HomeMy WebLinkAbout2009-00665 (heating system) CITY OF ORONO PERMIT NO.: 2009-00665
. ' 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISS[1En: 10/02/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2474 CARMAN ST
PIN : 20-117-23-12-0027
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT O11 BLOCK 006
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT�ON TYPE : HEATING SYSTEMS
VALUATION : $ 4,481.00
NOTE: I BRYANT NAT.GAS HEATING SYST'EM
APPLICANT MECHAMCAL 56.01
STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 2.24
410 WEST LAKE STREET
MINNEAPOLIS,MN 55408-2998 MAIL-IN FEE 2.00
612-824-2656 MISC FEE 0.00
TOTAL 60.25
OWNER
EDWARDS, WARD
2474 CARMAN ST
WAYZATA, MN 55391-
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 describcd and does
no[grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 no[
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 inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caqse.
`,Z1�� �It / / / /
Applicant Permitee Signature Date Issued By Si ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
FOR CIT1'i?SE ONLI�
, � Cih-of Orono
. � �� ����' Y.O.Bos G6 Date Receic�d: Yacrnit=
, '� �`,' 2750 Kelley Parkway ----
, � J} * F�� Crystal Bay,MN 55323 .�ppro�ed B}: ------- -�nount$: _
' �" � r o'.' (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspec[or and/or Fire Marshall)
GENERAL INFORMATION
L 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 wiUun two working days.
2. Pennit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID iJN"I�IL YOU RECEIVE A PERMI'I'. WORK MUST NOT SEGIN UNTIL THE
PERMTT CARD IS POSTED ON THE JOB S1TE.
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 temperahues,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 fmal.
TYPE OF PERMIT
� � Check All That A 1��)
�Residential �Commercial(Approval Required)
❑Ne�a �Additional �Repairs ❑Replace
Job Site/O��-ner Information:
Site Address:
Owner: �/(�►��' Z.tJ�r'G�41�ing Address: S
City: �!`BYL � Zip:
Home Phone:�� '�-- `-f � j� �s���ate Phone:
Gontractor Information:
Contrac�r�ndar ' ing Contact Person:
130 Plymouth Avenue North
Address: Minnea olis, MN 55411-3445 State Bond#:
61
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
__ �_�
. • MECHANICAL SYSTEMS BE1NG INSTALLED � �
• Note: All Geothermal S}stems 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 L3TUs: � C-��/
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIItEPLACES
❑ Gas Factory F'ueplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENTII,ATION
❑ 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 MarshaU if proposing to abandon tank in place.)
� Installation � Removal
Fuel Uil: gallons ❑ Undergrouud �Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What�Where:
2
.
• PERMIT FEE CALCULATION(S)
� � � BASED�OFF -2002 STA1� STATUE.
�Q Yes,this section applies
The replacement of a Residential fixttue or appliance that meets all three of the following requuements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludina the cost of the fi�ture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next secUon,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee �
PERMIT FEE CALCULATIQN�S�_JOBS QVER$�0�.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee��00) �
x.0125$ • O
contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bld Code Div. Surcharge(Minimum Fee of 5.50)
�` Z
x.0005 $
( ontract price) (minimum S .50)
3. POSTAGE&IIANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTT 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 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 fiu-nished 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 putposes. 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 STATT' SiTRCHARC'7F,is.�OS of the Building Departrnent at(952)249-4600 for the price.
1VIECHANI�AL PERhj1IT APPLIGATIOl*1 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 m �s application are complete, true and
correct_
Applicant's Signatur ' � (f/
1
>Reset Form
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/� ATE D TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE HEDULED /O f�' :.��C
PERMITNO. —d�Co�� LET
ADDRESS �� �
OWNER CONT ���
TELEPHONE NO. � Sa' 7/'gl
� DESCRIPTION
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z �WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q INAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� NER/ TRACTOH TO MEET YO . YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. ''� � ��5�
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