HomeMy WebLinkAbout2013-00834 - mechanical , CITY OF ORONO * 2 0 1 3 - 0 0 8 3 4 *
; 2750 KELLEY PARKWAY DATE ISSUED: 08/21/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3625 EILEEN ST
PIN : OS-117-23-21-0024
LEGAL DESC : RIEDEL CO STUBBS BAY ADDN
: LOT MB BLOCK MB
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 3,000.00
NOTE: 2 E�{EA"I'N GLO GnS FP
APPLICANT MECHANICAL 50.00
CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH (VALUATION) L50
8282 ARTHUR ST NE
SPRING LAKE PARK, MN 55432 MAIL-IN FEE 2.00
(763)786-2341 TOTAL 53.50
OWNER
RYAN, BOB
3625 EILEEN ST
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
l�he work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the tiork described and does
not grant permission for additional or related work which requires separa[e
permits All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This pennit will
espire and become null and void if construction authorired 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 applican[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 d'ue cause.
-yv�t-�..( �, i i �yL _ i i
Applicant Pcrmitee Signature Date Issucd By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
� _�_�/ F Box 6E� Date�Reczived � Permt�y �
FOR CITY USE�
Ci of�rono
, �dA/ -�� t# -
�.J 2750 F�elley Parkway
Crystal Bay,MN 55323 Appr�ved By: Amount$
� � Phone(952)249-4500 Fax(952)249-461ti
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`��.'.�,�������,,�� CITY OF OR�NO-I��IECHANICAL PERMIT
(All Commercial permrts must be approved by the Building Official or Inspect�n :mdr:r Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical peimits by mail or in person at the City offices. Applicationa will
be re�iewed azid apern�it will be issued within hvo working days.
2 Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL Y�U RECEI4'E A PERMIT. WORK hiUST N�T BEGIN UNTIL THE
PERMIT C.4RD IS POSTED ON THE JaB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are reyuired for each
heaiing,�entilation,humidification-dehumidification,and air conditioning uistallation including
heai lossltieat gain calculation, design tempe�-ahires,equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on form provided.
4. When any new constn�ction or mmodeling is involved,a separate building perntit must be
obtauied.
5. All work must be done in accordance with the Uniform Mechanical CodelState Building Code
requirements.
6. All work must be inspected{rough-in md final}. Ca11(952)249-4600.
(24-48 hour notice requirc+d)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
�Check All That Apply)
❑Residential ❑ Commercial {Appro�al Required}
�New ❑Additional ❑Repairs ❑Replace
� Job Site 1 Owner Information:
Site Address: �� �.-�-� � � I 0 � �3'�.....,_--�--3�� _ —
O�.�ner:�����G�►- .� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
m . _ � __.___ _ -__ ___
Contractor Informahon:
— _,� __ _— _- ---�
Contractor: � � ��, Contact Person: /��=t'dY�
Address: �C,�Z ���')111r � - State Bond#: ��l� �"1��
City: �,1�� �P•1dZip: Y!(��� Expira�ion Date: �j1'�`Jl���'
��
Phone: ��.p����p�Z�� Alternate Phone:
� Insurance-Current:
1
� ! MECHANICAL SYSTEMS BEINU INSTALLED
Note: All GeotheiTrial Sy�terns ijill noi��require a Site Plan�k,Revietij„by our Buildin�Official.
IS THIS GEOTHERiVIAL? ❑Yes ❑ No
HEATING SYSTEMS
Quantity: � �
Mal:e: t �' n� b � l�' l'�
Model: �Q. nl�Q (G J (�T
Fuel: }� L.� � �
Flue Size:
Input BTUs:
Qutput BTUs:
CFM:
CO�LING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Po�ver
FIREPLA CE S
� � � Gas Factory Fireplace BrandName: � - ).c
Wood Burnmg Fireplace
❑ Wood Stove Model No.: '�n'UO(, f' S�C���
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct _recirculating cfm
❑ No. Bath Exhaust{must ha�e duct outside} cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Mus�be approved by Ftre MarshaJd ifproposing to nbandon�snk in plac�)
❑ In�a7lation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Dutside
LP Gas: gallons
Other:
GAS LINE ONLY �y�
❑ �utdoor Grill ❑ �ther 1 List What&here:� �f Gj �
2
l
_ _ ..__
__ _
PERMIT FEE CALCULATI�7N(S)
BASED (�FF- 2002 STaTE STATUE
❑ Yes,this section applie�
The replacement of aResidential fixture or appli�uice tha�meets all three ofthe following requirements:
1. Does n,ot require mod�cation to eleckrical or gas ser�ice.
2. Has a total cost of$500.00 or less; excluding the cost of the fi.�ture or appliance: and
_
3. Is impmved,installed or re�laced by the homeowner or licensed contractor.
Skip next section, ifthis applies; Co�t ofPermit $ 15.00
_.. _.
State Surcharge $ ___ 5.00
Mail-In Fee {If Applicable} $______2.OD
Total Permit Fee $
_____ __ __ �
PERI�IIT FEE C.4LCUL4TI�N(S�—JOBS_OVER$500.00 �
If above does not a��ply;follow guidelines below:
L CONTRACT PRICE * is 1.259�0 of contract price with a(Minimum Fee of$50.00)
.�}-�.�0 x.0125 $ ����
(contract pnce) (minimum$50.00)
2. STATE SURCHARGE
3��c' K .000s $ � . ��
(c ontract pric e)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE {Add Lines 1-3 Above} $ �� _ ��
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted«�o� including materials, labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the wo� done. If any material, equipment, labor or installations are furnished by
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 pern�it fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
MECHANIGAL PERMIT APPLICATIt�N AGREEMENT
The undersigned hereby a��plies to the City for issuan�e of a Mechanical Peirnit, agrees to do all
work in strict accordance wit}i the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all �tatement-s made on this application are complete, true and
co�rect.
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Applicant's Signatur . a..-. Date: '� � )_G� / �j
--�
3
� � � ATE TIME ✓
CITY OF ORONO CALIED w Z'13
INSPECTION NOTICE SCHEDULED ��'�� ��� �
PERMIT NO. c�'���--U���COMP�ET
ADDRESS �o.�_�
OWNER TE PHONE O.� - ��
CONTRACTOR
�: DESCRIPTION � `�
�
� ❑ FOOTING ❑ PLUMBING INAL ❑ EX A /GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LA SHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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ORK SATISFACTORY:PROCEED f� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED '7 ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspec n 24-1�rours in advance. (952� 249-4600
OwnerlContractor on s :
Inspector.
White Copyllnspector's File Canary CopylSite Notice