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HomeMy WebLinkAbout2014-00283 - mechanical 11111111111111111111 Mill IN 11111 El 111111 CITY OF ORONO * 2 0 1 5 - 0 0 2 8 3 2750 KELLEY PARKWAY DATE ISSUED: 03/09/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 3035 CASCO POINT RD PIN 20-117-23-34-0001 LEGAL DESC REG.LAND SURVEY NO.0394 : LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 11,000.00 NOTE: (1)AMERICAN STANDARD FURNACE AND A/C (1)BATH EXHAUST APPLICANT MECHANICAL 137.50 STATE SURCHARGE MECH(VALUATION) 5.50 B&R PLUMBING&HEATING TOTAL 143.00 216 N. MAIN Payment(s) WNTRHOP,MN 55396- CREDIT CARD 3303 143.00 (507)647-5362 OWNER HULBERT,JAY 3035 CASCO POINT RD 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 requires separate permits. All provisions of laws and ordinances governing this 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. A p ant Permitee Signature Date Issued y Signature Date Fok C''Y USE ONLY City of Oronoe__- P.O.Box 66 Date Receiv Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 ti A, F t�KESH0 CITY OF ORONO—MECHANICAL PERMIT (All Commercial 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 PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 Apply) ❑ Residential ❑ Commercial(Approval Required) ❑ New ®Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ?Q 3 S` c -s C_ Owner:� Mailing Address: � rS� City: Zip: Home Phone: -,22 S-5e,( Alternate Phone: Contractor Information: Contractor: '44 p14Contact Person: Address: o�/� /(� �'`/�.'�, State Bond #: /)B G TS_72 City: _ Zip:Sy�)fl Expiration Date: lq,,!X �2 Phone: S-0 7 Lq7 - 5-3 C Z Alternate Phone: 37z X75'3 ❑ Insurance—Current: //L)zs �i�..d 1 Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes W No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: a " Input BTUs: 1/OJODO Output BTUs: .3pSta©C7 CFM: goo O COOLING SYSTEMS Quantity: 0, / qq Make: Model: Tons: l s2 Tv11 H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ® No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATIONS) 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: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 0600 x .0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE AJtooz, x.000s $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ / n ■ * 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 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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 that all statements made on this application are complete, true and correct. Applicant's Signatur : G ? Date: �"�.. r/ p/� 7 3 `C, " (J� -2,DATE ��I�W CITY OF ORONO CALLEDIN INSPECTION NOTICE SCHEDULED 3C PERMIT NO. V� -Lc ,�A, 3 COMPLETED ADDRESS Lu—'CSC OWNER TELEPHONE NO. CONTRACTOR V3" N-2, >: DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ 8E4C FINAL Q El POURED WALL _. - ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 2 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc LQ S 3 - 3c -1 Q. cc J O CC O W ccQ 2 W W cc j �/ LU D`WORKSATISFACTORY:PROCEED Ll PROJECT COMPLETE cc D CORRECT WORK&PROCEED LJ ISSUE CERTIFICATE OF OCCUPANCY W O 11 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED D STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adv ce. 9 9-4600 Owner/Contractor on site: Inspector. b White CopylInspector's File Canary Copy/Site Notice �� � O �� DATE TIMAE� CITY OF ORONO � CALLED IN 'V INSPECTION OTICE SCHEDULED (�� �.�_ PERMIT NO. � ' COMPLEfED ADDRESS ��5 �S`-a {��'"1Ze9- OWNER TELEPHONE N0.3'�O•�3 •`�'�S�° CONTRACTOR ��- ��-�•-9 �'6�'��, �: DESCRIPTION r�`�c'�''`�'� �`� ��r`� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MEC � ❑ SITE INSPECTION Q ❑ FRAMING ME ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTFIACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J , O �_, � O �� W � Q � '�, i W f � � � W ' � r J GW ❑WORK SATISFACTORY:P �-'� ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advan (g52) 249-46�� OwnerlContractor on site: �� Inspector. White Copyllnspector's File i Canary CopylSite Notice