HomeMy WebLinkAbout2011-01018 - mechanical CITY OF ORONO PERMIT NO.: 20�1-o�o�s
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE Iss[1En: 09/07/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2871 CASCO POINT RD
PIN : 20-117-23-31-0056
LEGAL DESC : SPRING PARK
: LOT 111 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,800.00
NOTE: 1 CARRIER NAT.GAS FURNACE
APPLICANT MECHANICAL 50.00
SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 1.90
3062 RANCHVIEW LN N
PLYMOUTH, MN 55447 MAIL-IN FEE 2.00
(763)473-2267 TOTAL 53.90
OWNER
WOLFE, J PATRICK
2871 CASCO PT RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
Thc work fior 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 requires 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
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 after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the S�tate Building Code.This permit may be
revoked at an time f�se.
\ �Vl. / / l l
Applicant Permitee Signature Date Issued By Si ature Date
SEPARATE PERMiTS REQUIRED FOR WORK OTHER AN DESCRIBED A O E.
\ FOR CITY USE ONLI'
� »���, City of Orono � � �
� �Q� �� P.O.Box 66 Date Received: Permit#
(� � 2750 Kelley Parkway
rt� �'"� �� Crystal Bay,MN 55323 Approved By: � AmounT$: � �
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ti�;�� a��,�o�;� Phone(952)249-4600 Fax(952)249-4616 � � �
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
L 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 RECEIVE 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 identitication as to
type,manufacturer and model. Data shall be presented on form provided.
4. 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 final.
TYPE OF PERMIT
� � � � {Check All That A 1 ) �� � �� � - �
❑■ Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑■ Replace
Job Site I Owner Information: �
site aaaress: 2871 CaSCO Pt Rd
Owner: Pat WOIf@ Mailing Address: 2871 CasCo Pt Rd
clty: Orono Zlp. 55391
Home Phone: �952� 249-7001 Alternate Phone:
Coritractor Information:
Sabre Plumbing,Heating 8 AC Cou rtney M
Contractor: Contact Person:
Address: 15535 Medina Rd State Bond#: 70352730
Plymouth 55447 09/15/11
City: Zip: Expiration Date:
Phone: (763� 473-2267 Alternate Phone:
� Insurance—Current: YeS
1
, �
,�k�,.� , ,�r,: ��. MEC�fANICA��'�`��MS BEING INSTALLED �y`���.�''�r, ;.F.�
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑■ No
HEATING SYSTEMS
Quantity: 1
Make: Carrler
Model: 58MVC
Fue�: Nat Gas
Flue Size:
Input BTUs: 80,���
ou�Ut BTus: 76,000
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES 'I
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wocd Stove wit.".Flue/Masonry
VENTILATION
❑ No. Kitchen E�aust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
1 ,
� � � � PERMIT FEE CAT:,CULATION(S) � � �
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 $ 5.00
Mail-In Fee(If Appticable) $ 2.00
Total Permit Fee $
� � ��� �'.ERMIT FEE GALCULATION(S)�-JOBS O�ER$�00.00 ��
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�VU��uI.J x.0125 $ �V•��
(contract price) (minimum 550.00)
2. STATE SURCHARGE �� (�,
��' x.0005 $ � �"��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �: i'�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,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 furnished 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 actual contract.
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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.
;��,
� 08/23/11
Applicant's Signature: � � -f - Date:
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;����,..�eset Form ���
3
oZ.D��— �/D/Q �� DATE TIME
CITY OF ORONO / �CALLED IN _�
INSPECTION NOTICE f� �CHEDULED 9-Z�-�i l: U
PERMIT NO. °?���' �/�/`-' "COMPLETED
ADDRESS QZ�7� C��-s� � � '�
OWNER TELEPHONE NO. g5�- Z�� �7�U
CONTRACTOR S�� ���
>; DESCRIPTION r�n�' — �e� � �`G��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT.
❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ 6-�N TALL ❑ HARD COVER REMOVAL
J �BING RI SEPTIC FIItlAL ❑ FOUNDATION/REMOVAL
� WNERI ONTRACTO TO MEEf YOU:�YES NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �ESL�JECTCOMPLETE
� ❑CORRECT WORK&PR�CEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
Owner/Contractor on ite:
Inspector.�
White Copyllnspector's File