HomeMy WebLinkAbout2009-00099 - mechanical 1 - � CITY OF ORONO PERMIT NO.: 2009-00099
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 03/09/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3225 GRAHAM HILL RD
PIN : OS-117-23-14-0067
LEGAL DESC : GRAHAM HILL PRESERVE
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 23,000.00
NOTE: NEW HEATING AND COOLING UNITS-(3)GAS FACTORY FIREPLACES-GASLINF,FOR DRYER,COOKTOP,FUTURE SPORT
COURT,(1)OUTDOOR GRILL/VENT(1)KITCHEN EXHAUST 600 AND(6)BATH EXHAUSTS.
FIREPLACES-HEAT N GLO MODEL NO. 6000
HEATING UNIT-(1)BRYANT,MODEL 355120,NATURAL GAS,3"FLUE, 120,000 INPUT BTU'S, 115,000 OUTPUT BTU'S/COOLING
SYSTEM(1)BRYANT,MODEL NO 286ANA060,T TONS
APPLICANT
MECHANICAL 287.50
HEATING&COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 11.50
18550 COUNTY ROAD 81
MAPLE GROVE, MN 55369- TOTAL 299.00
(763)428-3677
OWNER
WEBER,AARON
3225 GRAHAM HILL RD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN 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[he work described and does
not grant permission 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 no[
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all quired inspections are
requested in confo ce with the S B ding Code.This permit may be
revoked at any t r due u .
� � ����i'GL-
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App icant Permite S� n ture Date Issue y Signature Date �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
`
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FOR C�TY USE ONLY �
O,�p�O City of Orono ,,
P.O.Box 66 Date Recerved . ' - permit�l- ' '
� �. 2750 Kelley Parkway . ' � _
'�, �� Crystal Bay,MN 55323 � = e
�, °'1�� � Approved By . _ ' Amount$
�'��i,$yo (952)249-4600
�
CITY OF ORONO-MECHAlvICAL PERMIT -
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENER.AL INFORIVIATION , .: .,
" 1, You may apply for mechanical pemuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERivIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi ns—Complete calcularions,details and specifications are requued for each '
heating,ventilation,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identificarion as to
type,manufacturer and modei. Data shall be presented on form provided.
4. When any new construcrion or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accardance with the Unifoim 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.
. TYPB OF PERIv1IT
(Check'All That A ply)
'�-Residential ❑ Commercial(Approval Required)
'� New ❑Additional ❑ Repairs ❑Replace
Job Site/ Owner Tnformation:
Site Address: �� �j�"' ,
Owner:l-.Q,�S�\�_(�,����ailing Address:
City: Zip:
Home Phone: Altemate Phone:
`Contractor Information:
Contractor: Contact Person: t/�!
HEATiNQ &COOLING TWO INQ.
Address: 18550 County Rd. 81 State Bond #:
Maple rove, 1
City: {763) 428-3677
��p� Expiration Date:
Phone: Alternate Phone:
❑ Insurance-Current:
1
t . �„
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' HEATING SYSTEMS - ` - �:
i
� Quantity: �
�: . ,. Make: � �`�- '�,� ,
. � , ' . � : ' ::.
` Model: . ,3,��j z p -
Fuel:� ��� .
_ _, �`'
. ,__, . : _ , �
_ Flue Size _ ` . =.� :
' :; � *\ ;
Input BTUs �` �� �d`�
Output BTUs: r�=z��� �
CFM: � _ �i�x� �
COOLING SYSTEMS
, Quanrity: �
= . Make: : -. � , . ; . . : ,
Model: lV��
. Tons: _�
H.Power
FIREPLACES
� �- Gas Factory Fireplace
❑ Wood Burning Fireplace
". ❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �d'f/�� �r�rJ Model No.: �i��
VENTILATION
❑ No. Kitchen Exhaust�_duct JG recirculating ��
❑ No. � Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations • cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
FuelOiL• gallons -
LP Gas: ❑ Underground ❑Inside ❑ Outside.
gallons
Other:
GAS LINE ONLY �'�����
r— �Uv�v�
�-• Outdoor Grill ❑ Odier/List What&Where: �� ��'/'"�� ���1" '
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�,-��� �,�������''��PERIvfI'l�F��A�`CI��'�'�ION�S) ' �-
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❑ .Yes,this section applies �
_ The replacement of a Residential fixture or appliance that meets all three of the following requirements: .
`4� 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 secrion,if this applies;; Cost of Pernut $ 15.00
��
State Surcharge $ .50
Mail-In Fee(If Applicable) $ ' 1.50
_ Total Permit Fee $
��,�`�'���_,,. ,k�P.ERIVIIT FEE C.AL,CL�I;A`�ION�(S) .t:TOBS£;OVER$50,0,�00�. � ��;�+� „�.
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If above does not apply;follow guidelines below:
� 1. CONTRACT PRICE *is 1.25%of contract price with a (Minimum Fee of$35.00)
L3,� o� x.0125 $
(contract price) - (minimum$35.00) ' :
: 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '
• � * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the
_ pemiitted 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 pluposes. In the even4 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.
• **The STATE SURCHARGE is.0005 of the Building Department at(952) 249-4600 for the price.
-:� � �, _
,::��IVIECHANICAL�PERMIT APPLTCATION4AGREEMEI.���`��.�.���,�` ��;�� .
The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all
work in strict accardance 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:��� � � y �
3
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CITY OF ORONO CALLED IN /
INSPECTION NOnTICE SCHEDULED ��`�
PERMIT NO.a��/iG 9'��Q�.�� COMPLETED
ADDRESS �
OWNER CONTR. � v ` /K/�
TELEPHONE NO. - � - - .3 �S�O
� DESCRIPTION ���iLCI� \ "�������
� ❑ FOOTWG ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLWG
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAI. ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR '-� CITATION ISSUED
❑ INSPECTION REQUtRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnedContractor on sit
Inspector. f �
White Copyllnspector's File Canary CopylSite Notice
C '1 � ATE TIME V
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CITY OF ORONO CALLED IN
INSPECTIO OTI E SCHEDULED �_��C�/ �-�,
PERMIT NO COMPLETED r
ADDRESS � a �� C {�(�/'lC�.�lj"V� _ \
OWNER I CONTR. �`�_-�"iJ'1Q ��c�cY,�
TELEPHONE NO. — - ' '7 ��
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� DESCRIPTION Cy �1 �/� [,t� / ��r f{t'('�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER NOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL , ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS: � � t����,� (�(1Q-i'� i1Q.�.,V GC�yY�
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W RKSATISFACTORY:PROCEED f-i PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN _�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
.
Owner►Contractor on ite:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�—� DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED d-'?�
PERMIT NO. „ a�i - D�049 COMPLETED
ADDRESS 303�0�, S ��Q-�Q-l'l� ���1��_
OWNER CONTR. �'
TELEPHONENO. - L - 3- �v
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� DESCRIPTION ��'�--��- �L��� ��C
� ❑ FOOTING �ECHANICAL RI ❑ CAV/GRADING/FILL�NG
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
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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W� ' WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REiNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑COFRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTIOIV REQUiRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: �
Inspector.
White Copylinspector's File Canary CopylSite Notice