HomeMy WebLinkAbout2013-00788 - mechanical ` ' CITY OF ORONO * z 0 1 3 - 0 0 7 8 8 *
2750 KELLEY PARKWAY DATE ISSUED: 08/12/2013
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3210 GRAHAM HILL RD
PIIV : OS-117-23-11-0009
LEGAL DESC : GRAHAM HILL PRESERVE-2
: LOT 1 BLOCK 2
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : FIREPLACE -GAS
VALUATION : $ 6,700.00
NO'I'E: 1 GAS F'P HEA"1'N GLO 6000C-IPI
1 WOOD f3URNING PP LI:NNOX 23M92
APPLICANT MECHANICAL 83.75
GLOWING HEARTH AND kiOME STATE SURCHARGE MECH (VALUATION) 3.35
100 ELDORADO DRIVE
JORDAN, MN 55352 MAIL-IN FEE 2.00
(952)495-2927 TOTAL 89.10
OWNER
MESENBURG, MATT& MICHELLE
2525 KELLER ROAD
LONG LAKE, MN 55356-
AGREEME]YT AND SWORN STATEMENT
fhe�vork for���hich this pennit is issued shall be performed according to
the approvcd plans and specifications,applicable City approvals,and thc
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
pemiits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied hereia This permit will
expire and become null and void iY construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period oY 180 days at any time after work has commenced.
I he applicant is responsible for assuring all required inspections are
requcsted in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
`/� G�' / / / /
npplicant Permitce Signature Date Issued y.� nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED A OVE.
. �
�__`
FOR CITY USE ONLY
j � City of Orono
/ ���� ''� P.O.Box 66 Date Reeeived: Permit#�
�t� � � 2750 Kellcy Parkway
� Crystal Bay,�iN SS323 Approvcd By: � Amount 5:
� Phone(952)249-4600 Fux(952)249-d616
�.�
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���� ���` CITY OF ORONO-MECHANICAL PERMIT
�'iK�s�� (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 UNT1L YOU RECEIVE A YERMIT. WORK MUST NOT BEGIN UI�TIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�:ns—Complete calculations,details and specitications are required for each
heating,ventilatiou,humidification-del�umidification,and air conditioning installation including
heat ioss/�eat bain calculation,design temperariirec,equipmenY�atings and identifcation as to
type,manutacturer and rnodel. Data shall be presented on form provided.
4. Whcn 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(rouglrin and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be sLibmitted before fii�al.
TYPE OF PERMIT
(Check All That A I
�Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑Repairs ❑Replace
Job Site/Owner Tnformation:
i A r : �"��.� � �1'-C1`�l C �M'l'1 , �,� �--�
S tc �1 css �_ l �
Owner:L,'\Gil'�S ��.lC`('l ���Nl� Mailing Address: �S�`���� "_�`�� ?�C�`�- ' "
City: � 1'Y�C�L�-� Zip: ������
Home Phone: �UI �'��� '-�`�-����-' Alternate Phone:
Contractor Information:
Contractor: � �� ��-'�' 1� �������� ��ntact Yerson: l, ��-� j C����-'�
,
Address: � � � � � ��C� V��t`� State Bond#: rn� 1.�.�' �7��
City: �� �� �- _ Zip:�-����„�Expiration Date: �.
�CD�
_�_
Phone: l�-� -���� �•��� � Alternate Phone:
[� Insurance—Current: � � ,1� .'3- — ���7i l�
1
�
' MECHANZC.A,L 5���':��.�;�F��`�IN�T,�I.�D ",
Note: All Geothermal Systcros will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑ No
HEATiNG SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
�� Gas Factory Fireplace /„�t� Brand Nan�e: �.C-t-�� �l`—�-�
�.� Wood Burning Fireplace l;P� /
Wood Stove Model No.: (�� , � /�/
❑ Wood Stove with Flue/Masonry
�` >>��� . � �n� ���X
vFNTiLATioN ��1�e1 ., 2� �� �L��i�S�T
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FOEL STORAGE (Must be uppraved by Fire Marshall if proposing to aba�:don tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ inside ❑ Outside
LP Gas: gallons
Other:
GAS L1NE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
�
� . .
�� — — PERMIT�} �, CALC[1LATiON(�) � �� � �
_ ___BASED �FF 2Q0? STATE STATUE � � � � � � ��
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance 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 $ 5.00
Mail-Tn Fee(If Applicable) $ 2.00
Total Permit Fee $
, PERMIT FEE C�LC�LA'�'�� ..� - �.,,Q��'�;�.��}{3:#�� ..;.
1f above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25"/0 of contract price with a(Minimum Fee of$50.00)
. � � � , r--�
� 'i��� ' �� x.0125$ r) �� �l
(contract price) (minimum$50.00)
2. STATE SURCHARGE `� � �
�`� I�� � ��U x .0005 $ .� �� 7
(contract price)
3. POSTAGE&HANDLiNG(Only on Mail-In Applications) $ 2.00
C� �4. 7'OTAL PERMIT FEE(Add Lines 1-3 Above) $ � � � _
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernlitted 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 si�ned copy of the actual contract.
���������� � �T`:AP��, ��'�"T��?��,��a��.F�Iu��; �..�..�.,,��
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 Signature: /��� Date: �
3
� D TE / TIME v
CITY OF ORONO C LLED IN ' �
INSPECTION NOTICE SCHEDULED �'�-L`�� /GC
PERMIT NOL�D�3—GY��Ia COMPLETED —����
ADDRESS �Zl� ���C.�1'YJ �.1-C-L(_'
OWNER TELEPHONE NO.��Z 3� ���
CONTRACTOR t G �� �Q-� i
� DESCRIPTION ��� ��� � �1�7 L�'I
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �7�fl1`SATISFACTORY:PROCEED C7 PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-460�
Owner/Contractor o site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice