HomeMy WebLinkAbout2011-00061 - mechanical . , CITY OF ORONO PERMIT NO.: 2011-00061
2750 KELLEY PARKWAY
ORONO, MN 55356- UATE ISSUED: O1/27/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3065 CASCO POINT RD
F1N : 20-117-23-34-0011
LEGAL DESC : SPRING PARK
: LOT 056 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 800.00
NOTL': ADDING 2-SUNPLIGS IN THE BEDKOOM, 1-SUPPLY IN [3ASEME:NT AND I-RGTURN [N BEDROOM
APPLICANT MECHANICAL 50.00
LEGEND SERVICES, INC.
STATE SURCHARGE MECH(VALUATION) 5.00
P.O. BOX 382
MOUND, MN 55364 MAIL-IN FEE 2.00
(952)472-7360 TOTAL 57.00
PAID WITH CC# 6347
OWNER
RISIC,JAMIE
3065 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
�I�'hc�cork fur�vhich lhis permit is issued shall bc performed according to
the approved plans and specifications,applicable Cit}'approvals,and the
Slate C3uilding Code. "I'his permit is for only the work described and does
not grant pcnnission for additional or related���ork�vhich rcquires 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
expiro and bccome null and void if construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspendcd 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 pennit may be
� revok at any time for due cause. _
-n�CR.�.Q,�� / ��7 �// / � .27 � //
� Applicant Pcrmitee Signature Datc Iss d C�y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
01/27/2011 11:38 FAX 7634785002 LEGEND SERVICES �001
O;�p�O City of Orono FOR CTI'Y USL�OIYLY
P.O.Box GC� Uule Reu;ivui; Permlt�
a, •,; �75U Kellcy i'oricway
� �1��i'b • Cry,ml iiay,MN 55323 Approved C�y: Amount S�
'Faj��\d�� Phune(952)249-A600 Fax(952)249�616
�`��
CITY OF ORONO—MEC�LANXCAL PERMIT
(All Commcroiul p�rmils must b�uppmved by t4e Huilding OfCeiul ur I,wpu;tor ru,d/or Firo Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical permits by mai)or�in person at the Ciry offiees. Applications will
be reviewcd and a permit wi11 be issued withm two working days.
2. Permit cards wil)be sc:nt hy return mAil after a review is completed. PERMITS ARE NOT
VAL1D UNT.IL YOU}2�CEiVE A P.F..RMI'I'. lNORK MUST NOT BEG11Y UNTIL THE
PERMIT Caltu IS PQ$TED ON 7'H�.10,��7,E
3. J��b,�nical Desi ns � Complete e�Jculations,deta;IF and speeifications aro required for eacl�
heating,ventilation,hum�dltication-dehumidfftcation,and sir conditi�ning installAtion�ncluding
heat loss/heat gain calculation,design temperaNres,equipment rxtings and identificatiorl�s to
type,monufac6urer and model. Data shall be presented oit form provided.
4. W hen any new construction or remodeling is involved,a separate building permit must bc
obtaincd.
5. All work musr bo done in accordance with the Uniform MechAnic�l Code/State Building Code
requirements.
6. AJI worl:must be inspected(rough-in and finsl). Call(�32)249-4600.
(2448 6our notice requircd)
I , 7, House Heating"J'est Record must be su6mitted before final.
-•....,,. . __,...........�.
I TY',�� OF PERMIT
Check All That A 1
�eside»t�ial ❑Commerc;al(Approval Requirad)
❑New ❑Aclditional ❑Repair5 ❑Replace
Job Site/Owner Information:
Site Address: �'�__ �(�� Cv95tG' ��Jf N � �L
Uwner:��WVVI� �1 S 1(� �
�- .Mailing Address: ��_.
City: l9T't�L 7ip:
Home Phone: ��a- �5'�-�f�f0'� Alternate Phone:
Contractor lnformation:
Contractor; �el �e/ur.�5 �,�c/l':. Contact Person: ���L.�
Address; 1.�d 1���' �� S tate�3nnd#: ��J CI"I D�d�i
C;itY� � Zip:�7 Expiration Datc;: � " � ' � �
Phone: 7�3-��7��'-�[afJa Alternate Phone: �S�-�T� -7�61�
4r<y r wy�
❑ Insurance—Current: ��5-
1 �
�
O1/27/2011 11:a8 FAX 76347�5002 LEGEND SERVICES 1�002
I
MECHANICAL SYSTEMS BEING 1NSTALLED
Note:All Creothcrmal Syste�ns will now require a Site Plan&Review by our Building Officiat,
1S TIilB CEUTHERMAL? ❑ Yes ❑No
�EATFNC SYS'I'�;MS
Quantity: , .^..
Make:
1 Mo�el:
i�uel, •--
Flu�5ize_
�
Inpuc BTUs:
` �utput BTUs: ^._Y _, _
CFM:
COOLIIYG SYSTEM5
� Quaitiry:
Make:
Madel:
Tons:
l�i.T�ower �
r---•-....-- -. ......._—
I���R�pLACE5
❑ Gas Fac[ory Tireplace 13rand Nazne:
❑ Wood durning Fireplace
❑ Wood Slovc Model No.:
❑ W�od Stova w�th Flue/Masonry "�"'
YENTILATION ;�.,_ A� � �,��s 1 N 1���''1��.S�r /N �r���I l��o"`'"`'✓ i�
� � ���
❑ Nu. Kitchen Exhaust duet recircutating _,._ cfin
❑ No. _. Bath N:xhaus[(must have duct ouuide) ��
❑ No. Olhcr Fans: Locations �"""��
��'UEL 5TORA(:E (Muse be approved by h7re M�ushall fj'prnpo,sln,q 10 abnndon tank!n place)
❑ lnstnll4tion ❑ Removal
Fuel Oil: gallons ❑ Underg�ound ❑Inside ❑Ou�idc
Ln Ces: gallons
Olhcr:
�AS LINF.O(1�I,Y
❑ Out�ioor Grill ❑ Otlttr/List Whst&Whcrc:
2
01/27/2011 11:38 FAX 7634795002 LEGEND SERVICES I�009
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yas,this section applies
The replacement of Q ge,�eDllEel 1lxturfl or appliance that meets all three of the following�equi�'ements:
1. Does not require modific:aHon to electrical or gas service.
2. Has a t r�l cost uf SSOD.OD or less;excJ�the cost of the frxtnre o�a{�pliance:and
3. ls itnproved,ii►stalled or replHccd by tt�e bomeowner or licensed co�tractor.
Skip next section,if this applies; Cosl of P�rmit � 15.00
State Surcharge $ 5.00
Meil-In Fee(If Applicuble) $ 2,pp
I, Total Pcrmit Fee � 22.00
PF,RM[T FEE CALCULATION S —JO,BS OVER$500.00
IFabove does not apply;follow guidelines be►pw;
1, CONTRACT P'RyC:E �is 1.25%ofcontract price with a(Minlmum Fee of$,40.Ot1)
1 �a:�'�� �r�
x ,0125$ �— �/* �
(cuAlUucf pCice) (miuimum ST�U.QO)
2. 5TA'fE SUltl,�' ) R(:F: �K Add the State B(dg Code Div_Surcharge(Minimum Fee of$5.00)
.a2.00
x.ODUS $.5.00
.._..............__
(coalrac[price) (minimum 8 s.00)
3. PpSTAGE&IiANDL1NG(Only on Mail-In Applicatiqns) � z.qU
� '�5�
4. 'I'U'1' � PGRMIT CEE(Add Lines 1-3 nbove) $��� ��
" * CONTRA PR10E or JOS COST' means the actual or estimatad dollar amount charged for the
permitted work ii�cluding materisly,lub�r,profit,and other fixed costs. lt is the amount co be eharged
to the custom f'or the work done. If any mal.erial, ccjuipmenl,labor or instellations are furnished by
the owner,ten t or xny other party,the reasoiiable market value of sucti items must bC added Iai !h�
ostimated cost r con.tract pricz for pormit fve purposes. In tbe event [hat iherz is a disput� un the
amount of the ob cost, i.ho City may request the submission of a signed copy of the ectua! contrsc�
■ *'"The STATE�SURCNARGE is ADOS times fl�e Conit�lu6 Pricc or a minimum nf$5.00.
�
M�,CI-�ANICAL PERMIT Al'PLICATION AGRFr�VTENT
The under�ibn�d hcreby applies to the City for issuance oF a Mechanical Permit, agrees to do all
work in scrict accordance with the ordinanccs af the Gity and the regulations of the State of
� Minnesota, and certifies that all statements made on this applicRtion are complete, true v�d
correct.
� Applicant's Signature: �
���r, nate; ���7���
1
Reset Form 3
( �� � DATE TIME
� CITY OF ORONO �� CALLED IN I . I f
INSPECTION NOT�CE/ ��,,�CHEDULED 1�____�_ /(�. ZG'
PERMIT NO. .'�U j I '" �`�-^��`i'COMPLETED
ADDRESS �C�i�c � �\ �f���C�� ��D► /1� i7CrJ
OWNER TELEPHONE NO. ����> �L��-���Z
CONTRACTOR i 1� ���-y��� -�2��.�lC�'__�
�; DESCRIPTION ���Ly�7 �-� � ���"r��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIJaINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBIAIG RI ❑ SEPTII�FINAL ❑ FOUNDATION/REMOVAL
� OWNER/�NTRACTOR TO MEET�OU:_,(_YES_NO
I
� COMM�I�TT'S: _ ��
�
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�L�}WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W4LL RETUFN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
Owner/ConUactor on site:
' ,,�� r
Inspector. � , `� " � � �S_�
�,��—
White Copylinspector's File Canary CopylSite Notice