HomeMy WebLinkAbout2013 - 01242 - heatilator )F ORONO 11111111111111111111111111111111111111
-(1 1 " PARKWAY DATE ISSUED: 11/25/2013
"'''`;O, MN 55356-
F AX: (952) 249-4616
ADDRESS : 209: ;)
PIN : 03-1 H '3
LEGAL DESC
. I (',. _
PERMIT TYPE : v1y .:A l.
PROPERTY TYPE : RESTED!:N I'IAL
CONSTRUCTION TYPE : FIREI'I :vr5E-G.
VALUATION : $ 3,00r1.'I`�
NOTE: HEATILATOR NDI30
AI'PLICA.\`T �1lCHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.50
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 MAIL-IN FEE 2.00
(651)633-2561 TOTAL 53.50
Minnesota State License#: 205120('')
OWNER
SWEEN,THOMAS&DEV1N
2095 WEBBER HILLS RD
WAYZATA,MN 55391-
AGREEMENT AND S\VORN S"I Al '11
The work for which this permit is i;; . .,
the approved plans and specifica,ions,
State Building Code. This permit is IL 0111V the L is ;s
not grant permission for additional or related sco:I:
permits. All provisions of laws and ordinnnccs r• ni x• : •, u.!:
shall be compied with whether or not spcci
expire and become null and void if cnnstr,r;
commenced within 180 days of the,...;c „a. a I;
suspended fora period of 180 days at any time NI, 1.has am,:,.;:,;rL
The applicant is responsible for assuring I,1,L. :. i. :.
requested in conformance with the tau;Is it !i • This h. ''i:,
revoked at any time
�for
due
i
Applicant Permitee Signature -:,te Issued L Sij�ature / 4 Date
SEPARATE PER !1.1 :; I\I L I) \OftK O"I'I ILR THAN DESCRIBED ABI, E.
FOR CITY USE ONLY
v(---O 0. of Orono
.\j V PO. Date Received: Permit#
1ko
2750PKeBox0lley66 Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
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Phone(952)249-4600 Fax(952)249-4616
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l,,.._ ��C, 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 ❑ Replace
Job Site/Owner Information:
Site Address: ,9 015 Webber (4-.1 gel/'
Owner: l)eUon Jween Mailing Address: (2e. s' we ober W Ws et,'
City: l.-)a-rZ.AL Zip: .553//
Home Phone: 55-.2 -'/73 - 17 33 Alternate Phone:
Contractor Information:
Contractor: Contact Person:
HEARTH & HOME TECHNOLOGIES
Address: State Bond#: dba FIRESIDE HEARTH & HOME
LIC t3C662656
City: Zip: Expiration Date: 2700 FAIRVIEW AVENUE N
ROSEVILLE, MN 55113
651.633.2561
Phone: Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
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: N C }' `6 0 1
Wood Burning Fireplace
❑ Wood Stove Model No.: N T 3o
❑ Wood Stove with Flue/Masonry
VENTILATION
El No. Kitchen Exhaust duct recirculating cfm
❑ 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.)
El Installation El Removal
Fuel Oil: gallons El Underground El Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill El Other/List What&Where:
2
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
El 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$50.00)
3 • c'o x.0125$ 5-0,12)
(contract price) (minimum$50.00)
2. STATE SURCHARGE / 3--0
3erv-� • " x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5,3.50
• * 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: �_A Date: ///0 5/0
0
3
+ 5e
SEPTIC SYSTEM INVEN
Site Address: 2095 Webber Hills Rd PID: 0311723340023
Owner Name: Thomas H. Sween&Devon M.Sween
Owner Address: 2095 Webber Hills Rd Wayzata MN 55391
Building Type: residence Installer:
Date of Permit: 10/30/92 Ritter Exc
System Type: Mound BRs Designed for: 4
In Musa?: Yes Shoreland?: YES
SEPTIC COMPLIANCE INSPECTION
Report Date:
Compliant Expires:
Non-Compliant?: Report in Street File?: YES
SPECIAL NOTES Site Address: 2095 Webber Hills Rd
06/02/08 2008 Septic Maintenance Report Letter Sent
SEPTIC TANKS
Material: Precast concrete Capacity: 1000, 1000, 1000 Tank Filter:
DRAINFIELD
Treatment Area: 86*40 Soil Boring: loam,clay loam DF Ht above Wt: 3
WELL DATA
Setbacks-Well-Tanks: Well-DF: Report in File?: YES Depth:
INSPECTION RECORD PUMPOUT RECORD
Date Description Date Gallons
11/18/92 installation 05/14/02 2000
10/13/94 no surfacing 01/12/05 3000
10/29/97 no surfacing,tanks pumped correctly? 07/10/08 2500
11/07/02 no surfacing,code system
10/24/04 Okay
11/01/06 Okay
4/7/2009
12:40:37 PM
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GsDATE TIME 1/
CITY OF ORONO CALLED IN F Z'5—/3 •30
INSPECTION NOTICE SCHEDULED /2—b/3 = if,/.4
PERMIT N( -rte 1 3 -4/22---COMPLETED /�
ADDRESS o7,055 /A�� �L got-ti__
OWNER TEL PHONE NO.gIS��7 4'S/
CONTRACTOR
DESCRIPTION 04A,e,(..A,t_e__ 0 / ' I F-44t
1....
tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV RADING/FILLING
Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
y ❑ FRAMING 0 MECHANICAL FINAL
Q ❑ TREE REMOVAL
• 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT 0 FOLLOW-UP
IQ 0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
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• OWNERICONTRACTOR TO MEET YOU:> ES_NO
COMMENTS:
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IQ ❑WORK SATISFACTORY:PROCEED AOJECT COMPLETE
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❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oj 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: z/ty
( /Inspector. /.
White Copyllnspector's File Canary CopylSite Notice