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HomeMy WebLinkAbout2011-01197 - mechanical � . � CI'I'Y OF ORONO PERMIT NO.: 2011-01197 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/OS/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 10/5/201 1 ADDRESS : 764 BRIDGEWATER DR PIN : 33-118-23-11-0110 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT O15 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,500.00 NOTE: HEATING SYSTEM (I)BRYANT-MODEL 355BAV080036-GAS-2:PVC- 1200 CFM (1)COOLING SYSTEM-BRYANT 0 1 13ANA036-3 TONS 1/2 H.POWER GASLINE TO(2)FIREPLACES (1)KITCHEN EXHAUST (3)BATH EXHAUST APPLICANT MECHANICAL 143.75 AIT-IT INDOOR COMFORT STATE SURCHARGE MECH (VALUATION) 5.75 10524 QUEBEC AVE N BROOKLYN PARK, MN 55443- TOTAL 149.50 (612)685-5987 OWNER O.T. Development, LLC 10300 IOTH AVE N PLYMOUTH, MN 55441- 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 wark described and does not gran[permission for additional or related work which requires separate pennits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are reque ted in conformance with the tate Building Code.This permit may be rev ed at a time f, au . �---� l �� , � , 1 1 iv� 5 � � p p l i c a n t P e r m i t ee Si g n a tur e Da te ssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � r FOR C TY SE ONLY City of Orono ��� P.O.Box 66 Date Received: � ��ermit# ���l �7 �y; ��:; 2750 Kelley Parkway � n''� �►�� Crystal Bay,MN 55323 Approved By: Amount$: � . �y,�� ;�o`-;�r Phone(952)249-Ab00 Fax(952)249-4616 �+t�o`` 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 retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNT1L THE PERMIT CARD IS PQSTED ON THE JOB SITE. 3. �,?echanical DesiEns—Campleta calculations,detaiis and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,�uipment ratings and identification�s to type,manufacturer and model. Data shall be presented on form provided. 4. When any new oonstruction 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 fina1. TYPE OF PERMIT Check All That A l 0■ Residential ❑Commercial(Approval Required) 0 New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: s�te Aaaress: 764 Bridgewater Dr O.T. Develo ment 2670 Kelley Pkwy Owner: p Mailing Address: c��y: Orono Z;p: 55356 Home Phone: Alternate Phone: (952� 240-9468 Contractor Information: Contractor: Air-It Indoor Comfort con��t Person: Jason Ehret Address: 10524 Quebec Ave N State Bond#: 41 BSBEH3540 C�Ty: Brooklyn Park Zip.55445 Expiration Date: � ���O/� � Phone: (612) 685-5987 Alternate Phone: � Insurance—Cunent: 1 s , 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: 1 M�e: Bryant S'�'��1�C��t��D Model: Fuel: C7aS �� � +C� ' �� � �° Flue Size: � ��✓ Input BTUs: G�J�/ `� �nJ Output BTUs: 1 l� CFM: ��� COOLING SYSTEMS Quantity: � M�e: Bryant ModeL• � l� Dy�C/rJ�� � Tons: � H.Power ���----, FIREPLACES ,�-�Gas Factory Fireplace ��� Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION � Na 1 Kitchen Exhaust duct recirculating ��cfin 0 No. 3 Bath Exhaust(must have duct outside) �cfrn ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be apptoved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fue(Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill 0 Other/List What&Where: ' ' 2 � �l ��L l�!J�> 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;excludinQ 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 lf above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � r s�z� X.a�25$ (co ract price) (minimum�50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perrnitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor or installations are fumished 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. . , . ���- . /� -�S- � � Appl�cant s S�gnature: � Date. Reset Form 3 ��� <�� D TIME � CITY OF ORONO CALLED IN /D � INSPECTION NOTI�j E C� SCHEDULED � PERMIT N0. � 1 '� `� l� MPLET ADDRESS � OWNER � TE E ONE NO. � � Y" � CONTRACTO � �L �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EX V/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � Z W � W � � d ' W� J�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTIONREOUIRED.CALITOARRANGEACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� Owner►Contract on sit Inspector.��,_o� , .�� White Copyllnspector's File Canary CopylSite Notice � �� � � / T // TIME ✓ CITY OF ORONO CALLED IN ��J��` INSPECTION NOTIC SCHEDULED a / __L_��V PERMIT NO. COMPLETED ADDRESS ` p OWNER T EPHONE NO. � g �o, CONTRACTOR >`; DESCRIPTION ``Y " `�`- C-/'�-� J%����=�J� � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � /] _�r-- �7'`'�� � 0 a � 0 � W � Q � � Z � .� f S'-Q 1��' 'C� _ C f,���� � � ��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � �,� White Copyllnspector's File Canary CopylSite Notice