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HomeMy WebLinkAbout2009-00259 - mechanical CITY OF ORONO PERMIT NO.: 2009-00259 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 05/27/2009 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4720 WATERTOWN RD PIN : 31-118-23-22-0005 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 15,000.00 NOTE: 1 CARRIER L.P.GAS HEATING SYSTEM 1 WATERFURNACE 4 T COOLING SYSTEM APPLICANT MECHANICAL 187.50 UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 7.50 5115 INDUSTRIAL STREET MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 (763)479-6325 TOTAL 197.00 OWNER MEHAFFEY,MILES&CATHERINE 4720 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 goveming 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 ause. 7 Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY 01;,,,, City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Wits"1. + Crystal Bay,MN 55323Appro By Amounts$ P, (952)249-4600 p4v .;4_ 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. (24-48 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 SI Replace Job Site/Owner Information: Site Address: 4720 Watertown Road Owner: Catherine Mehaffey Mailing Address: 4720 Watertown Road City: Orono Zip: 55359 Home Phone: (952)404-1178 Alternate Phone: Contractor Information: Contractor: UMR Geothermal, Inc. Contact Person: Pat Hughes Address: 5115 Industrial Street State Bond#: 929289728 City: Maple Plain Zip: 55359 Expiration Date: 09/16/09 Phone: (763)479-6325 Alternate Phone: ✓❑ Insurance—Current: 09/01/09 1 4 . Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? El Yes 0 No HEATING SYSTEMS Quantity: Make: t xYif{ Model: Po-2C Fuel: ( . P. isa5 Flue Size: 3 Ptic- Input BTUs: /00)COO Output BTUs: `I 3,0)0 CFM: ,:)-000 COOLING SYSTEMS Quantity: 1 Make: Model: k,OZC i' 4U l3 C- Tons: q TAA H.Power 730 t. �=►�(}i i� FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm O No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation 0 Removal Fuel Oil: gallons 0 Underground 8 Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY O Outdoor Grill ❑ Other/List What&Where: 2 , ❑ 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 15,000.00 x.0125$ 187.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S.50) 15,000.00 x.0005 $ 7.50 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 197.00 ■ * 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. • **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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: Spopq Reset Form II 3 ,v) NI , -7- J c, \.i. '3 4 ? J 4 kl 2 0 r•-s .....) 1131 1_ 1 -—— 1 , ) ,• / ---- ..,,j --,---- _____ ,-) ..." __-- \_---- \•L.,L—_ --- — ...__./ t. z st-- _ •D — 4".)-cv --) HrJ go ah •:-,-s --..! — - , -- LLJ . v.-7 .._ .s-" -. .t-, - 1 . . . i.-.. 'rz-- ."-c2.. --_, -�— DA' TIME t/ CITY OF ORONO CALLED IN 7o INSPECTION N T C >a59 CHEDULED 7 i O /:34) PERMIT NO. (/��dOMPLETED ADDRESS 4/7/20 Wth/L/ 7�C ? �C - OWNER CONTR. /.i4 R TELEPHONE NO. I p... ' � ' � � V-33.--ad DESCRIPTION 7•at(,t.r- E ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING ct El FRAMING -,V-MECHANICAL FINAL ElLAKESHORE/WETLANDS Q ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO V)• COMMENTS: CC W CC O a CC O U- ti CC Q W W CC IQ ❑WORK SATISFACTORY:PROCEED NROJECT COMPLETE W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice