HomeMy WebLinkAbout2011-00153 (Mechanical) CITY OF ORONO PERMIT NO.: 2011-00153
. 2750 KELLEY PARKWAY
ORONO, MN 5535G- DATE ISSUED: 03/1U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1425 BAY RIDGE RD
� PIN : 10-117-23-34-0017
LEGAL DESC : REG. LAND SURVEY NO. 0192
: LOT 000 BLOCK 000
� PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 5,000.00
NOTE: I KITCHGN GXHAUST
� 4(3ATH I?XI IAUS"I'
APPLICANT MECHANICAL 62.50
JOEL SMITH HEATING & AIR COND STATE SURCHARGE MECH (VALUATION) 5.00
4920 173RD AVE NE
HAM LAKE, MN 55304 MAIL-IN FEE 2.00
(763)792-1066 MISC FEE 0.00
TOTAL 69.50
OWNER
WIENS, ROBERT&JULIE
1425 BAY RIDGE RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
"I�hc work for��°hich this pennit is issued shall be performed accordinc to
thc approvcd plans and specifications,applicable City approvals,and the
State Building Code. This pern�it is for only the�vork dcscribed and does
not grant permission 1or additional or related work which requires separate
permits. All provisions of laws and ordii�ances governing this rype of work
shall be compied with���hather or not speciticd herein.This pennit will
expire and bccome null and void if coustruction authorized is nol
commeneed within 180 days of thc date of issuance,or if construction is
suspended for a period of 180 days al any time after work has commenced.
I�he applicant is respunsible for assurine all required inspections are
requestcd in conlormance with the State Building Code.This permit may bc
revoked at any time for due cause.
�`���vw[/4 �/I"L � � L��Yj�C�,.� l l
Applicanl Permitcc Signature Date Issued By S�� ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E.
FOR CTTY USE ONLY
O¢��O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
i''�• r Crystal Bay,MN 55323 Approved By: Amount$:
�t��;,r,;%o� Phone(952)249-4600 Fax(952)249-4616
ib804.
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 RECF.IVE A PERMtT. WORK MUST 1vOT BEGIN UNTiL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 A 1 )
�Residential ❑Commercial(Approval Required)
❑ New �Additional ❑Repairs ❑Replace
Job Site/Owner Information:
1425 Bay Ridge Road
Site Address:
Rob Wiens 1425 Bay Ridge Road
Owner: Mailing Address:
Wayzata 55391
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Joel Smith Heating &A( Joel
Contractar: Contact Person:
13915 Lincoln St. Ste E RLI561434
Address: State Bond#:
Ham Lake 55304 07/01/11
City: Zip: Expiration Date:
Phone: ��63)792-1066 Alternate Phone: �612)363-5797
� Yes- Federated Ins.
Insurance—Current:
1 � i���� %"���
� MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now reyuire 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
1 6"Out Ro 300
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. 4 Bath Exhaust(must have duct outside) 80 ea. cfm
❑ No. Other Fans: Locations cfm
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: 1 Fireplace, 1 Dryer, 1 Range
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;excludin�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$50.00)
5,000.00 x .0125$ 62.50
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00)
5,000.00 x.0005 $5.00
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $69.50
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted wark including materials,labor, profiC, and other fixed costs. It is the amount to be charged
to the customer far 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 subtnission of a signed copy of the actual contract.
■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00.
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. ._
l,..,E
, —�
� " `"� 03/01/11
Applicant's Signature: ' '^�'' Date:
��,
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