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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„ ! ��'�'�� �� � � � � ��� � p ' �� �s���,Zc�� � 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 _�,ra� 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 � ��" �� �»� 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'�,�. � ��� �� �: If above.does not apply; follow guidelines below: L CONTIZACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) � � �,��_... �_..�` .r �� � � `� x .0125$ ��'�" � � .� '(contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ofS.50) ! , ��.. 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. ,' .�e ����k � ,;. � '�`��'����,�� 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. � ` � ' �� I � r`� 1 '� � � � � �. �� .� .� , �, �-� Applicant's Signature: _,�f� j � t ` ..�, � Date: � V �` ; Reset Form 3 ��_� <��� AT TIME Y 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: � W a � � O � � � ,��,.�.� 0 � W � Q � z w � w � � a � _ ORKSATISFACTORY:PROCEED I� PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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 � 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 � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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: � W a � o ��— C.,c.JC� � -t�J r � � � � 0 � W � �� �\ °� �! C.� ��l .�' Ci %� Q � Z W � W � 1 � �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 /�� / �`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 ' � � I- � ❑ 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: � W 0. � � O � � O � W � Q � Z w � W � � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 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: � W a � � J O a r OC --�' �, T�`�C •�� O � W °� 1����� �7� ��� �� C�f�. � a W r�, �, � � � f�s,�c� �� Fa�s � -r �. � �,�t a � ❑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