HomeMy WebLinkAbout2012-00056 - mechanical CITY OF ORONO PERMIT NO.: 20��000s6
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: OU26/2012
952 249-4600 FAX: 952 249-4616
ADDRE S : 3190 SUSSEX RD
PIN : 04-117-23-32-0007
LEGAL ESC : FOX BEND
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPE Y TYPE : RESIDENTIAL
CONST CTION TYPE : MECHANICAL-MULTIPLE
VALUA ION : $ 4,500.00
NOTE: (1 KITCHEN EXHAUST-600 CFM-6"DUCT
(1)BATH XHAUST
REROUT GASLINE TO UNIT HEATER
APPLICANT MECHANICAL 56.25
PRACTIC L SYSTEMS STATE SURCHARGE MECH(VALUATION) 2.25
4342 B S DY OAK RD
HOPKINS MN 55343 TOTAL 58.50
(952)933- 868
OWNER
KENNEY,JOHN&MARY
3190 SUS EX RD
LONG LA E,MN 55356-
AG EEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to ,
the approved lans and specifications,applicable City approvals,and the
State Buildin Code. This permit is for only the work described and does
not grant pe ission for additional or related work which requires separate
permits. All rovisions of laws and ordinances goveming this type of work
shall be com ied with whether or not specified herein.This permit will
expire and b ome null and void if construction suthorized is not
commenced ithin 18U days of the date of issuance,or if construction is
suspended fo a period of 180 days at any time after work has commenced.
The applican is responsible for assuring all required inspections aze
requested' ance with the State Building Code.This permit may be
an ime or due cause.
1 � � GCY� / ,��1 a---
Applicant P ►tee Signature ate Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
t FO CTTY SE ONLY
� ¢p� City of Orono � �'�
P.O.Box 66 Date Received: 't# O����`
� �'' 2750 Kelley Parkway f�''
�+ � "'� �* Crystal Bay,MN 55323 Approved By: Amount$:�� "
i�t_' ' ' • o` Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANIC�L PERMIT
(All Commercial permits must be approved by ihe Building Official or Inspector and/or Fire Marshall)
GENER.AL INFORMATION
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 UNTII.THE
PERMIT CARD IS POSTED ON THE JOB SITE.
I 3. Mechanical Desi�ns—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 pennit 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 That A 1
�❑Residential ❑Commercial(Approval Required)
❑New �Additional ❑Repairs ❑Replace
Job Site/Owner Information:
slte Address: 3190 SUSSEX RD
oWner: KE N N EY Mailing Address: SAM E
clty: LONG LAKE Z,p: 55356
Home Phone: Alternate Phone:
Contractor Information:
PRACTICAL SYSTEMS J OAN N
Contractor: Contact Person:
i Address: 4342B SHADY OAK RD State Bond#: 55H5� 6
HOPKINS 55343 09/17/12
City: Zip: Expiration Date:
Phone: (952� 933-1868 Alternate Phone:
� Insurance—Current: ���/� 3
1
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity:
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 Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
� 600 CFM 6
0 No. Kitchen Exhaust duct recirculating cfm
� No. � Bath Exhaust(must have duct outside) cfin
� No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in pbce.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
REROUTE GAS IINE TO UNIT HEATER
❑ Outdoor Grill 0 Other/List What&Where:
2
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❑ 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 elechical or gas service.
2. Has a t o of$500.00 or less;ex 1 ' 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 $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
4,500.00 X.o12s$ 56.25
(cont►act price) (minimum$50.00)
2. STATE SURCHARGE 4,5��.�0 2.25
x.0005 $
(conhact price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $58.5�
• * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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.
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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 ements made on this application are complete, true and
correct.
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Applicant's Signature: `� �Date: O1/19/�2
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PERMIT NO.CXC/J��L�C�C/��COMPLETED ��
ADDRESS � ��9�� �55' i��
OWNER _ � T P ONE N��� �4����
CONTRACTOR �� �/
>; DESCRIPTION �� b"�' —
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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��►@RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL{NSPECTOR � CITATION ISSUED
❑tNSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. � `,
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO ��aeLEo iN �� � V
INSPECTION NOTICE ��. scHEou�E� L� �
PERMIT NO. �*=�C��—��L''J�OMPLETED
ADDRESS ����- �' ! ll�� b�-�- � I
OWNER TELEPH NO. � t� ���t��3
CONTRACTOR �
�; DESCRIPTION S � `�-+ `` �
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lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y
Q ❑ FRAMING ,;�.�CECHANICAL 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 I FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOA TO MEET YOU:�YES_NO
� COMMENTS '
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W ❑WORKSATISFACTORY:PROCEED .B�PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
Owner/Contractor on site:
Inspector. � � F�' � �
White Copyllnspector's File Canary CopylSite Notice