HomeMy WebLinkAbout2011-00414 - mechanical i
'' CITY OF ORONO PERMIT NO.: 2011-00414
'i , 2750 KELLEY PARKWAY
I�` ORONO,MN 55356- DATE ISSUED: 06/02/2011
� � 952 249-4600 FAX: 952 249-4616
' � DRESS : 3120 SUSSEX RD
iJ� N : 04-117-23-32-0009
I GAL DESC : FOX BEND
� � : LOT 003 BLOCK 001
I ; RMIT TYPE : MECHANICAL(>$500)
� OPERTY TYPE : RESIDENTIAL
ONSTRUCTION TYPE : HEATING SYSTEMS
ALUATION : $ 7,825.00
OTE: 1 TRIANGE TUBE BOILER NATURAL GAS
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APPLICANT MECHANICAL
97.81
PEAK HEATING&COOLING,INC. STATE SURCHARGE MECH(VALUATION) 3.91
7801 PARK DR. TOTAL 101.72
CHANHASSEN,MN 55317
(.952)401-1195
- OWNER
ANDERSON,BRETT&STEPHANIE
3120 SUSSEX RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shalf 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 aad does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
- shall be compied with whether or not specified herein.This pertnit will
'.expire and become null and void if wnstruction authorized is not
�commenced within 180 days of the date of issuance,or if construction is
isuspended for a period of 180 days at any time after work has commenced.
rThe applicant is responsible for assuring all required inspections aze
7equested in conformance with the State Building Code.This permit may be
_revoked at any time for due cause.
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Applicant Permitee ' ture Date Issued By i nature Date
` SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
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Y FORCITY CSE OVLY
" � City of Orono
�� �������, P.O.Box 66 Date Received: Permit#
�Q��,,� ��?= 2750 Kelley Parkway
i+� ��� � " ++�i' Crystal Bay,MN 55323 Ap�roveci By: Amount S:
� ``� o�� Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(nll('ommercial pennits must be approved by the l3uilding Of7�icial or lnspector and/or Fire Marshall)
GENERAL 1NFORMATION
� 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 two 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 DesiQns—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�Thati�A 1 ) � � �
�Residential ❑Commercial(Approval Required)
' ❑ New ❑Additional ❑Repairs �Replace
' Job Site I Owner Information:
Site Address: � �02� �i '��� (�l/
� Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��i;� E�' �� �� ��,�Contact Person: � i'v1
Address: ��`i� �tic� �' State Bond#: !"I� ���w
City: C,l�i.6J���'J Zip.�� Expiration Date: 0 � � (
Phone: 7�5�`��''«�S Alternate Phone:
❑ Insurance—Current:
1
I . ' �� 'h�tE��'�+�TCAL SYSTEMS BEING INSTALLED �,',;-�` '�` , ,�
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
, IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
'� Quantity: � 1 ��
,; Make: �S`IGl'��IF� I-�"!'
'� i /10
Model: �;�o
Fuel:
Flue Size: � f� �i�i
InputBTUs: �����
Output BTUs: ���,5�
CFM: —"
, COOLING SYSTEMS
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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 ha��e duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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` �� PERIVIIT 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 or less;excludinQ 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 Applicable) $ 2.00
Total Permit Fee �
� PER��v1IT FEE CALCU�,A'I`ION(S)—JQBS 4VER $500.00 ��
� If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��c�j.�� x.0125 $
(contract price) (minimum$50.00)
� 2. STATE SLJRCHARGE
x.0005 $
(contract pnce)
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 far 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.
ME�, . , AL P�RMIT APPLT� , ����:���ENT
� The undersigned hereby applies to the Ciry 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.
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Applicant's Signature: �1' Date: ��'� � � �
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Reset Form
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�� � _ D E TIME V
CITY OF ORONO CALLED IN � �
INSPECTIO��I�O�/� SCHEDULED _T� -G • 0�
PERMIT N � COMPLETED
ADDRESS �l�D S LL�..��vC. /�f�
OWNER TELEPHONE NO. ��Z ��g ��ZS�
CONTRACTOR �
�; DESCRIPTION ����r`
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPL4INT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W/�6DDRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
Wj�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�IERING PERMANENT
❑CORRECTUNSo�" :ONDITIONWITHIN HOURS. p pHOTOTAKEN
��'^" �_RETURN
.CALL INSPECTOR �CITATION ISSUED
�.CALL TO ARRANGE ACCESS.
�xt insp�•tion 24 hou in vance. (952) 249-460�
' �—,�;l.