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HomeMy WebLinkAbout2010-00123 - mechanical . ' CITY OF ORONO PERMIT NO.: 2010-00123 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 03/04/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3105 CASCO POINT RD PIN : 20-117-23-34-0006 LEGAL DESC : REG. LAND SURVEY NO. 1311 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 1,200.00 NOTE: 1 MODINE NAT GAS HEATING SYS'I'EM APPLICANT MECHANICAL 50.00 HEATING&COOL[NG TWO [NC. STATE SURCHARGE MECH(VALUATION) 0.60 18550 COUNTY ROAD 81 TOTAL 50.60 MAPLE GROVE, MN 55369- (763)428-3677 OWNER RICHEY, KENT& SUE 3105 CASCO PT RD WAYZATA,MN 55391- AGREEMEIVT AND SWORiv STATEMENT Che 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 reyuires separate permits. All provisions of laws and ordinances goveming this type of wark shall be compied with whether or not specified herein.This permit 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 a,fter work has commenced. The applicant is responsible for assuring all r Gire inspections are requested in conYormane i the State Bu��ding C e.This pennit may be revoked at a e r d cause. / ���O / / ppli erm�tee Signature ate Issued By, nature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . FOK CITY USE ONLY ' O4��O City of Orono P.O.Box 66 Date Received: Permit# � 2750 Kelley Parkway �� � �`'� �� Ciystal f3ay,MN 55323 Approved By: Amount$: �����^ �' � o`�� (952)249-4600 <1k�H��� CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or[nspector and/or Fire Marshall) GENERAL INFORMATION I. 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 RECENE 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 rype, manufacturer and model. Data shall be presented on form provided. �. 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 fmal. TYPE OF PERMIT (Check All That A 1 ) �Residential � Coinrnercial(Approval Required) �Ne�v ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: �/05 l.'aS Co �o� n.� I�, e� O�vner: C �-Ia.e�� L,�,�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: HEpTIN� � COOLING TWO IN(�:ontact Person: 18550 County Rd. 81 Address: Maple Grove, MN 55369-923iState Bond #: www.heatcool2.com Ciry: Zip: Expiration Date: Phone: Alternate Phone: � Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geotherinal Systems will now require a Site Plan & Review by our Building Official. [S THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: � Make: � ' Model: �� �S Fuel: �(`�- � �i Flue Size: Input BTUs: l�7�� Output BTUs: CFM: 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 V ENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approverl by Fire Marsliall if proposirag to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground � Inside � Outside LP Gas: gallons Other: GAS LINE OIVLY ❑ Outdoor Grill � Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Yes, tllis section applies The replacement of a Residential fixture or appliance that meets all three of the following requiremelits: 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 CALCULATION(S -JOBS OVER $500.00 [f above does not apply; follo�v guidelines below: 1. CONTRACT PRICE * is 1.25`%of contract price with a(Minimum Fee of�50.00) L�.(�C� v� x .0125 $ (contract price) (minimum J�O.UU) 2. S1'ATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�,.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amowit charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amotmt to be charged to the custonler for the work done. If any material, equipment, labor or installations are fumished 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 achial contract. ■ ** The STATE SURCHARGE is .0005 of tlle Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION 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. Applicant's Signature: Date: Reset Form 3 C � � . ¢ 2o-�z ✓ � �D T� �!6 TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED /• � PERMIT NO. �(�� -OO�PLETED ADDRESS � I. O � C-�S C� �-�-- OWNER CONTR. �' �lh� TELEPHONE NO. N � �'' — � �' a ^�� 3 —�5� � DESCRIPTION � 0 � TeS�- � �f�l � � ���G��� Y101 � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FI IN Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FfNAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � �j U �S'� �A : � .� �r 5�-1— 0 a � 0 � W � Q � z w � W � � d � W� �WORK SATISFACTORY:PROCEED C i PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ^, ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. � IJ White Copyllnspector's File Canary CopylSite Notice