HomeMy WebLinkAbout2009 - 00290 - mechanical CITY OF ORONO PERMIT NO.: 2009-00290
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/08/2009
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 835 WINDJAMMER LA
PIN : 07-117-23-11-0008
LEGAL DESC : PIRATES COVE
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 15,000.00
NOTE: 2 RHEEM HEATING SYSTEMS
2 RHEEM 2.5 TON COOLING SYSTEMS
APPLICANT MECHANICAL 187.50
RICCAR HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 7.50
2387 STATION PKWY NW
ANDOVER,MN 55304 MAIL-IN FEE 2.00
(763)754-4000 TOTAL 197.00
OWNER
HANSON, SCOTT&JENNIFER
835 WINDJAMMER LA
MOUND, MN 55364
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 witlfthe State Building Code.This permit may be
revoked at any time for due cause.
AO� 4 / 0)1/Lgam
Applican Permitee Signature6r��,,h/l C DA Issued :y •_t al re AIS . e
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SEPARATE PERMITS REQUIRED FOR WORK OTHER •N DESCRIBED ABO '_�.
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A FOR CITY USE ONLY
OA` City of Orono
0¢ <V P.O.Box 66 Date Received: Permit#
+y;, 2750 Kelley Parkway
. 4 ttislz.' iCrystal Bay,MN 55323 Approved By: Amount$:
s (952)249-4600
`�su� 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)
)esidential ❑Commercial(Approval Required)
0 New ditional ❑ Repairs 0 Replace
Job Site/Owner Information:
�� ' ' ^fix 1
Site Address: C 35 W) rt Gt. rna r Lakle - ifriod_
Owner: 1i 13 t-1-cr>us Mailing Address: glob 6t,t--1-imbre Si '10' .--
City: T3riai-likt
' .-City: Q,L.i'lk Zip: LIKi
Home Phone: SSD � L—� Alternate Phone:
Contractor Information:
Contractor: 1 L ( / fl/ Contact Person: t-eeA-t-LN2_
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Address: II3S'7 Skiia1 f ' State Bond#: 10 37D&1 g()
City: /I114Oiei' Zip: Expiration Date: �/f�/bQ
Phone: ig�'
L L / ) Alternate Phone: `
❑ Insurance—Current: tQna
1 jqLi / 0
40
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MECHANICAL SYSTEMS BEING INSTALLED
01
Note: All Geothermal Systems will now req,'re a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes No
HEATING SYSTEMS
Quantity: 1 /
Make: 1 eeIvl Oite/r
Model:
Fuel:
Flue Size: `A
Input BTUs: iii L(�
t 00O 0,000
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: ghee/77
Model: , 4-�v1-03o
Tons: o?•5
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
8 Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ 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.)
❑ Installation In Removal
Fuel Oil: gallons ❑ Underground 8 Inside ® Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
V
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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 $ .50
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$50.0��0--)77��
15,000 -00 x.0125$ lgq, J`�
(contract price) (minimum$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
15,0 (>6•`'`) x.0005 $ .1 -
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 19 7,00
■ * 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.
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: /AI/� Date: (Q/ /Q
Reset For
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3
DAj TIME V
CITY OF ORONO CALLED IN �— /
INSPECTION NOTICSCHEDULED -/611 3 .D'O
PERMIT NO.&9'-'002.c/0 COMPLETED / A
ADDRESS S35 6 )
OWNER CONTR.
TELEPHONE NO. 763 754 - o6O
DESCRIPTION / f94- /`z 'L/4"its iesr
• ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q• ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
• ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
41 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
Q..
CC
O
CC
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W
CC
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W
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WCC ORK SATISFACTORY:PROCEED CIPROJECT COMPLETE
W IDCORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C..) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner!Contractor,�,f� -:
Inspector./`
White Copy/Inspector's File Canary Copy/Site Notice
170)
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S DATE TIME
r41C-rTY OF ORONO CALLED IN
INSPECTION NOTICE �/,y SCHEDULED C1/, /c'9' 3 .80
PERMIT NO (- - OMPLETED
ADDRESS 3 C7 ( 1 ; t ) 1r f C i -iii r /4_
OWNER / CONTR. �// ( C.0 ci K ✓C
TELEPHONE NO. al
`7(L 3 7C Li `I �)cC)
DESCRIPTION f /- f')a/ C-C f7 '"
t ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/ I LING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
LU ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
st OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
Q.
O d
cc
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IQ
Ct
Q
W
Z
W
CC
IQCIWORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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 sit
Inspector. i--3
(f l t))_fc
White Copy/Inspector's File Canary Copy/Site Notice