HomeMy WebLinkAbout2015-00279 - mechanical ' CITY OF ORONO
* 2015 - 00279 * '
2750 KELLEY PARKWAY DATE ISSUED: 03/09/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 970 TONKAWA RD
PIN 08-117-23-12-0002
LEGAL DESC AUDITOR'S SUBD.NO.217
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : McAC h -MULTIPLE
VALUATION : $ 6,430.00
NOTE: (1)KITCHEN EXHAUST-600 CFM
(1)BATH FAN EXHAUST- 110 CFM
APPLICANT MECHANICAL 80.38
STATE SURCHARGE MECH(VALUATION) 3.23
GENZ-RYAN PLUMBING&HEAT MAIL-IN FEE 2.00
2200 HIGHWAY 13
BURNSVILLE,MN 55337 TOTAL 85.61
(952)767-1000 Payment(s)
CHECK 146317 85.61
OWNER
BAKER,GARY
970 TONKAWA RD
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 specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and 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 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 after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Si re Date Issud By Signature Date
Co
FOR CITY USE ONLY
�O A rO City of Orono
<V P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)2494616
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marsha!Q
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GENERAL INFORMATION . + , k , tt , ,• ' .
s MAR 0 5 2015
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. CITY OF
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT ®�O�'�
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT -77-77
Check All That Apply)
Residential ❑Commercial(Approval Required)
❑ New ❑Additional Repairs ❑Replace
Job Site/Owner Information: ' t
�. I
Site Address: g 1 Q) O�l 1�O�V�4. R D ch-A
Owner:: Q..( \��e��� Mailing Address:
City: _ r (\ Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Address: 1�� ���J State Bond#:
City: �`�°�'�" Zip:1!13fj Expiration Date:
Phone: q��.��1 " 1 OV� Alternate Phone:
❑ Insurance—Current:
1
JjAUjgALQYATtMS BEINQZSTALLEL
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS 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 Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. Kitchen Exhaust�_duct recirculating �(�cfm
❑ No. Bath Exhaust(must have duct tside) �" cfin
No. Other Fans: Locations ?AAM {A r CkktS�• _cfin
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:
2
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATU
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;excluding 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 $
PERMIT FEE CALCULATION(S) —JOBS OVER $500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%ofcontract price with a(Minimum Fee of$50.00)
�ll
` Q--,o .0('�) x.0125$ 'D • S�>
(contract price) (minimum$50.00)
2. STATE SURCHARGE
U q S( ,Q)o X.0005 $ 3 oa
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ co I
■ * 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 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.
MECHANICAL PERMIT A N 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: r Date:
I
3
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DAT TIME /
CITY OF ORONO CALLED IN v
INSPECTI0=1T�V�•�-1 SCHEDULED
PERMIT NpV#�� JJJ� lJ COMPLETED
ADDRESS �n
OWNER TELEPHRNE NO. %7 L9 6`7
CONTRACTOR 2 �1�-rl ILXY'Nb
DESCRIPTION ^R
t~N ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ P BING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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v❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerfCoMractor on site:
Inspector. 6-
White Copyllnspector's File Canary CopyWe Notice