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