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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. `/�G'i ,�i/,G;v ,,� 7/ � / ZQ[I / � / �� Applicant Permitee Signature Date Issu By Signature Date � SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � � .. - rO ('I '1 [�SE ONLT 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 - _ t t�X�xa$ 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� ,� 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 . � 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. r� ApplicanY s Signatur . ti Date: � -(p-�� Reset Form 3 / � � �� 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--- � � � ❑ 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: � W a � � O � � O � W � Q � Z W � W � � d 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