HomeMy WebLinkAbout2015-01527 - mechanical � CITY OF ORONO * z 0 1 5 - 0 1 5 z 7 *
2750 KELLEY PARKWAY DATE ISSUED: 12/04/2015
ORONO, MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 2601 CASCO POINT RD
PIN : 20-117-23-24-0036
LEGAL DESC : WINSHIPS SUBD LOT 1 SPRING PK
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 8,686.00
NOTE: (1)NEW BRYANT NATURAL GAS FURNACE
APPLICAI�IT MECHANICAL 108.58
STATE SURCHARGE MECH(VALUATION) 4.34
STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00
130 PLYMOUTH AVENUE N.
MINNEAPOLIS, MN 55411- TOTAL 114.92
612-824-2656 Payment(s)
CHECK 50177 114.92
OWNER
HEDBLOM, BRUCE&CAROL
2601 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
S[ate Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. A((provisions of laws and ordinances goveming this type of work
shall be compied with whe[her or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced wi[hin l80 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.
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Applicant Permitee Signature Date Issue y Signature Date
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t CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector andlor Fire Marshall) � 4 2015
J GENERAL INFORMATION
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L You may apply for mechanical permits by mail or in person at the City offices. App cations will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS AR�NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS 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 identif'ication as to
type,manufachuer and model. Data shall be presented on fonn 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 rnal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before fmal_
TYPE OF PERMIT
Gl�eck All That A 1�°)
�Residential �Commercial(Approval Required)
❑Ne�� ❑Additional ❑Repau-s �eplace
Job Site/O��°ner Information:
Site Address: � b v t �� � � �' '' � �
O�vner: ��i ���g��ing Address: S�'��
c��y: �/) reylU z�p:
Home Phone`''1 SZ �� �— ��'�1—Alternate Phone: (�� y �3 —" l ��
Contractor lnforn�ation:
Contrac�r�ndar � ��g Contact Person:
130 Plymouth Avenue North
Address: Minnea 61 is, MN 554�445 State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
� -_---�.__..:_��
' MECHANICAL SYSTEMS BEING 1NSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
� IS TI3IS GEOTHERMAL? ❑Yes �No
' HEATING SYSTEMS
Quantity:
Make:
Model: �
Fuel:
_ QG�
��
Flue Size:
Input BTUs: tfl�l eB�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Btuning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
� No. Kitchen E�aust duct recirculating cfm
❑ No. Bath E�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
F'UEL STORAGE (Must be approved by Fire Marshnll if proposing to abandon tank in place.)
� Installation � Removal
Fuel Oil: gallons ❑ Undergrouud �Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other(List What�Where:
2
PERMIT FEE CALCULATION(S)
BASED OFF -2Ut?2 STATE STATUE
, .,.
- � [� Yes,this scction applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modificalion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludina 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 $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
� � PERMIT FEE CALCULATI.ON(S)_-J�BS �VER;��4U.OU � � �� � � �
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.2�%of co �act p �ce 'th a(Minimum Fee of$�00) �
x.0125$�.�'
(conVact price) (minunum$50.00)
2. STATE SURCHARGE **Add the S Bldg od Div. Surcharge(Minin►um ee f$.50)
ls��► � X.000s $ �3
ls� �
(con act price) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNIIT F'EE(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 fumished 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 SURCHARGF,is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT AP'PLICATICIN AGREEMEIrIT
The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all
work in strict accordance with the ordinances of the City and the regularions of the State of
Minnesota, and certifies ihat all statements m de on this application are complete, true and
correct.
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Applicant's Signature: �L � �
Reset Form
3
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO�N�r O� TICE. scHE��`�" ` r� �: �v
PERMIT Nd:�-%�'� ��� Z� COMPLETED
ADDRESS 2 �C�) �C;�Sc�; � '���
OWNER TELEPHONE NO. ��� ��� �Y���
CONTRACTOR � ��- ��``�-�
� DESCRIPTION �����G==*� � { ��--��
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �MECl3ANICALRI ` ❑ SITE INSPECTION
Q ❑ FRAMING �[]MECHANICAL FIf�7CL� ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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GW O WORKSATISFACTORY:PROCEED �QJ.�CT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
�ontractoronsite: ��G�c�
Inspector. r-'
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