HomeMy WebLinkAbout2012-00274 - mechanical CITY OF ORONO * z 0 1 2 - 0 0 2 7 4 *
' 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2012
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2755 CASCO POINT RD
PIN : 20-117-23-23-0007
LEGAL DESC : AUDITOR'S SUBD. NO.265
: LOT 007 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULT[PLE
VALUATION : $ 1,300.00
NOTE: 6 KITCHEN EXHAUST
DUCT WORK-MOVE LOCATIONS OF EXISTING SUPPLY AND RETURN DUCT
GAS LINES FOR FIRGPLACE AND RANGE-MOVE LOCATION
APPLICANT MECHANICAL 50.00
ASPEN VENTILATION& HEATING CO. STATE SURCHARGE MECH (VALUATION) 0.65
9815 PIONEER TRAIL
LORETTO, MN 55357 MAIL-IN FEE 2.00
(763)498-7053 TOTAL 52.65
PAID WITH CC# 3758
OWNER
BASKF[ELD, MICHEAL& SHARON
2755 CASCO PT RD
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 described and does
not grant permission for additional or related work which rcquires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or no[specitied herein.This pennit will
expire and become null and void if construc[ion authorized is not
commenced widiin 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Apr 10 12 11,24p Mark 763-498-7299 p.1
I
FOR CITY CSE OVLY'
' � City of Orono �
g '� P.O.Box 66 Dale Received: `� � ��-�e���� a�% o a���
� 4` � 2750 Kcllcy Parkway
"0^`�'- 6�
i � a�y��y; Crystal Bay,l�ir 55323 Approved By: Amount$� S°�•
�Y(t��'.�.�o� Phon�(952)249-4600 Fax(9�2)249-4616
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be appraved 6y the Building OFficial or Inspector and!or Firc MarshaU)
GENERAL INFOR�IATION
l. You rnay apply for mechanical perrruts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two w•orking days.
2. Permit cards wil]be sent by returrf mail after a re��iew is completed. PERMITS ARE VOT
VALID UNTIL YOU RECEI�'E A PERNtIT. WORK MUST IYOT BEGIN 11NTTL THE
PERM[T C.ARD CS POSTED 03�THE JOB SITE.
3. Vlechanical Designs—Complete calculations,details and specifcations are required for each
heating, venlilation, humidifieation-dehumidificaiion,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. 1Nhen any new construction or remodeling is involved, a separate building permit must be
obtained.
� 5. All w�rk must be done in accordance with the Uniform Mechanical CodelState Buildina 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 submi#ted before final.
TYPE OF PERMIT
Check All That A lv
�Rasidentiat ❑ Comrnercia] (Approval Required)
❑ New ❑Additional �Repairs ❑ Replace
Job Site/Owner Information:
Site .Address: ��ej�J ���5�.� �" RG�
O+��ner:���QS�-�I �1C.� Mailing Address:
CitY: b� n_L Zip:
Home Phone; Alternate�hone:
Contractor Information:
, �n�e�L��t D✓1� `'�
'. Contractor: -�����f`�1 . Contact Aerson: �Gl..� 1'�,.���'VLD_,l/�
Address: `��'Q,�j Pi� �`��7,�,c.� State Bond #: x�l���(� �
City: �d'Eei'T� Zip��Expiration Date: 8 �� / �
� �
Phone: ��� ��►� .'�)� Alternate Phone:
I ❑ Insurance—Current:
l
I
Apr 10 12 1'h,24p Mark 763-498-7299 p.2
' MECHANICAL SYS'fEMS BEING INSTAL�,ED
� Note: AU Geothermal Systems will now require a Site Plan&Review by�our Building Official.
iS 'FHiS GEOTHERMAL? ❑ Yes �Na
� HEATfNC S'1�'STEb1S
Quantity:
M ake:
Model:
Fuel:
� Flue 5ize:
Input B1'[Js:
N
! „, �U�LiL B�'�S: _ ..,,,, ..
CFM:
COOLInG 5YSTEMS
Quantity:
M ake:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Narne:
❑ W ood Burning Fireplacc
❑ Wood Stove A•]odel No_:
I ❑ Wood Stove with FEue/Masonry
VENTILATTON .�� L��Y�. ��L�,�
►, C � �p
lc�c���� �f �i5��`�-
(� No. Kitchen Exhaust�_duct recirculating a'rj_�___�(; cfin d�l��-��
❑ No_ Bath Ext►aust(must have duct outside) cfm �,��!��
❑ No. Other Fans: Locations cfrn �
c�,l,�;CG�,
FUEL STORAC E (Must he approved by Fire 1Narsha[l if propos+ng to ahanJon tank in place.)
❑ ]nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground []lnside ❑Ou�side
LP Gas: gallons
Otber_
GAS LIIYE ONLY
� ' � I� U �_�
❑ Outdoor Gril l � Other/List What&Where: ��C1,�,Q
2 � YY1 D V�-G�. � D�itfl��
I Apr 10 12 :24p Mark 7g3-4gg_72gg p 3
.
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ �'es,this section applies
t
i. The replacement of a Residential fixture or anpliance that meets all three of the following requirements:
4�
1. Does not require rnodi6cation to electrical or gas service.
2. Has a total cost of$500.00 or less; excludina the cost of the fixture or appliaoce:and
3. Is irnproved,insialled or replaced by the homeowner or iicensed contractor.
Skip next section, ifthis applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Iv[ail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATfON S —JOBS OVER$500.00
` If above does not apply;follow gwdelines below:
t
�
� 1. CONTR.AC'T PRICE *is 1.25%ofcontract price�,�ith a{Minimum Fee ofS50.00)
a
` _ � �bD� (�} X_o�2s� JG��b�
(contract price) {m i nimum SSO.00j
2. STATE SURCH.4RGE
l 3 D l� , dU X.000s � , ;r,JF
(contract price)
3. POS7AGE&HANDLING (Only on\�Iail-In Applieations) 5 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S�, ( �
� • * CONTRACT PR10E or JOB COST means the actuai or estimated dollaz amount chazged for the
permitted work including materials, labor,profik and other iixed cosks. It is the amount to be charaed
� 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
estirnaced cast or contract price for permit fee purposes. �n the evenE that there is a dispute on the
a�nount of the job cost, the City may re9uest th� submission of a si�ed copy of the actual contract.
MECFIANICAL PERMIT APPLICATION AGREEMENT
The undersijned hereby applies to the.City for issuance of a Mechanica� Permit, agrees to do al1
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnes�ta, and certifies that all statements made on this application are complete, true and
con-ec�
r � ,
Applicant's Signature: � Date: �/
Reset Fo�m
3
DATE TIME �/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ' I — I Z a.'on
PERMIT NO. 02 -��7 COMPLETED
ADDRESS a 7 5.� CC�C�C-n O� 0��
OWNER TELEP ONE NO.�o�Z-Z�� —5�7�
CONTRACTOR v `'�- �
�; DESCRIPTION ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �KSATISFACTORY:PROCEED f,, PROJECTCOMPLETE
W ❑ CORRECT WORK 8 PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �-� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.
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White Copyll�spector's Fiie Canary CopylSite Notice