HomeMy WebLinkAbout2013-01081 - mechanical . • CITY OF ORONO * z 0 L 3 - 0 ���
2750 KELLEY PARKWAY DATE ISSUED: 10/16/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 325 CRESTVIEW AVE
PIN : OS-117-23-14-0031
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 000 BLOCK 005
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE . ��MULTIPLE
VALUATION : $ 3,845.00
NOTE: ROUGH-IN 2,150 SQUARE FEET OF INFLOOR HEAT
APPLICANT MECHANICAL 50.00
STEWART PLUMBING, INC. STATE SURCHARGE MECH(VALUATION) 1.92
13025 GEORGE WEBER DR
SUITE#1 MAIL-IN FEE 2.00
ROGERS, MN 55374 TOTAL 53.92
(763)428-1833 PAID WITH CC# 3122
OWNER
SULLIVAN, WENDY
P.O. BOX 581774
MINNEAPOLIS, MN 55401-
AGREEMENT AND SWORN STATEMENT
Thc work fbr which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This pennit is for only the work described and does
not gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 date of issuance,or if construction is
suspended Tor a period of 180 days a[any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at a y time for due cause.
��vl/C—Gu���e� /O/ /� //� /�j /CE'� /3
Applicant Permitee Signature Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Oct 16 13 09:17a Stewart Plumbing Inc. 763-428-1733 p.2
F R CITY USE OIYLY /
Ci of Orono � �/� �n
�0�/'� P.O ox 66 � Da�e Reoei��d'`'f�� Perniit�+ CS/ _ /O�
r � 2750 Kclley Parkway �r-
r l Crystal Bay,�fN 55323 I Approved Ry: Arnounc$J 3�9
` ` Phone(952)Z49-4600 Fax(9�2)249-4616
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Flqk��'-t��o��`' CITY flF ORONO—MECHANrCAL PER14i[T
(All Commercial permits must be approved by the 8uilding OtFicial or Inspector andlor Fire MarshalE)
��rrc�� tt�rFo�tATcorr
l. You may apply fior mechanica!permits by mail or in person at the City offices. Applications will
be reviewed and a pzrmit will be issued within two working days.
2. I'ermit cards wiii be sent by ret�rn mail after a review is completed. PERMITS ARE N�"T
VALID UNT1L YOU RECEIVE A PERMCC. W'ORIC h1UST VOT BEGiN�Ii�TIL TFIE
PERMIT CARD IS�OSTED ON THE JQI3 S1TE.
�. A•lechanical Desi¢ns—Complete calculations,details and specifications are reyuired for each
heating,ventilation,humidification-dehumidification,and air conditioning installadon including
heat loss�heat gain calculation,design temperatures,equipment ratings and identificarion as to
h•pe,rnanufacturer 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. AI[work must be done in accordance with the Uniform Mechanical Code/Siate Building Code
requirements.
6. AU work must be inspected(rou�h-in and final)_ Call(952)249-4600.
(24-48 hour notiee required)
7. House HeatiRg Test Record must be submitted bef�re final.
'I'YPE OF FERMIT
Check All That A l �
[�Kesidential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
� Job 5ite/Owner Information:
Site Address: ��� �YQS���Et� ��'���-
Owner: u t,��('UQ. Mailing Address: •�� �{�'`J�����fiJ_ �U�
c;ty: ���r�v z�p: _5535tQ
Home Phone: Alternate Phone:
Contractor Information:
� (� �
Contractor: ��L�1Q'�� ���ti��Yl Contact Person: �7�"Y QY'(�fl��
� �n�
Address: ��� �v'���Y State Sond#: 9"w���tG�_
City: � 'Cs Zip:�'.�7�Expiration Date: � r��v��
Phone: 7�3 �Z�� ��3� Alternate Phone:
� Insurance—Current:
1
Oct 16 13 09:17a Stewart Plumbing Inc. 763-428-1733 p.3
MECHAN[CAL SYSTEMS BEING 1NSTALLED i
Note: A1l Geothermal Systems will now require a Site Plan&Revie�v by our Buildinb Official.
IS THIS GF.OTHERMAL� ❑Yes �No
I-[�A,TING SYS'CEV[S
Quantitv: �J� �� -�-i1"►'�0���eCZ� I'� .�- �'R�
Make:
Model:
Fuel:
Plue Size:
Input BTUs: _
Output BTE�s: ___
CFM:
COOLING SY�STEMS
Quantit5:
Make:
Model:
Tons:
H.Pawer
F[REPLACES
❑ Gas Factory Fireplace Brand Name:
----_._._.____.__.________�
1Vood Burning Fireplace
❑ �Vood Stove Model�Io.:
❑ Wood Stove with Flae!�tasonr��
v�:�•riLa•riox
❑ No. Kitchen Exhaust duct racirculating cfm
❑ No_ Bath�:�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfrn
F[IEL STORAGF. (,7fust be approved by Fire�Lfarshall if proposing to aLandon tank fn place.J
� Instatlation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑�utside
LP Gas: �allons
Other:
GAS i.INE 01YL�`
❑ Outdoor Grill ❑ nther/I,ist W7�a2&Where:
7
Oct 16 13 09:17a Stewart Plumbing Inc. 763-428-1733 p.4
�.� ,�:� ��
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The repEacement of a Residential fixture or avnfiance that meets all three of the following requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of a500,00 or tess;excludinQ the cost ofthe fixture or app(iance:and
3. [s improved,installed or replaced by the homeowner or]icensed contractor.
Skip next section, iYthis applies; CosT of Pern�it $ t 5.00
State Surcharge $ 5.00
Mail-In Fee(If Appl�cable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULAT[ON(S)—JOBS OVER$500.00
�f above does not apply;follow guidelines belovv:
1. CON"I'RACT PIiTCE *is 1.25%of contract price with a(Minimum Fee of�50.00)
3���5 X ,oi�$ �� c�Q
{contract price) (minimum$SO.00j�
2. STATE SURCHARGE
3 ,�`-!.5 x.000s $ 1 . G 2.
(contract pricc) �
3. POSTAGE&HANDLING(Only on Mail-In.'�pplications} $ 2,Op
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ��•��
• " CONTRACT PR[CE or JOB COST means the actua! or estimated dollar amount charged for the
permitted work including materials,labor, profit, and other fixed cosu. 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 oH+ner,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 tt�at ihere is a dispute on the
amount of the job cost,the City may request the submission of a signed copy of the actuat contract.
MECHANICAL PERMIT APPLICAT[QN AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in striet accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifes that all statements made on thls application are complete, true and
correct
Applicant's Signature: /tJ Date: J L�I CP--JJ�
3
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