
■ ' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
perniitted 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 fiunished 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 perntit 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.
Applicant's Signature: ....- .���' Date: oZ!�l/O
Reset Form
3
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� D TIME
�
CI OF ORONO CALLED IN �� /�
INSPECTION NOTICE SCHEDULED �
PERMIT NO. - �COMPLETED
ADDRESS ''C !�
OWNER CO
TELEPHONE NO. lC-�� ��� - ���- �?✓" 4�,�
� DESCRIPTION � ��
� ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAI ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca��for the next inspection 2a hours in acivance. (952) 249-4600
OwnerlContractor on sit :
Inspector.
i
White Copyllnspector's File Canary Copy/Site Notice