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HomeMy WebLinkAbout2009-00740 - mechanical ` CITY OF ORONO PERMIT NO.: 2009-00740 r 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEu: 10/20/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1880 FOX ST PIN : 03-117-23-42-OO15 LEGAL DESC : WALDRON WOODS : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,525.00 NOTE: 2 HEAT N GLO GAS FIREPLACES APPLICANT MECHANICAL 50.00 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.76 100 ELDORADO DRIVE JORDAN, MN 55352 MAIL-IN FEE 2.00 (952)495-2927 MISC FEE 0.00 TOTAL 53.76 OWNER BLUM, STEVEN& DEBORAH 1880 FOX STREET 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 State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requices separate permits. All provisions of laws and ordinances goveming this type of work shali be compied with whether or no[specified herein.This permit 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 aze requested in conformance with t,(�e State Building Code.This permit may be revoked at any time fol due cause. �'�'I'L� (.�. / / / / Applicant Permitee Signature Date Issued By nature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO roa ciTY��s�o�v►.v ���`�Q' � City of Orono � l�� � P.O.Qox 66 Date Received: Permit� Q � '` 2750 Kelley Parkway °;ti�- i .� ���r �,' Crystal Bay,MN 55323 Approved By: Amount$: ���,��``���� �v�;' (952)249-4600 �'"�,�o f `'==�--=_� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or I'ire Marshail) 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. Permit cards���ill be sent by return mail after a revi��o� is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanica] 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 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 ) 0✓ Residential � Commercial(Approval Required) � New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: � Site Address: 1880 FOX STREET Owner: HIGHMARK BUILDERS Mailing Address: 12237 NICOLLET AVE S Cit BURNSVILLE Zlp. 55337 Y� Home Phone: �952�882 8904 Alternate Phone: Contractor Information: Contractor: GLOWING HEARTH & HON�F Contact Person: JUDY PICKUS Address: 100 ELDORAD DR State Bond#: 41 BSBAE 8641 JORDAN 55352 02/15/10 City: Zip: Expiration Date: Phone: (952)492-9276 Alternate Phone: ✓❑ Insurance—Current: 10/22/10 1 . '�IECHANICAL SY�TEMS BEING TNSTALLEa , Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS TH�S GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOWNG SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace��� Brand Name: HEAT& GLO ❑ Wood Burning Fireplace � Wood Stove Model No.: CERONA-42/SL-75� ❑ Wood Stove With Flue � �L-•����_� VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Mus1 be approved by Fire Marshall ifproposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground � [nside � Outside LP Gas: gallons Other: GAS LIIYE ONLY ❑ Outdoor Grill � Other/List What&Where: 2 PERMIT I'EE CAL�ULATION(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: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. (s improved,installed or replaced by the homeowner or licensed contractar. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMI`I'FEE CALCULATION(S)-.Tfi7BS OVER $540.00 � If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3,525.00 x .0125 $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) 3,525.00 x.0005 $ 1.76 (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.76 ■ * CONTRACT PR10E 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 appiies to the City for issuance of a I�iechanical Permit, agrees to �o ali work in strict accordance with the ordinances of the City and the re�ulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. A licant's Signature: ` �� Date: �� ��/ �� PP Reset Form 3 �� DATE TIME �/ CITY OF ORONO CALLED IN INSPECTION OTICE //,�, SCHEDULED � -2�S-10 PERMIT NO��'�DD7 7� �� COMPLETED ADDRESS �8�� (-"� ti �� OWNER CONTR.�If�(,U Li G��1� TELEPHONE NO. R5Z 2 t '7 2.10 g�o � DESCRIPTION r � � 2- ` ►'"-i— � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL � LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA� 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 � � O � W � Q ti Z W � W � � d W� �/ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. �952� 249-46QQ OwnedContractor on site: Inspector. ; .��v � White Copyllnspector's File Canary CopylSite Notice