HomeMy WebLinkAbout2014-00707 (mechanical) 9
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CITYOFORONO * z0 14 - 00707 *
2750 KELLEY NARKWAY pATE �ss[1��: 07/09/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2629 CASCADE LA
PIN : 33-118-23-11-0114
LEGAL DESC : STONEBAY F1FTH ADDITION
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(> �500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 8,000.00
NO'1'E: (1)LUXAIRE I II=,A"I'ING nND COOI,ING SYS"I'GM
APPLICANT MECHANICAL 100.00
STATE SURCHARGE MECH (VALUAT[ON) 4.00
TOTAL AIR INC.
BURNSVILLE TOTAL 104.00
PO BOX 17127 Payment(s)
MINNEAPOLIS, MN 55417- CREDIT CARD 1038 104.00
(952) 894-7472
OWNER
BUILDERS LLC, STONEBAY
14870 BROCKTON LANE
PLYMOUTH, MN 55446-
AGREEMENT AND SWORN STATEMENT
I'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
Statc[�uilding Code. This pennit is for onl��the work described and does
not crant 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."I�his permit will
expire and become null and void if construction authorized is not
commenccd within 180 days of the date of issuance,or if construction is
suspended for a period of 180 d� . at any time after work has commene�d.
i'he applicant is responsible � r ass ing all required inspections are
requested in co � ian� with th .� tc Bu� ing Code.This permit may be
revoked y time � due ca
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nt cr � i nature te [ssue � y Signature Date
' � F CITY USE ONLY
r ,.�. _ �O� City of Orono � —7�7
O P.O. Box 66 Date Re � Permit# ��� /
2750 Kelley Parkway �
Crystal Bay,MN 55323 Approved By. Amount$: �d '
Phone(952)249-4600 Fax(952)249-4616
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�qKESHo��`' CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or[nspector and/or Fire Marshall)
GENERAL 1NFORMATION
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 return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN iJNTIL THE
PERMIT CARD 1S POSTED ON THE JOB SITE.
3. Mechanical DesiQns—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 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 wark 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 All That Apply)
�Residential ❑ Commercial (Approval Required)
�New ❑ Additiona( ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: ��� ( ����� ���
Owner;�Fc�v`-t-•� 5a� ����{,�?� Mailing Address: �� ^���-�
City: �`� � Zip: � ��
Home Phone: l,(��3-- '3 � �� Alternate Phone:
Contractor Information:
' a .
Contractor: � J�l(� �'1/�ontact Person:
Address: ��B l�i� �7/1--7 State Bond#: � �� ^ � _
,
City: �? Zip: �✓(f Expiration Date: 3 ��
Phone: �,�-"1f 1"�`�-s--� Alternate Phone: �!l/„�`����� ����
❑ Insurance—Current:
1
, �
MECF�ANICAL 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
Make: �� �
Model: ���0,�j���� )I
Fuel: , �
Flue Size: .��� !'�L'
Input BTUs: ��,Q"�
Output BTUs: ��
CFM: �4�
COOLING SYSTEMS
Quantity:
Make:
ModeL• � (�
Tons: ��i�'�_
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Instailation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
.- ,. _
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 tota] 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(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply;follow �uidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
����-� x .0125 $
(contract 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) $ /O 7 • �
■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged far the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor ar 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.
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 f the City and the regulations of the State of
� Minnesota, and certifies th statem m de on this application are complete, true and
correct. �
Applicant's Sig ature: � Date: ��
3
cC- DATE TIME �
CITY OF ORONO CALLED IN 7 " � '/
INSPECTION NOTIC SCHEDULED �- '/7' •�
PERMIT NO. - C PLETED
ADDRESS �5�d � C� i'�=��
OWNER - TELEPHONE NOl�-'�' ����`v
CONTRACTOR� �
� DESCRIPTION d '
�
� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING
Q ❑ POURED WALL ��v1ECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� O 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
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:�_g�S ll�l�� "� ��C'iir' �S�
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��RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for next inspection 24 hours in advance. (952) 249-46�0
Owne ontractor on sit • �
Inspector.
White Copylinspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN � "
INSPECTI�D�N���C� ��� SCHEDULED �1�— �
PERMIT Nd ��������' COMPLETED �_
ADDRESS 2- G 2- '�► C�'C�c� �^,
OWNER TELEPHONE NO.�« � � ����
CONTRACTOR �
�; DESCRIPTION �Y�-c�Q'`'` Q7C'� �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL NICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION NER/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 O HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED OJECT COMPIEfE
� ❑CORRECT WORK&PROCEED IS UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfUFiN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho rs in advance. 52) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice