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Home My WebLink About2008-00332 - gas line only . ' CITY OF ORONO PERMIT NO.: 200&00332 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuEn: 10/27/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1265 BRACKETTS POINT RD PIN : 11-117-23-32-0010 LEGAL DESC : RGT ORONO POINT : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTE: INS7'ALL GASLINE FOR GENERAI'OR APPLICANT MECHANICAL(<$500) 15.00 SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH (<$500) 0.50 6219 CAMBRIDGE ST ST. LOUIS PARK, MN 55416- TOTAL 15.50 (952)926-4488 OWNER O'SHAUGHNESSY, ROGER 1265 BRACKETTS POINT RD. WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 da�s of thc date of issuance,or if construction is suspended for a period ofti180 days 'any time after work has commenced. The applic is res nstble for as in all required inspections are requ ed n conf anQe with th�`S a Building Code.This permit may be rev �d t ny t� fog due caus . ni� � l l � vio�`7, 08 Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � . , FOR CITY USE ONLY %�� City of Orono ¢ �\ �. P.O.Box 66 Date Received: Permit# ��_,_, �'��f 2750 Kelley Parkway �, �' �.j Crystal Bay,MN 55323 Approved By: Amount$: ��? ��%„r`f!� (952)249-4600 �ax�!/ 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 [S POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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 0 Residential ❑Commercial(Approval Required) ❑ New �Additional � Repairs ❑ Replace Job Site/Owner Information: Site Address: 1265 Bracketts Point Road Owner: O' Shaunessey Residence Mailing Address: 1265 Bracketts Point Road Cit Orono Z� 55356 Y� p� Home Phone: Alternate Phone: Contractor Information: Contractor: Select Mechanical Services Contact Person: Dale Gaspard Address: 6219 Cambridge Street State Bond#: City: St. Louis Park Zip.55416 Expiration Date: Phone: �952)926-4488 Alternate Phone: (952)215-8159 ❑ 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 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 Exhaust(must have duct outside) cfin � 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 Q Other/List What&Where: Generator- In yard next to do 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. 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 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) 400.00 x.0125 $ 35.00 (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 400.00 x.0005 $ 0.50 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 35.50 ■ * 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. ■ ** 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 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: 10/27/08 Reset Form 3 �` � �-��,vc.��-�N�,ssy �s� ��c �- Date: 9/11/2006 Revision Date: 9/11/2006 New Construction Site Information Address 1: 1265 Brackets Point Road Project#: 04-029 Address 2: Lot: Block: City: Wayzata, MN County: Henn. Subdivision: Application Information Business Name: Select Mechanical Services MN Contractor License#: Contact Person: Jason Gaspard Office Ph: 952-926-4488 Fax: 952-926-8847 Cell Ph: Address 1: 6219 Cambridge Street City: St. Louis Park State: MN Zip Code: 55416 House Details Square Feet: 6245 sq. ft. Avg. Ceiling Ht: 11 ft. Number of Bedrooms: 3 Ventilation : Balanced Total Ventilation Capacity : 301 cfm. Minimum Continuous Ventilation :60cfm. Intermittent Ventilation: 241 cfm. Combustion Appliance Water Heater: Direct Vent/Sealed Combustion Input BTUs: 235,000 Independen�y Vented Furnace/Boiler 1: Direct Vent/Sealed Combustion Input BTUs: 235,000 Independently Vented Furnace/Boiler 2: Direct Vent/Sealed Combustion Input BTUs: 235,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): Two or more Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 1200 Next Exhaust Fan Rating(cfm): 240 Make-Up Air Total Make-Up Air Required (cfm): 1160 � Power Make-Up Int�rlocked With Largest Exhaust System. (cfm): 1160 � '� Combustion Air (� Minimum Combustion Air Requirements Have Been Met. 1 � Applicant Name (print): Signature/Date: � Code Official (print): SignaturelDate: � � —� �2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. , Page 1 � � � � � ✓ DATE TIME CITY OF ORONO CALLED IN �b g b� INSPECTION NOTICE SCHEDULED /d ' � PERMIT NO. D� MPLETED ADDRESS � OWNER CONTR.�o��/�'� �Ol1t , TELEPHONE NO. LQ/7 - �S��a��' �7�' � DESCRIPTION �/v�- ��%��.� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING � MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 ❑ SEPT�C FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBiNG FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CO RECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � O CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary Copy/Site Notice