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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- �) 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. .�� -� � � �o � l o �� ��� �c7 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 .��ggl�p4'6... 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 � � 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 % � 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: � a t ' j ` ' 0 a � 0 � W � Q � Z W � W � � d � 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