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HomeMy WebLinkAbout2011-00463 (heating system) CITY OF ORONO PERMIT NO.: 20ll-00463 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE ISSUED: 06/14/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2469 CARMAN ST PIN : 20-117-23-12-0016 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMIT TYPE : MECHAN[CAL(> $500) � PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : HEATING SYSTEMS VALUATION : $ 4,000.00 NOTE: 1 NAT.GAS HEATING SYSTEM APPLICANT MECHANICAL 50.00 TEAM MECHANICAL STATE SURCHARGE MECH(VALUATION) 2.00 3508 SNELLING AVENUE MINNEAPOLIS, MN 55406- MAIL-IN FEE 5.00 (612)729-5646 TOTAL 57.00 Minnesota State License#: 066835 OWNER MALIK, MtCHEAI,&JANET 2469 CARMAN ST WAYZATA, MN 55391- AGREEMEI�T 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 onty 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 with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �1t�3�� FOR CITY USE ONLY � City of Orono ' O¢ �O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway ` y ;+ �� ; Crystal Bay,MN 55323 Approved By: Amount$: d� � � � - o Phone(952)249-4600 Fax(952)249-4616 <.�«�xpe�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Off'icial 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 warking 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 Desiens—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 forrn 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 fmal). 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: 24(� Site Address: �' CARMAN STREET Owner:JANET MALIK Mailing Address: 2649 CARMAN ST City: ORONO Zip: 55391 Home Phone: 952-471-2405 Alternate Phone: 952-828-4532 Contractor Information: Contractor: TEAM MECHANICA Contact Person: MIKE GJESDAHL 3508 SNE�LING AVI ��'��` r"% � Address: State Bond#: �� ).: ��� � City: MPLS Zip.5540E Expiration Date: // -/- .�c�// Phone: 612-724-6656 Alternate Phone: �>/�f���i�-°�- �f.�¢!� ❑ Insurance—Current: � � MECHANICAL SYSTEMS BEING INSTALLED ( , Note: All Geothermai Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS Quantiry: � Make: �`��'7r�� r^.�* Model: j�l-<<' Fuel: .���� Flue Size: `� Input BT[Js: j��r';�•.' Output BTUs: �f'�/'i�' � 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 VENTILATION No. Kitchen Eachaust duct recirculating cfin No. Bath E�aust(must have duct outside) cfin No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in plac�) � Installation � Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoar Grill � Other/List What&Where: � � 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 elecri-ical 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(1f 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) ,.� :r.' ��u'�� x.0125 $ �`+�' (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) , x.0005 $ ° (contract price) (minimum$5.00) 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 permitted work including materials, labor,profit, and od►er fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations aze 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. ■ ** T'he 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. , , ,. ;� Applicant's Signature: ����� .�� Date: �'� �� l` Reset Form '� � DATE TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE C�/ SCHEDULED 7-�'�� �Q� PERMIT NOr�f�/�'-"�/ �� COMPLETED ADDRESS ���� �a�!'3t��f �� OWNER �/y�2�� TELEPHONE N0.7�Z �7l-Z �OZ CONTRACTOR >: DESCRIPTION �Gr��i(� �..�'�� �l`)•�ti �f'�n el"�� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j d � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY p ❑CARRECT 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 ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z) Z49-46�� OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice