HomeMy WebLinkAbout2009-00568 - mechanical CITY OF ORONO PERMIT NO.: 2009-00568
2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE ISSUED: 09/09/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2905 FOX ST
PIN : 04-117-23-34-0007
LEGAL DESC : AUDITOR'S SUBD.NO. 230
: LOT 035 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 40,300.00
NOTE: HEATING SYSTEM,4 GAS FIREPLACES&VENTALATION&GAS LINES FOR OUTDOOR GRILLS,GENERATOR,RANGE&3
DRYERS.
APPLICANT MECHANICAL 503.75
S R MECHANICAL INC.
7320 OXFORD ST STATE SURCHARGE MECH (VALUATION) 20.15
SU[TE 200 TOTAL 523.90
ST. LOU[S PARK, MN 55426-
(952)933-6933
OWNER
FRANCIS, MICHAEL&BERIT
2905 FOX ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvais,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or relatcd work which requires separate
permits. All provisions of laws and ordinances goveming[his 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 wi[hin 180 days of the date of issuance,or if construction is
suspended for a period of 180 da at any[ime after work has commenced.
The applicant is responsible f assuring all required inspections are
requeste� conformance h the State Building Code.This permit may be
revyked any� for e cause. �-� ,��'Y„
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A plicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
, FOR CITY USE ONLY
"� City of Orono
O� �O P.O.Box 66 Date Received: Permit#
,y,ti,,,,. 2750 Kelley Parkway
� ��?�-,?' r Crystal Bay,MN 55323 Approved By: Amount$:
�F�;y����.�or (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercia]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. 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 UNTIL THE
PERNIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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 fmal). Cal](952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PERMIT
Check All That A 1
✓0 Residential � Commercial(Approval Required)
� New ❑ Additional � Repairs ❑Replace
Job Site/ Owner Information:
Site Address: 2905 Fox Street
Owner: Francis residence Mailing Address:
City: Orono Zlp: 55356
Home Phone: Alternate Phone:
Contractar Information:
Contractor: SR Mechanical Contact Person: Dave Rouse
Address: 7320 Oxford st. State Bond#:
City: St. Louis Park Zip: Expiration Date:
Phone: (952)933-6933 Alternate Phone:
✓Q Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED � ��"
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Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes 0 No
HEATING SYSTEMS
Quantity:
� �,-- —"
Make: /��' I -�-
. -,
r- --
Model: j � J�%
Fuel: f� .l, �:�-,
..� , t
Flue Size: , )
Input BTUs: ' `� �����
t � `�'�
DUtpUt BTUS: ° = � ~����`�
CFM: � J����� �
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIItEPLACES
� Gas Factory Fireplace �r Brand Name:
❑ Wood Buming Fireplace
� Wood Stove Mode]No.:
❑ Wood Stove With Flue
VENTILATION
,� No. � Kitchen Exhaust 's r''��%��i::,` duct recirculating 'Cr ��� cfin
�. No. �_ Bath Eachaust(must have duct outside) �cfrn
❑ No. �_ OtherFans: Locations f-,�.; r`; �`c'� cfin
FiJEL 5TORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�)
❑ Installation a Removal
Fuel Oil: gallons ❑ Underground �Inside � Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑✓ Outdoor Grill � Other/List What&Where: Generator � -�,�;;,,� - ,``;�f, , �'
2
PFIZMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture ar appliance that meets al]three of the following reyuirements:
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) $ 2.00
Total Permit Fee $
��„� ��, PERIv1IT��"'�������, ;��`�,�� ����=`',�,�Q!��'��v�R��$Op:��d� �` �t'�,�. � ���
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If above.does not apply; follow guidelines below:
L CONTIZACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
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.r �� � � `� x .0125$ ��'�" � � .�
'(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ofS.50)
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f � . ' r" ` x.0005 $
� '(contract price) (minimum$ .50)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ -�:8fl�-_
r�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �
■ * 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 fumished 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.
■ ** T'he STAT'E SURCHARGE is .0005 of the Building Departrnent at(952)249-4600 for the price.
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� '�`��'����,�� u�-AGREEIV1�N�x: ���
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�at all statements made on this application are complete, true and
correct. � ` � '
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Applicant's Signature: _,�f� j � t ` ..�, � Date: � V �` ;
Reset Form
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CITY OF ORONO `—ca�o N � D
INSPECTION NOTICE /_ SCHEDULED "J �
PERMIT NO.o�(,Z�` ��'F'�COMPLETED
ADDRESS �
OWNER CONTR. � '
TELEPHONE NO. — ✓� ��a _
� DESCRIPTION �
� ❑ FOOTING MECHANICA RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
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
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CdRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next insp�ction 24 hours in advance. �952� Z49-46QQ
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OwnerlContractor on site: f �
Inspector_ �� ' `-^`'�-`
White Copyllnspector's File Canary CopylSite Notice
�—� D TIME �
CITY OF ORONO CALLED IN � �v
INSPECTION NOTICE SCHEDULED �
PERMIT NO��Dc'f�D��'COMPLETED
ADDRESS / � Q� � QSa2 -
OWNER TELEPHONE NO.JC_���l��
CONTRACTOR � S� ���Q1��1�Ll.QD— ���
>: DESCRIPTION �
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Q ❑ POURED WALL �ECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�ORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE
W ORRECT WORK&PROCEED �:: ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CdRRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46�0 �
OwnerlContractor on si e:
Inspector. ` �•� J'�
White Copyllnspector's File Canary CopylSite Notice
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�`y�!/ ,/ D TIME ✓
�CITY OF ORONO � CALLED IN / /�
INSPECTION NOTICE �HEDULED /v --`��,�
PERMIT NO. �5 l>coMPLETED
ADDRESS D
OWN ER CONTR..� �''1�L G'�-C
TELEPHONE NO. � � �
� DESCRIPTION D ' �
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� ❑ FOOTING CHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
O ❑ 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:
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W ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �"�' pATE TIME �
CITY OF ORONO CALLED IN �/ � �!O
INSPECTION NOTICE �y� CHEDULED �fJ� �
PERMIT NC1aCOG ��/S��OMPLETED
ADDRESS o�� U cS i�� X cS�' .
OWNER TELEPHONE NO.��a �"1��v"'
CONTRACTOR ��� I�Y�O,�,q . ��� �
� DESCRIPTION r�' �-U' I � Yla � � Y��r
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING � MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
T ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ S�C FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site:
Inspector. (o
White Copyllnspector's File Canary CopylSite Notice