HomeMy WebLinkAbout2009-00129 - mechanical CITY OF ORONO PERMTT NO.: 2009-00129
2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE ISSUED: 03/30/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1285 FRENCH CREEK DR
PIN : 10-117-23-32-0007
LEGAL DESC : FRENCH CREEK
: LOT 008 BLOCK 001
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 8,500.00
NOTE: 2 GOODMAN NA��URAL GnS HEAT[NG SYS"1'EMS
2 GOODMAN 3"I'ON AC
APPLICANT MECHANICAL 106.25
FORE MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 4.25
3102 103RD LANE N
BLAINE, MN 55449- MAIL-IN FEE 2.00
(763)786-6500 TOTAL 112.50
OWNER
GEORGE, DEVEAN
1285 FRENCH CREEK DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
l�he��ork for�vhich 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 arant permission for additional or related work which requires scparate
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
commenccd within 180 days of the date of issuance,or if construction is
suspendcd for a period of 180 days at any timc after work has commenced.
The applicant is responsible for assurin�all required inspections are
requested in conformance with lhe State Building Code.This permit may be
revoked at any time for due ca�fse.
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Applicant Permitee Signature Date Issucd By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE.
. �
` FOR CI"1�1'I;SE ONLY
City of Orono
�O� P.O.Box 66 Date Received: Pennit#
� �� 2750 Kelley Park�cay
� ' '`� �*+ Crystal E3ap,MN 5�323 Approved By Amoimt$:
''y � �� o� (952)249-4600
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CITY OF ORONO— MECHANICAL PERMIT
(All Commercial permits must he approved bti�the I3uilding Ot7icial or Inspector and/or Pire Murshall)
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. PERM[TS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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. Vl'hen any new ccr.structior.or remode!ing is invulved,a separa±e 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 l )
Q✓ Residential � Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site /Owner Information:
Site Address: 1285 French Creek Drive
Owner: Devean George Mailing Address: 1285 French Creek Drive
City: Orono Z�p: 55391
Home Phone: Alternate Phone:
Contractor Inforination:
Contractor: Fore Mechanical, Inc. Contact Person: Greg Dustin
Address: 3102 103rd Lane N.E. State Bond #:
City: Blaine Z�p: 55449 Expiration Date:
Phone: (�63)786-6500 Alternate Phone:
� Insurance—Current:
1
MECHANiCAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by out•Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑✓ No
HEATING SYSTEMS
Quantity: 2
Make: Goodman _
GV95115D
Model:
Natural
FueL• _
PVC
Flue Size: ___
115,000
Input BTUs: _
Output BTUs: 109,OQC
CFM: 1,200
COOLING SYSTEMS
Quantity: 2
Make: Goodman
Model: SSZ160361A _
Tons: 3
H. Power _
FIREPLACES
� Gas Factory Fireplace Brand Name:
� Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENTI LATION
❑ No. Kitchen Exhaust duct _recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must he approved by Fire Mnrshall if proposing to abandon tnnh in place.)
� Installation � Removal
Fuel Oil: gallons ❑ Underground � Inside � Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other i List What& Where:
2
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE ST'ATUE
� 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;excludinQ the cost of the fixtw�e or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pennit $ 15.00
State Surcharge $ .50
Maii-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PEP.i�;IT F�L CALCU�:ATtON(S)—JOBS OVER $500.00 ,
If above does not apply; follo�v guidelines below:
1. CONTRACT PRICE " is 1.25%of contract price with a(Minimum Fee of$50.00)
8,500.00 x .0125 $ 106.25
(contract price) (minimum$�0.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of'�.50)
8,500.00 x .0005 g 4.25
(contrict price) (minimum$ 50)
3. POSTAGE & HANDL[NG (Only oi� Mail-ln Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 112.50
■ * CONTR,ACT PRICE or JOB COST means the actual or estimated dol(ar 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. [f 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
amoun± of the iob cost. the Ci±�� �r.ay ,equest the s��b:nissi�n of a si;ned copy ef the actuzl cor.tract.
■ **The STATE SURCHARG.F, is .0005 of the Building Department 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 statei�ents ade on this application are complete, true and
correct. �
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Applicant's Signature: � Date:���
Reset Form
3
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l/�CITY OF ORONO - CALLED IN ��Z���
INSPECTION NOTICE SCHEDULED -����r //�DO
PERMIT NO. "LC�J`�'"��G9 COMPLETED
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OWNER CONTR. �(�1'�.
TELEPHONE NO. �Y J ���� C� -� �� � - ���
� DESCRIPTION l�7_r___,�,' ,� , � � (�SZ
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ 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
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site:
Inspector. /� ��
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO�j�j��S� CALLED IN ( ����
INS�ECTION N TICE SCHEDULED _�,3 -"��
PERMIT NO. —��2 COMPLETED
ADDRESS���� C:�-2:e-� ������
OWNER CONTR. Tl�[�
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TELEPHONE NO. �pl� � ��s�7(o J` (i�a-�L�-�oLt/vcp�t�
� DESCRIPTION / vl� ���
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING �e�4ECHANICAL FINAL ❑ LAKESHORENVETLANDS
� ❑ 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
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
��WI�E ONTRACTOR TO MEET YOU;�YES_NO '
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W���WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ��SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING �-p�RMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
Owner/Contractor on site:
Inspector. tL,�� �l ��
White Copyllnspector's File Canary CopylSite Notice