HomeMy WebLinkAbout2009-00488 - mechanical CITY OF ORONO PERMIT NO.: 2009-00488
, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 08/13/2009
• 952 249-4600 FAX: 952 249-4616
ADDRESS : 1500 BRACKETTS POINT RD
PIN : 11-117-23-34-0001
LEGAL DESC : BRACKETTS PO[NT 2ND ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: 1 9KW ELECTRIC BOILER
I SMAUNG MINISPLIT 1.5 TON AC
GAS LINE TO FIREPLACE&RANGE
INSTALL COMBUSTION AIR, INFLOOR TUBING 600SF
APPLICANT MECHANICAL 112.50
STATE SURCHARGE MECH(VALUATION) 4.50
KLEVE HEATING&AIR TOTAL 117.00
13075 PIONEER TRAIL
EDEN PRAIRIE,MN 55347-6 PA[D WITH CHECK# 98840
(952)941-4211
OWNER
PADDOCK, BRUCE
920 SHADY LA
WAYZATA,
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1)the conditions of this permit; (2)the
approval plans and specifications;(3)the applicable City
approvals,Ordinances and Codes;and(4)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.
This permit will expire and become null and void if
construction authorized is not commenced within 60 days,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.
`�%Vtlti"� �� SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED AB VE.
� FOR CITY USE ONLY
p City of Orono
O� �O P•O.Box 66 Date Received: Permit k _
��,.,, 2750 Kelley Parkwa}
� ? Crystal Bay,MN 55323 Approved By: Amount S:
�� (952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspcctor end/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pernut 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 t.JNI'IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERNIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiuns—Complete calculations,details and specifications are requued 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
requuements.
6. All work must be inspected(rougk�-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PERNIIT
Check All That A I
�
��esidential ❑Commercial(Approval Required)
❑New �Additional ❑Repaus ❑Replace
Job Site/Owner Information:
Site Address: \
Owner�C�tX���dC�C� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Kleve Heating&AC Contact Person: �hley Griffin
Address: �3075 Pioneer Trail State Bond#: RLI-561165
Ciiy: Eden Prairie Zip: 55347 E�cpiration Date: 08/14/09
Phone: `s52�94�-421� Alternate Phone: (952) 345-7242
✓❑ Inswance-Current:
1
�
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �
HEATING SYSTEMS
Quanti_ty: I
Make: "\
Model: �
FueL � �
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: �m�
Model: � � � �
Tons: I '�
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
� Wood Stove Model No.:
. ❑ Wood Stove With Flue
VENTILATION
� No. 1 Kitchen E�aust duct recirculating cfm
� No. � Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by�re Marshall if proposing to abandon tank in place.)
❑ Installation a Removal
Fuel Oil: gallons ❑ Underground � Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � (7ther/List What&Where'�1�11�1�C� �`""'� �
,C �
��V�a - 2 • n,- lJ--#�'.
�.n�a 1) �om L�� a�,° �r�I�r�-�-��- (LD
. . � ,
PERMIT FEE CALCULATION(S)
BASED OFF- 20Q2 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 electncal or gas service.
2. Has a total cost of$500.00 or less;excludinu 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 $ l 5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE " is 1.2�0 of contract price with a(Minimum Fee of$50.00)
�� D�
V� �. X .oi2s$ � .S�
(contract price) (minimum$50.00)
2. STATE SURCHARGE " Add the State Bldg Code Div. Surcharge(n4inimum Fee of 5.50)
(iC�J x .0005 $ .�
(conuact price) (minimum$ .50)
3. POSTAGE&��ANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT F'EE(Add Lines 1-3 Above) $ v
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted 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 fumished 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 tl�e 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.
The undersigned hereby applies to the Ci � or ' suance of a Mechanical Permit, agrees to do all
work in strict accordance with the or 'nanc e City and the regulations of the State of
Minnesota, and ce � ies—�t a tat me a�ie; n this applicarion are complete, true and
correct. � : .�
�
Applicant's Sign`ahire__ ate:
�;�, Reset Form I �5
3
�� "'� `/ � � TIME "
CITY OF ORONO (� CALLED IN r ���/� ,
INSPECTION N TIC�('E�(`� _/'�/ �/�(�CHEDULEp �yi.�,�j s�C�C.
PERMIT NO. ��,,5 `Y1��'�✓-r Uv COMPLETED
ADDRESS I j��C' ��C� ( j(f� tI � � �-�.Y
OWNER CONTR. � �t�'�-�i �^���
TELEPHONE N�. �� ! `-t" �� �C� �� ' �� � �
� DESCRIPTION t I r� � ` ✓ � �- ��="�-'
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ IAKESHORE/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
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
�
�
�
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
O ❑C�RRECT 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� 249-4600
Owner/Contractor on site:
Inspector. �` � �
White Copyllnspector's File Canary CopylSite Notice
�,
� � �T�I � ATE/� TIME
CITY OF ORONO CALLED IN `// �-/ �
INSPECTION OTI 'a� �B,SCHEDULED d
PERMIT NO. COMPLETED
ADDRESS ���� �/7a�/�P��-r �T
OWN ER CONTR. J�l
TELEPHONE NO. - �P� - �� -
� DESCRIPTION �vv - � /Ci���t�/�`���J
� ❑ FOOTING ECHAN L RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
� ❑ INSULATION ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
w
a
o � ,'�' -7� r �-� �l�l� �r� �
�.
�
0
�
W
�
Q
�
z
W
�
W
�
�
d
W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
Owner/Contractor on si e:
� ?
Inspector. ��// S
White Copyllnspector's File Canary Copy/Site Notice