HomeMy WebLinkAbout2010-00065 - mechanical CITY OF ORONO PERMIT NO.: 2010-00065
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssUE�: 02/08/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1205 FRENCH CREEK DR
PIN : 10-117-23-23-0001
LEGAL DESC : FRENCH CREEK
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,500.00
NOTE: 2 LF,NNOX HF_ATING SYSTEMS
APPLICANT MECHAN ICAL 50.00
VOGT HEATING&AIR COND
3260 GORHAM AVE STATE SURCHARGE MECH (VALUAT[ON) 1.75
ST. LOUIS PARK,MN 55426- MAIL-IN FEE 2.00
(952)929-6767 MISC FEE 0.00
TOTAL 53.75
OWNER
WINSLOW, CLARK& SHARON
1205 FRENCH CREEK DR
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall bc 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 pennission 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 specitied herein.'I�his permit will
expire and becomc 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 timc after work has commenced.
The applicant is responsible for assuring all required inspcctions are
requested in confom�ance with the State Building Code.This permit may be
revoked at any time for duc cause.
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Applicant Permitec Signature Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O E.
, �
� ' • � � ) FOR CITY USE ONLY
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/�'���,`�",y;., City of Orono � �../
/� � `�` `� P.O.Box 66 -'���, Date Received: Permit#
"'•f���;,,,,,, Q` 2750 Kelley Parkway
(4 p�r*.� - �� Crystal Bay,MN 55323 Approved By: Amount$:
t���;��' (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mushall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Permit cards wil]be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT 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,desig!1 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
�esidential �Commercial(Approval Required)
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❑ New �Additional �Repairs ;�]rReplace
Job Site/Owner Information:
Site Address: I ;�,t;�7 ���� n C�� ������ ��r � V e'
Owner: L���� �`v�(�S� (,�l-1,� Mailing Address:
City: Zip:
I 'f1 � C,�
Home Phone: � �`1 l� �'J� Alternate Phone:
Contractor Information:
Contractor: Vogt Heating,AC,PIum LLC Contact Person: �,J l.i� (�
Address: 3260 Gorham Avenue State Bond#:
City: St. Louis Park Zip: 55426 Expiration Date:
Phone: (952)929-6767 Alternate Phone:
❑ Insurance—Current:
1
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1VIECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
� �
Quantity: i
Make: �
Model: � �';J�1�� ����'�`1.���tLt[l,��
(
Fuel:
Flue Size:
Input BTUs: ��} �liLf -I � � �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
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
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PERMIT FEE CALCULATION(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:
1. 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. 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 5
PERMIT FEE CALCULATION S —JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is ].25%of contract price with a(Minimum Fee of$50.00)
�� ��� X.�I2.5� ��V a vl/
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
��Q� '
x.000s � I � �"�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��• �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amoun e 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 cantract.
■ **The STATE SURCHARGE is.0005 of the Building Departrnent at(952)249-4600 for the price.
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.
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Applicant's Signature: � '' Date: ��—�—) C�
Reset Form ����W�v
3
� �� `�I — ' DAT TIME ✓
CITY OF ORONO CALLED IN � ��
INSPECTION NOTICE SCHEDULED � f�
PERMIT NO. a?D/o- D0065 C ETED
ADDRESS /o7DS �J��
OWNER TELEPHONE NO � �G��s�
CONTRACTOR
>: DESCRIPTION ' /��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED P JECT COMPLETE
W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice