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HomeMy WebLinkAbout2010-00878 (mechanical- heating system) CITY OF ORONO PERMIT NO.: 2010-00878 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE IssuED: 09/29/2010 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 3287 CASCO CIR PIN : 20-117-23-43-0044 LEGAL DESC : WINSH[PS SUBD SPRING PARK : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,000.00 NOTE: 1 CARRIER NAT GAS FURNACE PAID WITH 2 CHECKS$52.70&$3.50 APPLICANT MECHANICAL 50.00 CENTRAIRE HEATING& AIR STATE SURCHARGE MECH (VALUATION) 5.00 7402 WASHINGTON AVE EDEN PRAIR[E, MN 55344- MAIL-IN FEE 2.00 (612)941-1044 MISC FEE 0.00 Minnesota State License#: OOTR93 TOTAL 57.00 OWNER WRIGHT,JON& KATHLEEN 3287 CASCO C[R WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be perYormed according[o thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which rcquires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time af'ter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due oause. ��tit1u� �'1l- l l ���rK„GZy� l l Applicant Permitee Signature Date Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. . .: ;� k' ��---�--�� � ( � FOR CITY USE ONLY ` ,1� City of Orono � �� ��"�` ' P.O.[3ox 66 Date Received: Permit# � ��'� 2750 Kellev Parkwav a r`'�� A ' Crystal Bay_MN 55323 Approved By: Amount$: �� ``� � o`��� (952)249-4600 ����4 CITY OF ORONO–MECHANICAL PERMIT (nll Commcrcial permits must he approccd bc 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 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 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 form provided. 4. When any neti�consiruction 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 All That A 1 ) ' Residential �Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs Replace Job Site/Owner Information: Site Address: �� � �CL � � ,�/� , r—�� Owner:..� �}� (,�^/�- i� ,.� Mailing Address: S ��� : City: ���r''C� ✓lJ��.�) Zip: ..����� Home Phone:�—����'��� Alternate Phone: Contractor Information: . :.���, .> .i �U�'- �l�^ Contractor e` � . Contact Person: � Address.7402 W �hi on Aventte State Bond #: � Eden Prairie,MN 65344 � City: ��'�� Zip: Expiration Date: Phone: Alternate Phone: Q (nsurance–Current: - 1 , � , [� MECHANICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS � Quantity: Make: ���' �' ��'� Model: ���L�� � Fuel: �� /L q Flue Size: �L�� Input BTUs: (,�-(���� Output BTUs: � `�V� 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 Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be upproved bti� Fire Marshall if proposing to abandon tank in p/ace.) � Installation � 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: I. 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 $ I 5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ j PERM[T FEE CALCUL�TION' S --JOBS C�VER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$50.00) ��) ��:;_ �`����(�� X.o�z5 $ ��C� (contract pnce) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) ����`� x.0005 $ � - J C� (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-ln 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 other fixed 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 of the Building Department at(952)249-4600 for the price. 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 ordi ances o e City�an regulations of the State of Minnesota, and certifies that all stat nts m e on this applicat� are complete, true and correct. � Applicant's Signature: e: Reset Form _ 3 DI , ( /, f � ��� `J{l �� AT TIME CITY OF ORONO CALLED IN ��� INSPECTION NOTICE SCHEDULED s� - . .��: PERMIT NO.���'�D�" ,���Z� COMPLETED ADDRESS �`7v� � � �<� -=�� D C�� ' OWNER TELEPH�OId�NO. �C �� � `�7-� ��'�'i CONTRACTOR � ��f���' i!'� �: DESCRIPTION I ��� � '����� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J LflQBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/ TRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W1LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on si : Inspector. � � White Copyllnspector's File Canary CopylSite Notice