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$:
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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� �
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� 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
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� ��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