HomeMy WebLinkAbout2011-01386 - mechanical . � CITY OF ORONO PERMIT NO.: 2011-01386
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 1UO2/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2470 COBBLESTONE CT
PIN : 33-118-23-11-0080
LEGAL DESC : STONEBAY SIXTH ADDIT[ON
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 12,800.00
NOTE: (1)BRYANT HGATING SYSTGM-MODEL-340AAV036080-NATURAL GAS-2"PVC
80,000 INPUT BTU'S,74,000 OUTPU"I'[3TU'S- 1200 CFM
(1)COOLING SYSTEM-BRYANT-MODEL- 113ANA036-3 TONS- l/2 H.POWF,R
(3)BATH EXHAUST
GASLINE FOR(2)FIREPLACES AND(1)DRYER
APPLICANT MECHANICAL 160.00
AIR-IT INDOOR COMFORT LLC STATE SURCHARGE MECH (VALUAT[ON) 6.40
10524 QUEBEC AVE N
BROOKLYN PARK, MN 55443- TOTAL 166.40
(763)424-3588 PAID WITH CC# 7035
OWNER
O.T. Development, LLC
10300 IOTH AVE N
PLYMOUTH, MN 55441-
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 the work described and does
not gran[permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified 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 after work has commenced.
The applican[is responsible Yor assuring all required inspections are
reque�ted in conformance wi[h the State Building Code.'rhis permit may be
rev9{eed at�r}y tim�.YpF-�I�c3yise. �
:���---�,_---z- i l i �-- / ( f
pplicant Permitee Signature Date / /
Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
« , •
FOR CITY USE ONLY
,O�0�` City of Orono p�
`�`O�\ P.O.Box 66 Date Received: Permit#��I—d� O�
y;, 1 2750 Kelley Parkway
�� r."'�� ��� Crystal Bay,MN 55323 Approved By: Amount$: � �' �
"�"��-�o;� Phooe(952)249-4600 Fax(952)249-4616
�t�o�
CITY OF ORONO—MECHANICAL PERMIT
(Ail Commercial permiLs must be approved by[he 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 wi�l
be reviewed and a permit will be issued within two working days. 1
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 i
heat ioss/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
❑Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner lnformation:
S ite Address: ���� l� ������1��i l-'I�
Owner: C���:'�"�-_>�'I'�a�=*-1 1 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��; t� l�Ic/1) Ur�l,/I1111,1-ar►t�ict Person: L �1`���� I
Address: �� �I��fate B nd#:
City: �p:�IV �Expira ion Date:
Phone: Uc����b�� � D 1 Alternate Phone:
❑ Insurance—Cunent: �� ' �
1
� ,
MECHANICAL SYSTEMS BEING 1NSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes [/�No
HEATING SYSTEMS
Quantity: �
Make:
ModeL• ��tL� n�C7�)� �
Fuel: �T
� (� �
Flue Size: L- ���
Input BTUs: ��� c��
Output BTUs: �C�v�'
CFM: �L.�J��
COOLING SYSTEMS
Quantity: I
Make:
�-� Iv�1(� L�
Model: ( ��1
Tons: �
H.Power ' �_
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. Kitchen Exhaust duct recirculating cfm
No. � Bath Exhaust(must have duct outside) cfrn
� No. _�_ Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:� � � � I/��,1/,�j
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 foliowing 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 ne�ct section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-tn Fee(If Applicable) $ 2.00
Totai Permit Fee $
PERMIT FEE CALCULATION S —JOBS OVER $500.00
If above dces not apply;follow guidelines below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
: —, I-?_'i
L� � �� x.0125$
( ntract 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) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a11
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.
-—�
, � �- - -- < <l,_. I
Applicant s Signature: , Date: l
i
Reset Form
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CITY OF ORONO CALLED IN /�-�
INSPECTION NOTICE SCHEDULED ! ��
PERMIT NOa�d�l—��3�� COMPLETED
ADDRESS ��7D �� C�t'
OWNER TELEPH NE NO. �lZ�p�S S`��7
CONTRACTOR v �
� DESCRIPTION ��i��C�[. �� � G%� ����1
lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑ CQRRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor on site:
Inspector. o,�
White Copyllnspector's File Canary CopylSite Notice
I1DAT TIME V
CITY OF ORONO CALLED IN d�'J
INSPECTION NOTI E / SCHEDULED � : �
PERMIT N0. � � �` 3� COMPLETED
ADDRESS ���D �'� �
OWNER TELEPHONE NO. ��Z �D�S��7
CONTRACTOR U�D �-
� DESCRIPTION � �/� �`S
�
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Q ❑ POURED WALL ❑ MECHANICAL d U ❑ LAKESHORENVETLANDS
y ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
r ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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� ❑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
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. �� � i ��
White Copyllnspector's File Canary CopylSite Notice
�� �� E TIME �/
CITY OF ORONO CALLED IN �� �
INSPECTION Ng TICE (//SCHEDULED % �
PERMIT NO. �1O1/ � �,f.'3 d C�OMPLETED
ADDRESS �� �C% � UhL��E' .C1�Yi0 ��_
OWNER TELEPHONE NO��a ���" 59��
CONTRACTOR � ���[� ��
� DESCRIPTION � ���` —/ �' /�C� •
� ,---
� ❑ FOOTING ❑ PLUMBING FINAL� ��—��/� ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL � MECHANICAL RI ��' ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLA E�/,�, ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ��'/ ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ��'%IS ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP(T�I�FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEELYQu: v YES_NO
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� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. �J pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. L
White Copyllnspector's File Canary CopylSite Notice