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HomeMy WebLinkAbout2009-00306 - mechanical CITY OF ORONO PERMIT NO.: 2009-00306 2750 KELLEY PARKWAY � ' ORONO, MN 55356- �ATE tssuEn: 06/1U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4355 CHIPPEWA LA PIN : 31-118-23-42-0020 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : UNDEF[NED VALUATION : $ 4,000.00 NOTE: IN FLOOR HEAT-ELECTRIC BOILER-BASEMENT NOW&GARAGE LATER APPLICANT MECHANICAL 50.00 YOUNG,JOHN& LYNN STATE SURCHARGE MECH (VALUATION) 2.00 4355 CHIPPEWA LA MAPLE PLAIN, MN 55359- TOTAL 52.00 OWNER YOUNG,JOHN & LYNN 4355 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT Ai�iD 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 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 State Building Code.This permit may be revoked at anytime r due ca se. �' ' ' - �,,,,,, � � ���Z�� �, � - �` '� � � �` �_ �-/ �'��` � � Applicant Permitee Sign ure Date Issued B. Signature Date � SEP ATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t � FOR CITY USE ONLY �,1� City of Orono /�--- O4 `�'O P.O.Box 66 Date Received: Permit# � , �„�„ 2750 Kelley Parkway �� � A C stal Ba MN 55323 A roved B Amount$: ! '':> ~ F rY Y, PP Y� �� ���`r�o` (952)249-4600 ����� � eexo$ CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Buildin�Official or Inspector andlor fire Marshall) GENERAL 1NFORMATION 1. You may apply for mechanical pem-uts by mail or in person at the City offices. Applications will be reviewed and a pernut 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 specifcations 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. Al] work must be done in accordance with the tiniform 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 subnutted before final. TYPE OF PERMIT (Check All That Apply) ❑Residential ❑ Commercial(Approval Required) � New ❑Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ��'4 ��! � �'�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: �—, Contractor: Contact Person: � �"- �i Address: State Bond#: City: Zip: Expiration Date: Phone: ���" ��-�-- ��� Alternate Phone: ❑ Insurance—Current: 1 � ! MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. ' IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS �-�y ,, / / '✓c,c-��(,Q/�f Quantity: �' `��_�� Make: Model: Fuel: Flue Size: Input BTUs: 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 VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm 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: � , � ' PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies Tbe 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; excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contrac�or. 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 CALCUL��'�ON(S)=7bBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25°/o of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (conttact 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 amount chareed 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 ar contract pnce 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 APPLICATION AGREEMENT The undersigned hereby applies to the City far 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: � � �/ /, � �� ��t�7fE_ TIME CITY OF ORONO CALLED IN ��,g� INSPECTION OTICE SCHEDULED � — 7 _����� PERMIT NO. D -DD,30lp COMPLETED ADDRESS �J��J� ���'��(J Cc- �-� OWNER CONTR. /�L TELEPHONE NO. `Z� — � DESCRIPTION �� �� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ 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 � CI_ � ��n� -�- o � � � 0 � W � Q ti Z W � W � � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice DATE TIME �/ CITY OF ORONO CALLED IN � l� I 1 ' L� INSPECTI�OTICE SCHEDULED �-0`� __�_.�_ PERMIT NO. C�O 3dfn COMPLETED ADDRE S �3 S� C��c.J �e, �S'�-L� OWNEF€� ► � ���r� -�v`�aos �ONTR. �c�c�c.r�o �� TELEPHONE NO. _ �-�1��` �--f 7 d--�v�fa �� � DESCRIPTION � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FR,4MING ❑ MECHANICAL FIN ❑ LAKESHORE/WETLANDS Q ❑ INSULATION �=WOOD BURN /FIREPLAC ❑ TREE REMOVAL Z ❑ WALL BD. V❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ 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 � � � O a � O � W � Q � Z W � W � � GW WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � �RRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspeetion 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. ,� /-��� White Copyllnspector's File Canary CopylSite Notice � � �-t' . / ATE a TIME 1 / CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO.o�O g�3�� MPLETED �� � ADDRESS OWNER C NTR. TELEPHO N0. D " �/" 3 �P�� � DESCRIPTION " l/YV � ❑ FOOTING �MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ 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 O � � O � W � Q � Z W � W � � d WJC�WORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUiRED.CALLTOARRANGEACCESS. Call for the next in 'on 24 hours in advance. (952� 249-46�� Owner/Contractor on ' Inspector_ White Copyllnspector's File Canary CopylSite Notice � ^ 3 ✓ CITY OF ORONO CALLED IN 7 DATE TIME INSPECTION NOTICE SCHEDULED 7 � G /G= �� PERMIT NO. adU 'D03��oMP TED ADDRESS u/� �/�-� OWN ER CO TELEPHONE NO. OGL - `��'S�` `��� � DESCRIPTION ���� /'�" C���"/��I 1���_ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ 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 o ��,�s�- A�b /' -��.s T � -��.Fcoar- ('-fA�� ;� 0 � W � c � z w � W � j d �y�VORK SATISFACTORY:PROCEED I l PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. lo�/ l♦ � White Copyllnspector's File Canary CopylSite Notice