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HomeMy WebLinkAbout2008-00143 - mechanical � � CITY OF ORONO PERMIT NO.: 200&00143 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 08/19/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 475 FERNDALE RD N PIN : 36-118-23-14-0012 LEGAL DESC : HAUSER LAUER WCC ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FUEL STORAGE VALUATION : $ 1,800.00 NOTE: FUEL STORAGE REMOVAL-560 GALLONS-UNDERGROUND TANK APPLICANT MECHANICAL 35.00 MAYER DIST P.O. BOX 358 STATE SURCHARGE MECH(VALUATION) 0.90 LONG LAKE,MN 55356 TOTAL 35.90 (952)473-5488 OWNER CLAPP,THOMAS& LAURA 475 FERNDALE RD N WAYZATA, MN 55391 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 S[ate Building Code. This permit is for only the work described and does not grant permission for addi[ional 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 permit will expire and become null and void if construction authorized is not commenced within l 80 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 alI required inspections are requested in c formance with the State Building Code.This perrrtit may be revoked at an ime f due cause. ►,-. �� j� � O� 0 ��-v 8"�/ � � Applicant P mitee S gnature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � - . FOR CITY LJSE ONLY � �,�` City of Orono � O� `YO P.O.Box 66 Date Received: Permit# �,i,, 2750 Keliey Parkway a ��'��' <� �* Crystal Bay,MN 55323 Approved By: Amount$: �t��„����c.$o� (952)249-4600 sexo 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 working days. 2. Pernut cards wil]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 Desi�—Complete calculations, details and specificarions are required for each heating, ventilation, humidification-dehumidificarion, 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 invo]ved, 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 Apply) esidential ❑ Commercial (Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: �'����\����-�' Site Address: �[ �� ����ti� �� � � �� C% � � Owner: � . d- 1 � Mailing Address: City: ��Lt�� Zip: Home Phone: ���� ' ��`�l�• �(e�1�7 Alternate Phone: C`�;�j�7Ce�j - Z yJ - ���{ 7 Contractor Information: Contractor: ��`� �r �� �-�- . Contact Person: V+ r�R (, Address: ����� ��� State Bond#: ��"� � 1 CX�► Z. -� 'z Z D Iz City: ��v L. � Zip'j�J3�Expiration Date: � � Phone: C15Z`1?� - ��1�' '� Alternate Phone: �v-l�4'1z- `��cv `'b LZ- ❑ Insurance- Current: v'L� . 1 �— � •.� MECHANICAL SYSTEMS BEING INSTALLED � HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculatin� cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation � Removal l� Fuel Oil: ���gallons [�Underground ❑ Inside ❑ Outside LP Gas: gallons Other: �GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 j • . t PERMIT FEE CALCULATION(S) , BASED OFF - 2002 STATE STATLTE ❑ Yes, this section applies The replacement of a Residentia] 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; excludine 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) $ L50 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$35.00) �� ��C50 x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PEI2MIT FEE (Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 APPLICATTON 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 certifies that all statements made on this application are complete, true and correct. Applicant's Signature: � �1'� �' Date: � �`� —a�� 3 �� � '� PATE TIME v ITY OF ORONO � CALLED IN '� /•� �'� INSPECTION NOTICE SCHEDULED - .� � PERMIT NO. -�-C I.� C�'f�I._�OMPLETED � ADDRESS L.�--� �,�� �_- �,`� ',����� � �, ����/ OWNER TELEPHONE NQ,_„ ��' �'_� 3�� � �7�� CONTRACTOR C � f� E'S IC_�LJ {-��� �; DESCRIPTION �--��� -� l I �'�� - ( 1� ��'S � � - � 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAI ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ZLU INGRI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOH TO MEET YOU: YES_NO � COMMENTS: ¢ W � o /� T�s 'r o , (� �. � 0 � W � Q � Z W � W � � d W RK SATISFACTORY:PROCEED JECT COMPLETE W ❑CORRECT WORK&PROCEED '�; ISSUE CERTIFICATE OF OCCUPANCY 0 ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on ' Inspector. White Copylinspector's File Canary CopylSite Notice � �---- DAT TI M E �ITY OF ORONO CALLED IN �l U INSPECTION NOTICE -/ SCHEDULED � v���� PERMIT NO.�� � ����"3 COMP�ETED ADDRESS �� � OWNER CONTR. w� .� S: TELEPHONE NO. �Pl� -�l���.a- � DESCRIPTION �� ��— �e��� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � ol . ' �e 1 '" �� 1 �T A,. iC ��,,r�,�� �/ � /G D:✓ /�� c� o Gj � w Q ,- "C "7�",�'I�t IC �� c1 /.'N' .S � = C C'�J�. C�c�(� c�"T ��-( lliti.�ii1,.�, w ����� l Q � �,� o � � d ��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATIO�''" ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS Call for the next in�� Owner/ConU��-' (r-