HomeMy WebLinkAbout2008-00190 - mechanical ' CITY OF ORONO PERMIT NO.: 2oos-oo�90
� 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 09/03/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 3045 SUSSEX RD
PIN : 04-117-23-32-0024
LEGAL D S� : FOX BEND 2ND ADDITION
: LOT 002 BLOCK 001
PERMIT T �E : MECHANICAL(>$500)
PROPERT �'Y : RESIDENTIAL
CONSTRU �'IO TYPE : MECHANICAL-MULTIPLE
VALUATI : $ 31,286.00
NOTE: 2 N T GAS CARRIER FURNACES
2 CARRIER I�C DITIONERS
2 KITCHEN X�IA E
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APPLICANT
QUALITY T &AIR SERVICES,INC MECHANICAL 391.08
12912 VENT URT STATE SURCHARGE MECH(VALUATION) 15.64
SUITE 21 TOTAL 406.72
SHAKOPEE, 5 79-
(952)403-111
OWNER
BRUDERER, B T&YVONNE .
3045 SUSSE
LONG LAKE 53
AGRE E AND SWORN STATEMENT
1'he work for whi h is rtnit is issued shall be performed according to
the approved pl d s ifications,applicable City approvals,and the
State Building C e.' Th' ermit is for only the work described and dces
not grant permiss n�for itional or related work which requires sepazate
permits. All prov i ns o aws and ordinances goveming this type of work
shall be compied i wh er or not specified herein.This permit will
expire and becom n 1l void if construction authorized is not
commenced withi 1 0 d s of the date of issuance,or if construction is
suspended for a p ri d of 0 days at any time after work has commenced.
The applicant is r p nsi for assuring all required inspections aze
requested in conf ce i[h the State Building Code.This permit may be
revoked at any ti r d c use.
_ � `�' , � ,0 2� G��� 9� 3 � ��
Applicant Permi e I Si ture Date Issued By gnature Date
EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DES BED ABOVE.
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I I FOR CITY USE ONLY
�� �'�`��q City of Orouo
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P.O.Box 66 Date Received: Permit#
����,,,AM 4�j 2750 Kelley Parkway
� j Crystal Bay,MN 55323 Approved By: Amount$:
� ���°�,` '� '�� � (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
� be reviewed and a ermit will be issued within two workin da s
I P g Y •
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
I 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
iI 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.
'I 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.
II (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
I b Site/Owner Information:
te Address: 3045 SUSSEX ROAD
ner: ERHARD BRUDERER Mailltlg Addl'OSS: 3045 SUSSEX ROAD
ORONO 55356
ty: Zip:
me Phone: (9sz�a�o-aooa Alternate Phone: (9s2�azg-9390
ntractor Information:
ritYaCtOt': QUALITY HEATING&AII COIItaCt Pel'SOri: BOB REZAC
12912 VENTURA COURT SUITE 21 RLI561213
dress: State Bond#:
C� : sxaxoPEE Z�p. 55379 Expiration Date: osit�io9
; P ne. (952)403-1 ll 0
Alternate Phone:
' i oiozioa
❑✓ Insurance—Current:
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HEATING SYSTEMS
�, Quantity: 1 1
�
� Make: CARRIER CARRIER
1 ModeL• 58MVC100E-1-20 58MVC120E-1-20
I Fuel: NATURAL NATURAL
Flue Size: 2�� 3,�
I� Input BTUs: 100,000 120,000
�
� utput BTUs: 94,000 112,000
I
FM: 1950 2060
iOOLING SYSTEMS
j uantity: 1 1
� CARRIER CARRIER
ake:
odel: 24ANA148A003 24ANA160A003
ons:
4.0 5.0
.Power
IREPLACES
� ❑ Gas Factory Fireplace
� ❑ Wood Burning Fireplace
� ❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
li NTILATION
� No. 2 Kitchen Exhaust duct recirculating 200/300 ��
I ❑ No. Bath Exhaust(must have duct outside) cfm
� ❑ No. Other Fans: Locations cfm
' EL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Under round ❑Inside ❑Outside
g
' LP Gas: gallons
' Other:
, 'i
S LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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� ❑ Yes,this section applies
II The replacement of a Residential fixture or apnliance that meets all three of the following requirements:
i
� 1. Does not require modification to electrical or gas service.
! 2. Has a total cost of$500.00 or less;excludin¢the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
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Skip next section,if this applies; Cost of Permit $ 15.00
I State Surchazge $ .50
� Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
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If above does not apply;follow guidelines below:
�
i 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�� 31,286.00 x.Ol 25$ 391.08
� (contract price) (minimum$35.00)
I 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ofS.50)
I 31,286.00 x.0005 $ 15.64
i (contract price) (minimum$ .50)
� �i 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
�
406.72
� '� 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
I 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.
� **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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I he undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
i ork in strict accordance with the ordinances of the City and the regulations of the State of
innesota, and certifies that all statements made on this application are complete, true and
rrect.
09/o2/O8
� plicant's Signature: Date:
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DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT N0.1�nTc-DO l� COMPLETED '
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ADDRESS ��� �S�Q�'L ��1
OWNER CONTR.��� r� ��"f
TELEPHONE N0.
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� DESCRIPTION
� ❑ FOOTING ❑ MECHANJCAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING �dG6NANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ 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
v ❑ DEMO-FINAL p SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAI ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS: f J����/�J C
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W�WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE
� ❑CARRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑tNSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor site:
Inspector.
White Copylinspector's Ffle Canary CopylSite Notke