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Home My WebLink About2012-00947 - mechanical 111111111111111111111 MIT 111111111111111 IN CITY OF ORONO * 2012 - 00947 * 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2012 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 4115 WATERTOWN RD PIN 31-118-23-41-0014 LEGAL DESC MAPLE PLACE 2ND ADDN LOT 002 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 12,000.00 NOTE: 1 TRANE NAT GAS FURNACE 1 MODINE NAT GAS HEATING SYSTEM 1 TRANE 2 TON AC 1 KITCHEN EXHAUST 1 BATH EXHAUST 1 EXERCISE ROOM FAN GAS LINE FOR DRYER APPLICANT MECHANICAL 150.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 6.00 4342 B SHADY OAK RD HOPKINS,MN 55343 TOTAL 156.00 (952)933-1868 OWNER DYER,MICHEAL&JILL 4115 WATERTOWN RD MAPLE PLAIN,MN 55359 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 i sponsible fo assuring all required inspections are requested' co ance w' gle State Building Code.This permit may be revo at ta for d e. / / Aptffse itee Signature Date Issued By 'g ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . FOR CITY USE ONLY p�` City of Orono ¢' `r` P.O.Box 66 Date Received: Permit# ` G 1 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL 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 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 Check All That Apply) ■❑Residential ❑Commercial(Approval Required) ❑New ❑■ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 4115 Watertown Rd Owner: Mike Dyer Mailing Address: Sante City: Maple Plain Zip: 55359 Home Phone: Alternate Phone: (612) 328-6536 Contractor Information: Contractor: Practical Systems Contact Person: Joann Address: 4342B Shady Oak Rd State Bond#: 558516 City: Hopkins Zip.55344 Expiration Date: 09/17/12 Phone: (952) 933-1868 Alternate Phone: P Insurance—Current: 1/1/13 1 .ue Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes No HEATING SYSTEMS Quantity: 1 1 Make: Trane Modine Model: TUc1B060As361A HD-65 Fuel: Natural Natural Flue Size: Input BTUs: 60,000 65,000 Output BTUs: 48,000 52,000 CFM: COOLING SYSTEMS Quantity: 1 Make: Trane Model: 4TTB3024A1000A Tons: 2 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. 1 Kitchen Exhaust X duct recirculating 300 cfm El No. Bath Exhaust(must have duct outside) cfin 0 No. Other Fans: Locations —rase room 130 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 Q Other/List What&Where: dryer 2 PERMIT 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;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%of contract price with a(Minimum Fee of$50.00) 12,000.00 x.0125$ 150.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 12,000.00 6.00 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 156.00 ■ * 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 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: 08I28/12 Reset Form 3 n DATE TIME CITY OF ORONO CALLED IN 7 INSPECTION NOTICE SCHEDULED PERMIT NO.e''2//O/a-609 V 7 COMPLETED ADDRESS T1l S 14&/61`049-� OWNER T LEP NE NO.g�2 933 X868 CONTRACTOR C� DESCRIPTION mPCh- / - ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO C: COMMENTS: W CL a cc 0 2 W QC Q a W Z W cc W 09110RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Lu W El WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice