HomeMy WebLinkAbout2014-01028 - mechanical , �
� CITY OF ORONO * z 0 1 4 - 0 1 0 2 e *
2750 KELLEY PARKWAY DATE ISSUED: 09/1U2014
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1380 FRENCH CREEK DR
PIN : 10-117-23-32-0009
LEGAL DESC : FRENCH CREEK
: LOT 001 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 2,300.00
NOTG: 1 RHGGM-NA'I'CRAL GAS
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 1.15
WESTAIR HEATING MAIL-IN FEE 2.00
11 184 R[VER ROAD NE
HANOVER, MN 55341 TOTAL 53.15
(763)498-8071 Payment(s)
CHECK 18979 53.15
OWNER
PALOMBO,JOHN&SUSAN
1380 FRENCH CREEK DR
WAYZATA, MN 55391
AGREEMENT AND SWORIv 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 perniission 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 l80 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after work has commenced.
I he applicant is responsible for assuring all required inspections are
reques[ed in conformance with the State Building Code.This pennit may be
revoked at any[ime for due cause.
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Applicant Permitee Signature Date sued y Signature � Date
i
r
,
City ot Urono
2750 Kelley Parkway
Orono MN 5�356 952 '�49-46U0
Receipt No: 3.Ot176�= Se� 11, 2014
Westair Corp
Previous Balance: .UU
Permits
P2U14-U1U28 50.00
101-32530
Me�hanical/Septic;Other
Permits
P2U14-f.11028 138U FkENCH 1.15
[;RFEK DR
101-208U2
Due to govts-State
Permits
P2Uid-Q1028 1380 FRENCH 2.00
CREEK DR
101-34440
E�Ic1g Permits-niail in tees
'IUtdl: i� �r�
----- ---
('heck
Check No: 1t3979 53.15
Payor:
Westair Corp
futal h,ppl ied: 53,�4;
Cl��ariye Tendered: .0�1
09/11/?_014 12:U7PM
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TY I'SE ONLY
�O�rO City of Orono
�y P O.Box 66 �a�e�ec�ived:,,�__ Permit#
27�0 Kelley Parkw�ay � �
r Crystal Bay.MN>5323 Approved By: Amount$:
Phone(952)249-4600 Fax(9�2)249-4616
, yF ` �
�.�,�E�}{�,��.�' CITY OF ORONO—MECHANICAL PERMIT
��_/ (All Commercial pennrts must be appro��ed hy 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
VAL[D UNTIL YOU RECE[VE 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,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on farm 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 )
�Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs J�(J Replace
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Job Site/Owner Information:
Site Address: � � � �� ���� ����,1,� �(�•
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Owner: ���11 �Q��(j Yl�(� Mailing Address: �,����t�
City: 7ip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: ,��!`��� ��4�, ��Ci�'' Contact Person:
,( q ,1 J
Address: 1���`�'���IQ�� ;�� State Bond#:
City: ���'1� Zip:� Expiration Date:
Phone: ��������- �7(�� � Alternate Phone:
❑ 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�No
��
HEATING SYSTEMS
Quantity: I
Make: �
ModeL• �/'�Cl�j `�� -���
Fuel: �''
Flue Size:
Input BTUs: �W �W
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/Masonry
VENT[LATION
❑ 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 iJproposing to abandon tank in place.)
❑ [nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
2
� . .
I�EKM17�� t�EE C�LCULATION(S)
E3ASE;ll OFF� - 20Q� 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;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 $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
j PERMIT�E��ALCULA'TIQN(S}-,�OBS 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)
�.
�-�C�� X .o�zs $ ��0 ''�
(contract price) (minimum�50.00)
2. STATE SURCHARGE ���D i j�
x .0005 $
(contract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
��'/
■ * CONTRACT PR[CE 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.
MECHANI��,'�'�RMIT 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.
ti �
, � f O� I�
Applicant's Signature: Date:
3
✓
� TE TIME
CITY OF ORONO CALLED IN
INSPECTION , TI E SCHEDULED � .3�t�
PERMIT NO. � 0 OMPLEfED
ADDRESS�����.2G
OWNER T LEPHONE N0.7�95`���
CONTRACTOR �e �
�; DESCRIPTION
�
ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORV:PROCEED ❑ PROJECT COMPIEfE
� ❑CORRECT WORK 8 PROCEED UE CERTIFICATE OF OCCUPANCY
w
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in dvance. (g52) 249- 600
OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice