HomeMy WebLinkAbout2009-00192 - mechanical CITY OF ORONO PERMIT NO.: 2009-00�92
, ' 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/30/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2623 CASCO POINT RD
PIN : 20-117-23-24-0032
LEGAL DESC : SPRING PARK
: LOT 141 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULT[PLE
VALUATION : $ 14,775.00
NOTE: 1 BRYANT NAT.GAS FURNACE
1 BRYANT 4 TON AC
1 KITCHEN EXHAUST
5 BATH FANS
GAS LINE TO COOK TOP&GAS GRILL
APPLICANT
MECHANICAL 184.69
HEATING& COOLING SOLUTIONS, INC. STATE SURCHARGE MECH (VALUATION) 7.39
21461 ABERDEEN ST.NE TOTAL 192.08
EAST BETHEL,MN 5501 l-
(763)434-8893
OWNER
KUBALAK, THOMAS& PATRICIA
2623 CASCO PO[NT RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
the approved plans and specitications,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 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 no[
commenced within 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 S[ate Building Code.This permit may be
revok any time for due use
✓ / / / /
pplicant Permitee Signatu Date Issued By gnature � Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
. � roa ciTv t�sF oN[.v
` City of Orono
'Q1'b.l��.
P.O.Box 66 Date Reeeived Permit#
� - ��'� 2750 Kelley Parkway
� G�� �• �^�� Crystal Bay,MN 55323 Approved IIy� Amount$�
�&�o;�`u�% (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must be approved by the Building Official or Inspcctor and/or Pire 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 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 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 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 l )
�Residential � Commercial(Approval Required)
I' New ❑ Additional ❑� Repairs � Replace
Job Site/Owner Information:
Site Address: ��'��� �'-f��C��� �C`-t ov i�� ��(�
Owner: �1.C�t`�7�L�-� Mailing Address:
City: ��`�t�L� Zip:
Home Phone: Alternate Phone:
Contractor Information:
� � r�' ��' ��'lf�/V
Contractor: ��li�t.��:t d 4'���„�/.!„�' ���C;ontact Person:
Address: Zl`�1��f���E1�'1�J1�-�i N� State Bond#: �J
City: �=�� ���%ff�LZip:�l�Expiration Date: � �
Phone: ��/"y�7�`�U� � Alternate Phone: ��U�'Z��`4��Z��
� [nsurance—Current:
1
• MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? � Yes �J No
�
HEATING SYSTEMS
Quantity: �
Make: ��/T��
ModeL• ���������
Fuel: �
~� � �/
Flue Size: L- �"�
Input BTUs: d ��
output sTus: [ I� D �
CFM: v�U
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
� A
No. � Kitchen Exhaust duct�recirculating d� cfm
No. 'i� 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.)
� 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)
BA5ED 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 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 $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATIt�N(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)
�� 7gs � X.o�zS $
(contract price) (minimum$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�SO)
x.0005 $
(contract price) (minimmn$ 50)
3. POSTAGE&HANDL[NG(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines l-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 APPLIGATION 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.
_ � �
Appl�cant's S�gnature: Date:
Reset Form
3
�� TIME �
CITY OF ORONO CALLED IN � `z`�
INSPECTION OTI E �J��CHEDULED L d , .v�7
PERMIT NO. ��al° ' G MPLETED
ADDRESS ��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �
� ❑ FOOTING ❑ ME A CAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FR,4MING �ME NICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE iNSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTAL�. ❑ FOLLOW-UP
_ � PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBtNG FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED � I SUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
� INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-460�
OwnerfContractor on site:
Inspector. � .l / 1'(. d
White Copyllnspector's File Canary CopylSite Notice
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�AJ€` � TIME
CITY OF ORONO CALLED W �yL
INSPECTION NOTICE �al �CHEDULED .3 %
PERMIT NO OMPLETED
ADDRESS ��
OWN ER CONTR. �
,
TELEPHONE NO. � - - �7 a
� DESCRIPTION �/�-��LQ��� �� --�
� ❑ FOOTWG �MECHANICAL RI ❑ EXCAV/GRADING/FILUNG
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAI ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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�D�IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �
W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (J52) 24J-4600
OwnerlContractor on site:
Inspector. � f � � !-� S
White Copy/lnspector's File Canary CopylSite Notice