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HomeMy WebLinkAbout2013-00435 - mechanical CITY OF ORONO * z 0 1 3 - 0 PJ 4�3�5� 2750 KELLEY PARKWAY DATE ISSUED: 06/03/2013 ' ORONO, MN 55356- • (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3026 CASCO POIN'T RD PIN : 20-117-23-34-0026 LEGAL DESC : KELLY 2ND ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 4,800.00 NOTE: 1 BRYANT NA"I'GAS FURNACE 1 BRYANT 3 TON AC APPLICANT MECHANICAL 60.00 WENZEL HEATING& AIR COND. STATE SURCHARGE MECH (VALUATION) 2.40 4145 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 MAIL-IN FEE 1.50 (651)894-9898 TOTAL 63.90 OWNER DETERMAN,ANTHONY&TRINA 3026 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[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whedier or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of U�e 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 State Building Code.This permit may be revoked at any time for due cause.` �1 \ �� IiVL l l l l Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. • + i'L� � � �. FOR CITY USE ONLY . 4��, City of Orono O O, P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � �+. *�• � Crystal Bay,MN 55323 Approved By: Amount$: � ��� � u�� (952)249-4600 •�'c'�xsaxos�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �esidential ❑ Commercial(Approval Required) ❑New ❑Additional �Repairs �Replace /` Job Site/Owner Information: Site Address: �'�� � ,/�., 1 Owner:� ���'.�,�- /vuln Mailing Address: c.50z� �'��C�i r� ��, City: b�� A1 v Zip: ��3� i Home Phone: Alternate Phone: �lZ—�� / "��7� Contractor Information: .�- � Contractor: 11�'�ri Z� ��,`�- /�C... Contact Person: %��''/"� ��'-z tt5� � Address: `t�`r� ��b lZ� ���''���j`�tate'�$onH#: City: ��'r,�•'� Zips��IL�L EXpiration Date: Phone: bsl—�f�I�`- �l y'�1�" Alternate Phone: ❑ Insurance—Current: 1 • MECHANICAL SYSTEMS'BEING TNSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: 0.vl.t ModeL• �- � Fuel: NA,��►^aC Flue Size: �K Input BTUs: � n�(� ���� Output BTUs: CFM: COOLING SYSTEMS Quantity: I Make: �n((,�,h,-t— T� Model: � � Tons: � —� h H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin � No. Bath Exhaust(must have duct outside) cfm � No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) I f propos ing to abandon tank � Installation ❑ Removal in place. Fuel OiL• gallons � Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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. ls 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) $ 1.50 Total Permit Fee $ , PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ; � � (.� �� x A125 $ (contract pnce) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$._50) ��( �'�(?, rV �x.0005 $ � �U (c tract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ l� �� "1 b ■ * 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 wark 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. , ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICAT[ON AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark 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: � � a � ��3 Reset Form 3 DATE TIME CITY OF ORONO CALLED IN 'LZ'� INSPECTION NOTICE SCHEDULED l0�lo- l4 �Q� PERMIT NO. ��� 'b�� COMPLETED ADDRESS �� �� �T � OWNER ���'' 4��� TELEPHONE N0.45Z�3�3 �2�DY� CONTRACTOR � � DESCRIPTION �r��-- �� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �,FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � �u r vtaC c /'¢,D(�.f��X��c� - O ' �xcS?iC�s� 9�� !��le - l � � /�4�4 L G�/��� !/�.r��-� • L� o .+ �-d ��Z���l. si �� ,�1/ou�ac!� � wa�K l�t Q � G � — W / / � � l�l eC�r c G� � L''h�-o�LS�/ `!K t� l�'CO�� � — �,Jpr K Cb�.Ol�z�� - d�er�Z �'�� � � ❑WORK SATISFACTORY:PROCEED � .PAOJECT COMPLEfE � � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all for the next inspection 24 hours in advance. (J52) 249-4600 Ownerl ntractor on site: � ect ra�/�� White Copyllnspector's File Cenary CopylSite Notice /,�•17 DATE TIME (� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ���3 �bOS�3S� COMPLETED r��_ ADDRESS ��02(� C4sco �, �, OWNER TELEPHONE NO. CONTRACTOR Gv�•iZa ! �C. �F If�.� � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ECHANICAL FINAL � � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ OEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � - a �r►�•C hol�Pe.- �a.l� � � t� �•� � j . . . � �<�tG e�tS��cL�ta•�. �. � ° /1C� One lto�r� � W � Q � ¢��e�cse ca!( �Sa-,?�E'`t- ��o w�f.��.;, 6a z w 'P� -S �a ��/� �•� s,�si��.f,�'.� 6� j _(4 9 Lf� �c�c� �t-�itcrw.-s -� d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOPORDER POSTED.CALL INSPECTOR �(NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. i � Call forthe next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. �/� ='6 White Copyllnspector's File Canary CopylSite Notice