HomeMy WebLinkAbout2008-00053 - mechanical ,
CITY OF ORONO PERMIT NO.: 200&00053
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/16/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2010 COLIN DR
PIN : 03-117-23-21-0014
LEGAL DESC : KELLEY GREEN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 2,000.00
APPLICANT
MECHANICAL 35.00
METRO GAS INSTALLERS STATE SURCHARGE MECH (VALUATION) 1.00
685 141ST LANE NW
ANDOVER, MN 55304 TOTAL 36.00
(763)754-71 19
OWNER
FRANCHOT 111, DOUGLAS
2010 COLIN DR
LONG LAKE, MN 55356-
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 rela[ed 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 construc[ion authorized is not
commenced within l80 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 conform ce with the State ilding Code.This permit may be
revoked at im or ca�.
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Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR C1TY liSE ONLY
,�0� Cityof'Orono
�� � P.O.Box 66 Date Received: Permit#
���.,a 2750 Kelley Parkway
r�> �
a ��',.• �-_ �. Crystal Bay,MN 55323 Approved By: Amount$:
��t����.�.�o'` (952)249-4600 �
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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
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. Pernut 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
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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. Wlien 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 Apply)
�Residenrial ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
Job Site / Owner Information: .
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Site Address: � � � r�. ,�
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Owner: � �`'�'� t����-�f' Mailing Address: ���J ��, ,�'�
City: _��,/';.�''-� Zip: j����
Home Phone: _��c,�������� ������ Alternate Phone:
Contractar Information:
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Contractor: �� '' Contact Person: �� �✓��
C��.� /7/S= � �-
Address: l'�''� / "�S ate Bond #: /`G>1 .������
City: ����� Zip:�" Expiration Date: ��i/ ����
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Phone: ��.�" � ' �/�/� Alternate Phone: ?l � ��
❑ Insurance—Current:
1
,
, � M�CHANICAL``�,YSTEMS BEING 1NSTALLED
; �
HEATING SYSTEMS � "'- ��� Ll�
Quantity: /
Make: ' ' �Z,��
Model: � ��� /� t�"
Fuel: I �
Flue Size:
/ ��
Input BTUs: � (,;,�,�`'�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: �
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factary Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ Na 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)
❑ Installation ❑ Removal
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 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; excluding 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) $ 1.50
Total Permit Fee $
� PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 T�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�'�`�- �U x.0125$
(contractprice) (minimum$35.00)
2. STATE 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) $ 1.50
4. TOTAL PERMIT FEE(Add Lines l-3 Above) $
■ * 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 puiposes. 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 i
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:
3
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DATE TIME ��`
CITY OF ORONO CALLED IN
INSPECTION NOTICE c SCHEDULED -Z D
PERMIT NO. ���1� ��d� COMPLETED
ADDRESS a�/O �O LLrL �2�
OWNER CONTR. �I�°7�1'� G� G��/�(
TELEPHONE NO. IO�Z ' S.3�'l - ���Z---
� DESCRIPTION � - ,DOd�
� ❑ FOOTING � MECHA CAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ �NSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTAL�. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED L�RSOJECT COMPLETE
W ❑ CORRECT WORK&PROCEED !-! ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on si e: �
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�j�j�� � DATE p�ry TIME �/
v CITY OF ORONO CALLED I� ����S ��
INSPECTION NOTICE �'�/�C�. scHEou�Eo � � d 1:�
PERMIT NO.• � Owv� COMPLETED
ADDRESS �O I � C� D 1 /���2 :
OWNER CONTR. � �LQf� C�Q�
TELEPHONENO. �Lp � —���—" � � I /
� DESCRIPTION �I r ��--� — T`1� I V�-C.��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
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
� ❑ 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: \
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECT�ON REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �( �. __
White Copyllnspector's File Canary Copy/Site Notice