HomeMy WebLinkAbout2011-00589 - mechanical CITY OF ORONO PERMIT NO.: 2011-00589
� • 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/06/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : I 15 CREEK RIDGE PASS
PIN : 03-117-23-12-0013
LEGAL DESC : CREEKS[DE IN ORONO
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,500.00
NOTE: 1,700 SQUARE FGET OF INFLOOR HEAT-SIESCO ELECTRIC BOILER- 18KW
APPLICANT MECHANICAL ]06.25
STEWART PLUMBING, INC. STATE SURCHARGE MECH(VALUATION) 4.25
13025 GEORGE WEBER DR TOTAL 1 10.50
SUITE#I
ROGERS, MN 55374
(763)428-1833
OWNER
PFEIFER,ANDY&MARNIE
115 CREEK RIDGE PASS
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
I�he�cork for whieh this permit is issued shall be periormed 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 rclated 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 da[e 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 E3uilding Code.This permit may be
revoked at any time for du�cause.
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Applicant Permitee Signature Date Issu By Signature Date �
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE.
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O¢p�O Cit} of Orono � - — ,–,^ Q�
P.O.Box 66 Date RrceiceJ: � � Yennit= �Q��`�/�/ l
2750 Kelley Parkway
a � Crystal Bay,MN 55323 _�ppro�e�B�: �nx,unt'�: � �O • �
�c Q . o' Phone(952)249-4600 Fax(952)249-4616 - _
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CI'I'Y OF ORONO—MECHANICAL PERNIIT
(All Commercial pe�miLs must be approved by the Building Official or Inspector and'or Fire Mazshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications�vill
be reviewed and a permit will bc;issueci within two working days.
2. Permit cards will be sent by return mail after a re��ie�� is completed. PF,RMITS t\RE NOZ'
VALID iJNTIL YOU ftF?CEI VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desians–Complete calculalions,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�arate building percnit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/Staie 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 Tllat A 1 r)
�.IZesidentiol ❑Commercial(Appmval Required)
�Ne�� ❑Ad�liti��naJ ❑Repain ❑Replace
Job Site/ Owner Information:
Site Address: l� F.e �{' S
Owner:�H�c,c��(2%�:� Mavr��e. �-��� � Mailing Address: �3902 SZn`� �L�t�
City: ��,,,�,�o�� Zip: 55�-4ytp
Home Phone: Alternate Phone:
Contractor Infor»iation:
Contractor: `�e(,���-t P�urv�;v'� Contact Person: , ; f � ,�-
Address: ��3,� ��,Q ���t,�� ,V�,State Bond#: ��(��-�Iv1.'f�
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City: Zip���y Expiration Date: $ ��.5-��
Phone: 41(o3--4Z$- 1�3 33 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
Quantity: � ('l� .�t .f- '' cl� �
Make: S i�S�J �-,.te�"[�c. �-�',�P� �� �-
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
(luantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Maiel No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ Na Kitchen E�haust duct recirculating cfm
❑ No. Bath F,�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire MarshaU ijproposing to abandon tank in plaee.)
❑ Installation ❑ Removal
Fuel(>il: �allon� ❑ Underground ❑Iii�ide ❑Outside
LP(ras: �allons
Other:
GAS LINE ONLY
❑ Outdc�r Grill ❑ Othcr/List What&Where:
2
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PERMIT FEE CALCULATION(S)
BASED OFF - ?00? STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. lloes not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exdudine the cos[of the fi�cture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Petmit $ I 5.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee �
PERMIT FEE CALCULATION(S)-JOBS OVER $500.00
If above dces not apply,follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��SDO x.0125$ /U�P-��
(contract price) (minimum$50.00)
2. STATE SURCHARGE `,
� �� x .0005 $ �T� �
,
(contract price)
3. POSTAGE&I3�NDLING(Only on Mail-In Applications) $
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /�t�.��
■ * CONTRAC'T PkICT or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 mus�t be added to the
estimated cost or contract price for perntit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the subtnission of a signed copy of the actual contract.
MECHAIVICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in stnct 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.
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ApplicanY s Signatur . ti Date: � -(p-��
Reset Form
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� � �� D E TIME
CITY OF ORONO CALLED IN 7���
INSPECTION OTICE Q�'SCHEDULED 7 �'�
PERMIT NO. �-��" / COMPLETED ` � �
ADDRESS ��-5 �
OWNER TELE O E N0.7�������3
CONTRACTOR �
�: DESCRIPTION - �Z--- �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-460�
Owner/Contract o ite:
Inspector. '�� -
White Copyllnspector's File Canary CopylSite Notice