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HomeMy WebLinkAbout2009-00160 - mechanical � �� CITY OF ORONO PERMIT NO.: 2009-00160 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/16/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1743 FAGERNESS POINT RD PIN : 17-117-23-22-0037 LEGAL DESC : MAPLEGATE INLET : LOT 006 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 9,000.00 NO"I'E: 1 BRYANT NAT GAS FURNACI�. 1 BRYANT 3'1'ON AC 1 HGAT RECOVERY FAN APPLICANT MECHANICAL 112.50 KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 4.50 6365 CARLSON DRIVE SUITE G EDEN PRAIRIE, MN 55346- MA[L-IN FEE 2.00 (612)941-421 l MISC FEE 0.00 TOTAL 1 19.00 OWNER TAUBENBERGER, MR. & MRS. 1743 FAGERNESS PT RD WAYZATA, MN 55391 AGREEMENT AND SWORIY STATEMENT I'he�cork for whieh this permit is issued 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 for 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 pennit 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 requcsted in conformance with the State[3uilding Code.This permit may be revoked at any time for due�ause. �fiC�C.I' �/li l l l l Applicant Permitee Signature Date Issued By 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE. � � � ,. FOR C[TY USE ONLY ���: City of Orono P.O.Box 66 Date Received: Permit# �`�� ����� 2750 Kelley Parkway ��w n"�• ���� Crystal Bay,MN 55323 Approved By: Amount$: � sa ��t•'`� '. o:� (952)249-4600 ...�ZggpP�. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofl�icial or lnspector and/or Fire Marshall) GENERAL INFORMATION L 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 working 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 UNT[L THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanica) Des�ns—Complete calculations,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 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: 1743 Fagemess Point Road Owner: Leif Taubenberger Mailing Address: site City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Kleve Heating &AC Contact Person: Ashley Griffin Address: 6365 Carlson Drive, Suite G State Bond #: RLI-561165 Eden Prairie 55346 08/14/09 City: Zip: Expiration Date: Phone: (952) 941-4211 Alternate Phone: �952) 345-7242 ✓Q Insurance—Current: 1 MECHANICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: � Make: Bryant 355CAV0100 Model: Fuel: Nat. Gas Flue Size: Input BTUs: 100,000 Output BTUs: 95,000 CFM: COOLING SYSTEMS Quantity: � Make: Bryant Model: 180ANA036 Tons: 3 ton H. Power FIREPLACES ❑ Gas Factory Firepiace Brand Name: ❑ Wood Burning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm �❑ No. 1 Other Fans: Locations heat recovery 250 cfm FU EL STORAC E (Must be approved by Fire Marshall if proposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground � Inside � Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What& Where: 2 . PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture 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;excluding 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 Maii-In F'ee(lf Applicabie) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 9,000.00 x.0125 $ 112.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 9,000.00 x.0005 $ 4.50 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 119.00 ■ * 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 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 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. ■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT 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 c ifie that all statements de on this application are complete, true and correct. � , Applicant's Signaturar_____..—� Date: �"� Reset Form �� 3 � `-' D T TIME � CITY OF ORONO CALLED IN 5'� INSPECTION OTICE—DD/�� SCHEDULED � PERMIT NO. COMPLETED ADDRESS � � /�-L'� OWN ER�rt- PCLL�.�P�3 �R.' ,���lt� � TELEPHONENO. �PI Z �4� 3 �7 �P � DESCRIPTION r�n� `��"�� � �G � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q ti 2 W � W � � d � ��ORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED �. SUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: , Inspector. White Copyllnspector's File Canary Copy/Site Notice