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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. � ���LQ.C--Q �iYl, l l l l 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 �"��sxo4y 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. � r.� , Applicant's Signature: � Date:��� Reset Form 3 ` \ � � ATE TIME ✓ l/�CITY OF ORONO - CALLED IN ��Z��� INSPECTION NOTICE SCHEDULED -����r //�DO PERMIT NO. "LC�J`�'"��G9 COMPLETED ADDRESS f �g� �I�PfV�C G1 ����� /�IZ OWNER CONTR. �(�1'�. TELEPHONE NO. �Y J ���� C� -� �� � - ��� � DESCRIPTION l�7_r___,�,' ,� , � � (�SZ � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING 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: � a �2 `. ) �1'l, A��,, ll.v � � ' � O '' .�� 1�S� ��-f Li o � r �C S-f- � 0 � W � Q � Z W � W � � d W� �WORK SATiSFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED l7 ISSUE CERTIFICATE OF OCCUPANCY � ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ 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 �— � �� T TIME t / �Q U V 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�[� . 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 ' � OMMENTS: ���v � �r'� � `�� d�, W a o � � /� C� nn�'f'�.� I�--.�"1"' � �� a � O � W � Q � Z W � W � � d 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