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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: � W a � G—� _S ; ,NrQ T��` � �� � 5 � C� � 0 � � 0 � Q rf ������ �f�� �-�s o � � ��,� i � �2� c� ���--�,�a ,�..� z W � W � � d � �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. v White Copyll�spector's Fiie Canary CopylSite Notice