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.
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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
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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�'
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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: �'� ��
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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"��
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� ❑ 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
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� ❑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