HomeMy WebLinkAbout2009-00197 - mechanical � ' CITY OF ORONO PERMIT NO.: 2009-00197
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 08/04/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 165 CRISTOFOR[ CIR
PIN : 31-118-23-43-0014
LEGAL DESC : CRISTOFORI WOODS
: LOT 001 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 25,700.00
NOTE: GEOTHERMAL SYSTEM
2 CARRIER NAT. GAS HEATING SYSTEMS
2 WATERFURNACE ELECTRIC HEATING SYSTEMS
2 WATER FURNACE 4 TON COOLING SYSTEM
GAS LINE TO REGAS FURNACES
APPLICANT MECHANICAL 321.25
UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 12.85
5115 INDUSTRIAL STREET
MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00
(763)479-6325 TOTAL 336.10
OWNER
LESSER,J R&J K
165 CRISTOFORI CIR
MAPLE PLAIN, MN 55359
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed 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
no[grant permission for additional or rela[ed work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied 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 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.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature . Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCWBED ABO .
1
FO ITY USE ONLY
f;�= p'`�,. City of Orono /9
%'� �''� P.O.Box 66 Date Received: Permit# � �
`� ; �'! 2750 Kelley Parl.way
� i���� "" � Crystal Bay,MN 55323 Approved By: � Amount$:
��� � c�%`� (952)249-4600 —�
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two warking days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
heating ventilation,humidification-dehumidification,and air conditioning installation including
heat losc/heat gain calculation,design temreratures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
✓�Residential �Commercial(Approval Required)
❑New ❑Additional ❑Repairs �❑Replace
Job Site/Owner Information:
Site Address: 165 Cristofori Circle
Owner: John &Julie Lesser Mailing Address: 165 Cristofori Circle
Cit Maple �fa�n Zi 55359
Y� P�
Home Phone: �952)451-5299 Alternate Phone:
Contractor Information:
Contractor: UMR Geothermal, Inc. Contact Person: Pat Hughes
Address: 5115 Industrial Street State Bond#: 929289�2$
Maple Plain 55359 09/16/09
City: Zip: Expiration Date:
Phone: (763)479-6325 Alternate Phone: (651) 336-9445
✓Q Insurance—Current: 09/01/09
1
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Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? �❑ Yes ❑No
HEATING SYSTEMS
Quantity: 2 2
Make: Carrier WaterFurnace
Model:
CVA100-20 NDZ049
Fuel: Natural Gas Electric
Flue Size: 3" PVC N/A
Input BTlis: 100000 49000
Output BTUs: 92000 16333
CFM: 2000 N/A
COOLING SYSTEMS
Quantity: 2
Make: �NaterFumace
Model: NDZ049
Tons: 4
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
B Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.)
� Installation a Removal
Fuel Oil: gallons ❑ Underground � Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: Regas furnaces
2
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_ � ' '''PERMIT FEE CALCUY,ATION(S)� "` �x"�`'�`� �3�'��`� � :�
BASED OFF-2002 STATE STATUE , , ���;y , • �
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance 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;excludin�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 $ 15.00
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 1.25%of contract price with a(Minimum Fee of$50.00)
25,700.00 x.0125$ 321.25
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
25,700.00 x.0005 $ 12.85
(convact price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 336.10
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted 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 furnished by
the owner, tenant or any other pariy,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 the job cost, the Ciry may request the submission of a signed copy of che actuai contract.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
��tvIECHArTI � T APPL TION AGREE`
The undersigned 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 statements made on this application are complete, true and
correct.
Applicant's Signature: Date: 04/27/09
Reset Form
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� DESCRIPTION � �J���
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING �-ME6HANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
Q O DEMO-FINAI. ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITfON WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on site:
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Inspector_
White Copyllnspector's File Canary CopylSite Notice