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HomeMy WebLinkAbout2011-00216 (mechanical- duct work) CITY OF ORONO PERMIT NO.: 2011-00216 2750 KELLEY PARKWAY ° ORONO, MN 55356- �ATE �ssu�n: 04/13/2011 952 249-4600 FAX: 952 249-4616 .4DDRESS : 3185 CASCO CIR PIN : 20-117-23-43-0024 LEGAL DESC : SPRING PARK : LOT 034 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DUCT WORK VALUATIOI�I : $ 800.00 APPLICANT MECHAN[CAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 5.00 4342 B SHADY OAK RD HOPKINS, MN 55343 TOTAL 55.00 (952)933-1868 OWNER NORDSTRAND, BARRY 6425 BAYCLIFFE EXCELSIOR, MN 55331- AGREEMENT ANU SWORN STATEMENT "1'hc���ork for which this permit is issucd shall bc perlormed according to lhc approvcd plans and specitications,applicablc City approvals,and the Statc f3uilding Code. 'I�his permit is for only the work described and does not grant permission for additional or related work which rcquires scparate perniits. All provisions of la�cs and ordinances governing this type of work shall be compied�vith whether or not specified herein."This permit will expire and become null and void if construction authorizcd is not � commenced�aithin 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 Buildine Code.This permit may be revo d at anv time for due o�use " - ' ___� , C � ' , � f . GJ \`��_ ,� � ;: <.. ,�� � J/ ��_.. ( �.( (� }'L 2.�c f'l % � �, �d G-�---�-- � � � � / � � / / / /� � Applicant Permitee S�enature �� -���' Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CPCY USE ONLY City of Orono �¢�� '' P.O.Bux 66 Datc Rcccivai: Pcrmit# , �.,�., .. ���'� 2750 Kcllcy Parkway — —�-- � �i�� �` Cryst�l Bay,MN 55323 Approvcti By: _ Amount$: �' � Y.so�`� Phonc(952)249-4600 h'xx(9S2)249-4616 ,'tatsaiio*, CITY OF ORONO—MECHANICAL PERMIT (All('ommcrcial permi[�must bc approvcd by thc l3uilding Official or lnspcctor and/or Firc M:ushall) GENERAL INFORMATION I. You may apply for mechanical permits by mail or in person at the City oftices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a m��icw 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�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 ratinbs and identitication as to type, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate buildin;;permit must be obtained. 5. All work must be done in accordanee with the Uniform Mechanical Code/State Buildinb Gode requirements. 6. All work must be inspected(rough-in and tinal}. Call(952)249-4600. (_24-48 hour notice required) 7. House Heatinb Test Record must be submitted before tinal. TYPE OF PERMIT Check All That A I ) 0 Residential ❑Commercial(Approval Required) ❑ New ❑■ Additional ❑ Repairs ❑ Replace Job Site/Owner Inforrnation: 3185 CASCO CIRCLE Site Address: BARRY NORDSTRAND SAME Owner: Mailing Address: Cit ORONO Zl 55391 Y� P� Home Phone: Alternate Phone: Contractor Information: PRACTICAL SYSTEMS JOANN Contractor: Contact Person: 4342B SHADY OAK RD 558516 Address: State Bond#: HOPKINS 55343 09/14/11 City: Zip: Expiration Date: Phone: (952)933-1868 Alternate Phone: 1/1l12 QX Insurance—Current: 1 � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now req�iire a Site Plan &Review by o�ir Building Ofticial. IS THiS GEOTHERMAL? ❑ Yes ❑■ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: I l. Power _—_ —__ FIREPLACES ❑ Cas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ___. ___ ❑ Wood Stove with Flue/Masonry ��� VENTILATION /�r�-r�� �.,, ❑ No. Kitchen F,xhaust duct recirculating cfm _—_ ---_--- — ❑ No. �� Bath Exhaust(must have duct outside) cfm -- ❑ No. Other Fans: Locations cfm FUEL STORACE (Must be approvet!by Fire Marshall ifproposing to abandon tcrnk ii�plaee.) ❑ Installation ❑ Removal Fuel OiL gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: CAS 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 tixture or appliance that meets all three of the follo���ins,�requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludina 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 � I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) � 2.00 Total Permit Fee $ PERMIT FEE CALCULATTON S) -JOBS OVER $SOO.�U � If above does not apply; follow guidelines below: I. CONTRACT PRICE * is 1.25�%of contract price with a(Minimum Fce of$50.00) 800.00 x .0125� �0.00 (contract pricc) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(��tinimum Fee of$5.00) 800.00 x ���5 �5.00 _ — --— -- _ -_ — -- (contract pncc) (minimum$5.00) 3. POSTAGF,& HANDLING(Only on Mail-In Applications) � 2.00 4. TOTAL PF,RMIT FEE(Add Lines 1-3 Above) $55.00 ■ * CONTRACT PR[CE or JOB COST means the actual or estimated dollar amotmt charged for the permittcd work including materials, labor, protit, and other tixed costs. It is thc amount to be charged to the customer for the work done. If any material, equipment, labor or installativns are Yurnished by the owner, tenant or any other party, the reasonable market value of such item,� 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.000�times the Contract Price or a minimum of�J.00. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pern�it, agrees to do all work in strict accordance with Che ordinances of the City and the regulatiuns of the State of Minnesota, and certities that all statements made on this application are complete, true and correct. Applicant's Signature: � Date_ 04/12/11 Reset Form 3 ��� � ATE TIME � CITY OF ORONO CALLED IN � /� INSPECTION N TJC �')/�' �7/ SCHEDULED � 1 �,_� PERMIT NO��J� —�" L� OMPLETED ' ADDRESS �L � �� �� ��z� OWNER � TE HO E NO. ��� l CONTRACTOR � f ��� L� >: DESCRIPTION � ly� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA RADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ FRAMING r,�v1ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION �❑�OOD BURNER/FIREPLACE ❑ SITE INSPECTION 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � O �bi` -r C�t� G} � �` >. � O � W � Q � Z W � W � � � r WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: ' Inspector. � � �L. �� White Copyllnspector's File Canary CopylSite Notice