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HomeMy WebLinkAbout2010-00107 - mechanical ' ' CITY OF ORONO PERMIT NO.: 2010-00107 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/25/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3105 CASCO POINT RD PIN : 20-117-23-34-0006 LEGAL DESC : REG. LAND SURVEY NO. 131 1 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 12,600.00 NOTE: (1)HEATING SYSTI,M,(I)COOLING SYSTGM (l)KITCHEN EXHAUS"I� (6)BATH EXHAUST GASLINE FOR(2)FIRENLACES.(1)COOK"IOP,(1)DRYER AND(1)FURNACE APPLICANT MECHAMCAL 157.50 HEATING& COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 6.30 18550 COUNTY ROAD 81 TOTAL 163.80 MAPLE GROVE, MN 55369- (763)428-3677 OWNER RICHEY, KENT& SUE 3105 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[3uilding 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 specitied herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time af er work has commenced. The applicant is responsible for assuring req ed inspcctions are requested in conform � with the Sta uild� Code.This permit may be revoked at i o ue cause. � ��� �/ �/l� ' ant Permitee Signatur Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. " � FOR GITY USE ONLY p City of Orono i � Og' '�O P.O.Box 66 I ����— ��7 i Date Received: Permit# � �� 2750 Kelley Parkway � � ����ly����-. � Crystal Bay,MN 55323 Approved By: Amount$: ��Q.�� �'"�f� +�,�•o` (952)249-4600 — t,�\'��� � sexoa CITY OF OR �NO —MECHANICAL PERMIT (All Cbmmercial permits must be ap roved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical p rnuts by mail or in person at the City offices. Applications will be reviewed and a permit will be ssued within two working days. 2. Pernut cards will be sent by retu mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED O THE JOB SITE. 3. Mechanical Desiens—Complete alculations, details and specifications are requu•ed for each heating, ventilation, humidificatio -dehumidification, and air conditioniug installarion including heat loss/heat gain calculation, de ign temperatures, equipment ratings and identification as to type, manufacturer and model. D�ta shall be presented on forni provided. 4. When any new construction or re odeling is involved,a separate build'uig pernut must be obtained. 5. All work must be done in accorda ce with the Uniform Mechanical Code/State Building Code requu-ements. 6. All wark must be inspected(roug -in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must e submitted before final. TYPE OF PERMIT (C eck All That A ply) ❑ Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �f 0� o �,�� �f�, Owner: �Ci ' � I✓ ' Mailing Address: City: Zip: - Home Phone: Alternate Phone: Contractor Information: �f���C ' Contact Person: �¢' � � 18550 County Rd. 81 � A��g;Grove, MN 55369-8231 ; State Bond#: (763) www.heatcool2.com � City: Zip:_�____ Expiration Date: Phone: � I Alternate Phone: Insurance—Current: 1 �PERMIT�FEE CALCULATION(S) � . _ > -: � . . .. , , _ _.. _ ` ' ` BASED OFF = 2002 STATE ST�ITUE � ` ❑ Yes,this section applies I The replacement of a Residential fixture o a liance that meets all three of the following requirements: 1. Does not require modificatio to electrical or gas service. 2. Has a total cost of$500.00 0 less; excludin�the cost of the fixture or appliance: and 3. Is improved,installed or repl�ced by the homeowner or licensed contractor. Skip next section,if this appl es; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ �� ��`�� '� PERMIT'FEE CAI,�ilLATION(S)��JQBS;OVER$500:00 If above does not apply; foilow guidelines elow: 1. CONTRACT PRICE *is 1 25%of contract price with a (Minimum Fee of$35.00) �2- �d0. 00_ x.0125$ o�Jr (. �'J Q contract price) (minimum�35.00) 2. STATE SURCHARGE ** dd the State Bld�Code Div. Surcharge(Minimum Fee of$.50) /2 �vO�o x .0005 $ lo. JQ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(O y on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add ines 1-3 Above) $ � � � , b0 • * CONTRACT PRICE or JOB COS means the actual or estimated dollar amount charged for the pernutted work including materials, la or,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 fiu-nished by the owner, tenant or any other party, t e reasonable market value of such items must be added to the estimated cost or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost, the City may�equest the submission of a signed copy of the actual contract: • **The STATE SURCHARGE is .000� of the Building Department at(952) 249-4600 for the price. ' � _1�IECHANICAI,PE�MIT'APPLTCATION AGREEMENT�,:;., „ ,.;; �y:�:h 3=.: The undersigned hereby applies to the ity for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the or inances of the City and the regulations of the State of Minnesota, and certifies that all state�nents made on this application are complete, true and correct. r' ` Applicant's Signature: � Date: � "Z� � 3 . . , i , � � � E.F'� ���:��MECHAIVICA�,SYST'EMS EEING INST.AL>L'ED , ,V;1����x�;'�r�������{? HEATING SYSTEMS - Quantity: ! Make: /� Model: �fl�Q Fuel: ��� �� Flue Size: ��� �� Input BTUs: ���j �o� - Output BTUs: (�Zo�O CFM: � p�O COOLING SYSTEMS Quantity: � Make: /' �f�� Model: �Zr A�A'G g Tons: _� H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fueplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. � Kitchen E haust l� duct recirculating �cfm ❑ No. _�_ Bath E�cha st(must have duct outside) �1.�_cfm ❑ No. Other Fan : Locations cfm FUEL STORAGE (MUST BE APPROVE' BY FIRE MARSHALL) ❑ Installation I ❑ Removal Fuel Oil: gall ns ❑ Underground ❑ Inside ❑ Outside LP Gas: gall ns Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where:��� �`� ` ��y�� • ���,t,,���.,Q, " 2 � i ` � C� D�, TIME `" CITY OF ORONO CALLED IN � ' ' lG INSPECTION OTICE SCHEDULED �_�� .'��- PERMIT NO. ������� COMPLETED ADDR�SS �IDc ��C-d �� �C� OWNER � TELEPHONE NO`�`� 3��� CONTRACTOR `� Y��� � pLZ- � � � �, �_ _ � l� >: DESCRIPTION � i � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI /FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � O ' W� L�1ClORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. , `i �v White Copyllnspector's File Canary CopylSite Notice ��o �. l a-�z � DATE �/O TIME �`' CITY OF ORONO CALLED IN INSPECTION NOTICE UU��7 SCHEDULED f ID � PERMIT NO. 2��d-�COMPLETED ADDRESS � � D � Cc'1 S C O �-�- �� OWNER CONTR. ��-�Z( i{� TELEP NE O. � IL � - � La - �� 3 - �S �J/J {,-q L_� � DESCRIPTION �� G � ❑ FOOTING ' \' � MECHANICAL RI ❑ EXCAV/GRADING/FILLING ❑ FRAMING ,/��_�_ ,/' ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATIOf�I'—J 11 � ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ��S ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � � O � � O � W � Q � 2 W � W � j d !` � J�I WORKSATISFACTORY:PROCEED C_� PROJECTCOMPLETE W �O CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETItRN ❑STOP ORDER POSTED.CALL INSPECTOR �1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on s�t : Inspector. �� 6 � White Copyllnspector's File Canary CopylSite Notice D E TIM E CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED O— D � PERMIT NO. �O�O "OO IO� COMPLETED � ADDRESS �lI)5 (�C-� GO (�'�- � OWNER TELEPHON� NO.�LI� ��Z3�3S�7/ CONTRACTOR � � TGC�'D � DESCRIPTION ��I • � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/RLLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS 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 v ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor o it . ^ Ins ector. � P White Copyllnspector's File Canary CopylSite Notice