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HomeMy WebLinkAbout2008-00375 - mechanical � r ' CITY OF ORONO PERMIT NO.: 2008-00375 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 1U10/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 795 BRIDGEWATER DR PIN : 33-118-23-12-0020 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 009 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 8,500.00 NOTE: 1 MON'f'[GO&VALOR GAS FIREPLACE L42DFNNENTANA APPLICANT MECHANICAL 106.25 WOODLAND STOVES& FIREPLACES STATE SURCHARGE MECH(VALUATION) 4.25 2901 E. FRANKL[N AVE. MINNEAPOLIS, MN 5540� MAIL-IN FEE 1.50 (612)338-6606 TOTAL 112.00 OWNER O.T. Development, LLC LLC, O.T. DEVELOPMENT, 2670 KELLEY PKWY ORONO, MN 55356- 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 becomc null and void if construction authorized is not commenced within l80 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 cause. � �i�1'ltLLt C-rl. � � ��j���I�i� l l Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CITY L�SE ONLY City of Orono a�O�Q P.O.Box 66 Date Received: Permil# 2750 Kelley Parkway � a �' Crystal Bay,MN 55323 Approved E3y: Amount$: _ � ��" � �� ` (952)249-4600 � �– — ��d�E8N04��� CITY OF ORONO—MECHANICAL PERMIT (nll Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION � � �� 1. You may apply for mechanical permits by mail ar in person at the City offices. Applications will be reviewed and a per►nit 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 sha!I 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 A11 That A 1 � Residential ❑ Commercial(Approval Required) � New ❑Additional � Repairs ❑ Replace Job Site/Owner Information: Site Address: 795 Bridgewater Drive � Owner: � � �C�'t�1�'���T Mailing Address: ����J L`Z /� �-�t,� City: ��.�r�IG l-��7�} Zip: �S'-�� � Home Phone: Alternate Phone: Contractor Information: �� Contractor: Woodland Stoves & Fireplaces Contact Person: Cindy Address: 2901 E Franklin Avenue State Bond #: RLI 502812 City: Minneapolis Zip:55406 Expiration Date: 10/20/09 Phone: (612) 338-6606 Alternate Phone: ❑ Insurance —Current: 05/26/09 1 � � MECHANICAL SYS'TEMS BEINC'1 IN�"TALLED �� • 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 Quantiry: Make: Model: Tons: H. Power FIREPLACES Q Gas Factory Fireplace Brand Name: Montigo &Valor ❑ Wood Burning Fireplace L42DFN/Ventana ❑ 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) � Installation � Removal Fuel OiL• gallons � Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: 2 _ _ -- __.� — P�RNIIT F��CALC ULATION(S) �_, � ��_F3AS(�;I) (��F`=2002 S7'ATE STATUE � � ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. 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 $ .50 Mail-In Fee([f Applicable) $ 1.50 Total Permit Fee $ � zT� a�� ���;� � �� ;� ��� „� If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$35.00) 8,500.00 x .0125 $ 106.25 (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) 8,500.00 x .0005 $ 4.25 (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 112.00 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other tixed 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 ofthe Building Department at(952)249-4600 for the price. a$ .��• ��� ,��' ���� �� .��;i�:�.,. � �� 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 ali statements made on this application are complete, true and correct. 1 Applicant's Signature: � �(. � Date: /� � ��� � ' �"� �:. Reset Fq 3 ,,.�,� . �— � C��� ATE TIME CITY OF ORONO CALLED IN � � � INSPECTION NOTICE m�, �, CHEDULED � PERMIT NO. O -�-�-/��' COMPLETED ADDRESS OWNER TR. � < TELEPHONENO. ' ��— � ✓ � _ \ � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV ADING/FILLING Q ❑ FRAMING �AECHANICAL FINAL ❑ LAKES RE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 _ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v � ❑ FOUNDATION/REMOVAL Z NER/CONTRACTOR TO M YOU• YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED �� SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUiRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: - Inspector. � V r White Copyllnspector's File Canary CopylSite Notice � � � � �J��� ATE TIME CITY OF ORONO CALLED IN � ' �� INSPECTION N�TIC�E� ��y�� SCHEDULED $ � PERMIT NO. o C��1( t��jCOMPLETED ADDRESS � � � � ✓ � cI �',�--L�.X`x�SL./1 �'C_. OWNER CONTR. ���/���Y j1C� TELEPHONE N0. �� ` ' � � ��.J � DESCRIPTION -�- 'V`-e-�� / l /� �Ct-C--� � ❑ FOOTING ❑ ME HANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ ME HANICAL FINAL � LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ RRECT 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 �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on 'te: Inspector. � White Copyllnspector's File Canary Copy/Site Notice