HomeMy WebLinkAbout2014-00762 - mechanical ' CITY OF ORONO * 2 0 1 4 - 0 0 7 6 z *
2750 KELLEY PARKWAY DATE [SSUED: 07/17/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4700 CREEKWOOD TR
PIN : 30-118-23-33-0004
LEGAL DESC : PAINTERS WOODS
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : � 4,176.00
NO7�E: 1 BRYA'�'l'3.�TON i1C.
APPLICANT MECHANICAL 5220
STATE SURCHARGE MECH(VALUATION) 2.09
STANDARD HEATING& AIR CONDITIONING MAIL-IN FEE 2.00
130 PLYMOUTH AVENUF_,N.
MINNEAPOLIS, MN 55411- TOTAL 56.29
612-824-2656 Payment(s)
CHF,CK 46741 5629
OWNER
ERB,JEFFREY &TRACY
4700 CREEKWOOD TR
MAPLE PLAIN, MN 55359-
AGREEMF.NT AND SWORN STATEMEIVT
1�he�cork for which this permit is issucd shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. "I'his permit is for only the work described and does
not grant permission tbr 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 au[horized is not
commenced N�ithin 180 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 inspcctions are
requested in conformance with the State I3uilding Codc.This permit may be
revoked at any time for due cause.
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Applicant Vermitee Signature Dale Issued B ignature � D�1e�
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permils must be approved by the Building Official or Inspector a�d/or Fire Marshall)
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GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pennit will be issued within two worl�ing days.
2. Pennit cards will be sent bv return mail after a review is completed. PERMITS ARE NOT
VnLIll UNTIL YOU RF,CEIVE A PF.IZMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mecl�anica]Desiens—Complete ealculations,details and specifications are required lor each
lleating,ecntilation,hwnidification-dehuinidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatwes,equipment ratings and identification as to
type,manuYacturer and model. Data shall be presented on form provided.
4. When anq new construction or remodeling is involved,a separate building pennit must be
obtained.
�. 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-�18 hour notice required)
7. House Heating Test Record must be submitted before final.
T'YPE OF PERMIT
_____ (Check All That Appl��)
�IZ�•si�lei�tial �Conunercial(Approval Required)
✓ �
❑Ne�� �A�Iclitional ❑Kepaus ❑Replace
Job Site/ O��ner Information:
_��.��_.,_._�.�. .� ------ ��
Site Address: � �� �
O��ner ( �C �.1�t7 Mailing Address: � _�
c�ty: � z�p: �;3 �lS
Home Phone:C Sy `�7 3� �`�`��Alternate Phone: Z3 �' Z�
�
Contractor Infonnation:
Contrac�r�ndar ' ' ning Contact Person:
130 Plymouth Avenue North
Address: Minnea olis, MN 55411-3445 State Bond#:
61 �—
City: Zip: Expiration Date:
Phone: Alternate Phone:
C1 Insurance-Current:
1
.� _ _--i
• MECHANICAL SYSTEMS BEING 1NSTALLED
. � Note: All Geothermal Systems will now require a Site Plan & Revie� by our Building Official.
IS THIS GEOTHERMAL? � Yes�No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Fluc Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make:
Model:
Tons: � � .Z� — __ —
H.Power �`� ---- —
FIREPLACES
� Gas Factory Fireplace Brand Name:
❑ Wood Burrung Fircplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
� Na Kitchen E�aust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outsi�le) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to afiandon tank in place.)
� Instaliation � Remova]
Fuel Uil: �allon, ❑ LJndergroun�l �Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List V�'hat� Whe�re�.
2
.
. � � PERMIT FEE CALCULATION(S) �
BASED QFF -2l)02 STATE STATUE
� Ycs, this section applies
Thc replacement of a Kesidential fixttue 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 sectioi�,if this applies; Cost o1 Yermit $ 1�.00
State Surcharge $ �0
Mail-In Fee(IY Applicable) $ 2_00
Total Permit Fec $
PERMIT FEE CALCULATION(S)-JOBS_OVER $�Q0.00
If above does not app1�;follow guidelines below:
1. CON'I'RACT PRICE * is L25%of ont act price with a(Minimum Fee of�50.00)
� � ���s � Sz. 3-0
(contract price) (minimum��0.00)
2. STATE SURCHARGE **Add the 'tate Bldg Code Div. Surcharge(Mini�num Fee of�.50)
� � a.000� $ �-O
(con�ractprice) (minimum S .50)
3. POSTAGE&I-IANDLING(Only on Mai1-In Applications) $ 2.00
=1. TOTAL PERMIT FEE(Add Lines 1-3 Above) � � ' �
■ * CON'TRACT PRICF, or JOB COSZ' means the actual or estimated dollar amount charged for the
pennitted work including materials, labor,profit,and other tixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are fumished b�
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 pennit fee purposes. In the event that there is a dispute on the
ainount of the job cost, the City may request the submission oY a signed cop}' of thc actual contract.
• **7�hc STATI� SUKCtIAKUE is.000�oCthc)3uilding Departmcnt at(952)249-4600 for thc��ricc.
MECHANIGAL PERMIT APPLICATION AGREEMENT
The widersigiied 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 statement on this application are complete, true and
correct.
,
Applicant's Signature: te: � �
Reset Form
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DATE TIME
CITY OF ORONO CALLED IN �� _��
INSPECTIO TIC SCHEDULED �L �'�`"''
PERMIT NO. ��PZcOMPLETED
ADDRESS ��� ��`-e� � �
OWNER LEPHONE NO.��'��-3 � ��
CONTRACTOR S�a"�(� �� {—�
� DESCRIPTION ' Jv ��
�
t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
/Q � DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
� _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED � ❑ I�UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerfContractor on site:
Inspector. ►--
White Copyllnspector's File Canary CopylSite Notice