HomeMy WebLinkAbout2009-00082 - heating systems CITY OF ORONO PERMIT NO.: 2009-00082
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �SSUED: 02/24/2009
"' 952 249-4600 FAX: 952 249-4616
ADC�2ESS : 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 : HEATING SYSTEMS
VALUATION : $ 12,000.00
NOTE: 1 MUNCHKIN MC 50 NATURAL GAS FURNACE
APPLICANT MECHANICAL 150.00
HEATED FLOOR SYSTEMS [NC. STATE SURCHARGE MECH (VALUATION) 6.00
150 GRENADIER AVE.N.
OAKDALE, MN 55128- MA[L-IN FEE 2.00
(651)739-7787 TOTAL 158.00
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 specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for addi[ional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or no[specified hereia This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the da[e of issuance,or if construction is
suspended for a period of 180 days at any[ime after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e Building Code.This permit may be
revoked at any tirr�e for due cause.
`,�'Z�-P �'C� l l C���t�-� l l
Applicant Permitee Signature Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE.
��v - 2�tq - ��1 �
FOR CITY USE ONLY
City of Orono
¢�� P.O.Box 66 Date Received: Permit#
� �\ 2750 Kelley Parkway
� � �.y'�• r��! Crystal Bay,MN 55323 Approved By: Amount$:
.���0;`/1 (952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(AII 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 UNTIL YOU RECE[VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,detai►s 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. 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 I
�Residential �Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: �)�� �%1�--�� A /4'� � \�-l_- �� '
Owner:C��'� ���-�- �u�'`'� �� Mailing Address: 15Z3� �� ''� �L, �
City: �'��'�G �o�Z.��l� /�'�1� Z�p; � S3 � �
Home Phone:1�t� '5��1 " ��CU Alternate Phone:
Contractor Information:
Contractor: �'��Q 1 EU �L��2`�{S��.M�Contact Person: �d�� E �/N t-���►�5�'�
Address: �SU �(2.E�-1qD�E1L +��r.}.� StateBond#: -``qjl.�lZZU3��{ � ZU �{
City: ���74(� �lrt►� Zi��z-�Expiration Date: g� �1 ` O`�
Phone: c.�'S 1 "1?J� '1��1 Alternate Phone:Cv�1 '�L3� " �Z� �
❑ Insurance-Current:Cp1�71�J El�l TO C--
1 i,.����r� ��-1
� Z�`1S`15c� -_ Z3
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: (
Make: ��l►1(���1�l {�
Model: 1"`LS�
Fuel: Iy�'��,Q��
�;i
Flue Size:
Input BTUs: �� �-�
Output BTUs: '1 �,�'`��
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
B Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
0 No. Other Fans: Locations cfrn
FUEL STORAGE (Must be approved by Fire Marsha[I if proposing to abandon tank in place.)
� Installation a Removal
Fuel Oil: gallons ❑ Underground � Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:
2
, ' PERMIT FEE CALCULATION(S)
. BASED OFF -2002 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;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 $ I5.00
State Surcharge $ .50
Mail-[n Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION S -JOBS 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)
( yc'L� X.o�2s $ � SJ
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
��� x.0005 $ �
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines]-3 Above) $ ���j�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dol(ar amount charged for the
permitted wark 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 instailations 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. [n 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.
■ **The STATE SURCHARGE is.0005 of the Building Deparlment 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 ardinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this appiication are complete, true and
correct.
Applicant's Signature: 1r/� � �"17r��ate: 2��� '��
Reset Form
3
�� �` D fiE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC -7 SCHEDULED Gti �
PERMIT NO. �������i—t'6MPLETED--_,
ADDRESS � �'� �r��n� � �
OWNER�L.�� k t-t� I I CONTR. ����-�C� ��cL'`�,�Pn�
TELEPHONE NO. �!)�I - �a�1� ��� ��
� DESCRIPTION �"Y���� s1 i c'0-� 1 � -t'�c�(
� ❑ FOOTING Q'fv1ECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
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
J ❑ DEMO-FINA� ❑ SEPTIC INSTAI.L. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
o rl
a ,,� ;�, .
�
0
�
Q � ��-� �...� ,A �; ��
�
z
W
�
W
�
�
d
� RK SAT{SFACTORY:PROCEED '� PROJECT COMPLETE
W ❑COR ECT WORK R PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑Ct�RRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z) Z49-460�
�
OwnerlContractor on siteaj '
�
Inspector. �`�--��-�'� '`• ' ��
White Copyllnspector's File Canary CopylSite Notice