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HomeMy WebLinkAbout2009-00161 - mechanical ' � CITY OF ORONO PERMIT NO.: 2009-00161 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUEn: 04/16/2009 952 249-4600 FAX: 952 249-4616 ADDRESS ,: 3285 GRAHAM HILL RD PIN : OS-117-23-11-0006 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 000 BLOCK 000 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 19,500.00 NOTE: (2)HEATING SYSTEMS-BRYANT-MODEL#35580042-NATURAL GAS (1)BRYANT COOLING SYSTEM-MODEL# 1 13ANA042 (1)COOLING SYSTEM-MODEL# 113ANA036 GASLINE FOR(4)FIREPLACES VENTILATION FOR(1)KI"I�CHEN EXHAUST-600 CFM,(5)BATH EXHAUST,(1)FAN- 150 CFM GASLINE POR(1)DRYER AND(1)RANGE APPLICANT MECHANICAL 243.75 HEATING &COOLING TWO INC. STATE SURCHARGE MECH(VALUAT[ON) 9.75 18550 COUNTY ROAD 81 TOTAL 253.50 MAPLE GROVE, MN 55369- (763)428-3677 OWNER BPS Properties, LLC LLC, BPS PROPERTIES, 201 LAKE ST E WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT Thc 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 the 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 not commenced within 180 days of[he date of issuance,or if construction is suspended for a period of 180 days at an � ' e after work has commenced. The appiicant is respo for assuri a required inspections are requested in co manc wrth the a uiiding Code.This permit may be revoked a �time du cau . __ . ��� �� S. � i / �J icant Permite Si ature Date Issu d By Signature Date SE ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. �o g7 ¢p� City of Orono � FOR CITX,USE ONLY , P.O.Box 66 '�y �.# � Date Recerved �. ' � permit# ' ' � ��„� 2750 Kelley Parkway . : �, �'�.�� Crystal Bay,MN 55323 A `' ' � i ' . �"�'���8y�� (952)249-4600 pproved By f � AmounE$ s CITY OF ORONO—MECHA1vICAI, pERNIIT' _ (All Commercial permi[s must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL'INFORNIATION ; � ' 1> You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pemut will be issued within two working days. 2. Pernut cards will be sent by retum mail after a review is completed. PERMITS ARE NOT : VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calcularions,details and specifications are required for each � hearing,ventilarion,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 pernut must be obtained. � 5. All work must be done in accordance 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. . TYPE OF PERNITT`' ` ' (Check All That A ply) ;; �Residential ❑ Commercial(Approval Required) �e`�' ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: _`)o� �j �-� � ���� '�� Owner:�L��� ��,� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: H O INC.Contact Person: Address: 18550 County Rd.81 rove MN 55369-9231 State Bond#: (763) 428 City: www.heatcootl?.com lp: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 y ���������.������l�CHA�TIC�L,S'�'S�`EIv1S=$EING�Ti�1ST LEDi �� - � �,� r � .������ .>�„�,�.,�_.�.,� ��; HEATING SYSTEMS = � - �_ � Quantity: � ; ° :,�� , ' -. Make: : : _ , - . : Model: : ��� ��L��� ' ��� . ., � Fuei: �� . � �_; .: �� :; � _ -�'Flue Size: � r ' � < ; , � _� ` Input BTUs. ` ` Output BTUs: _ . � � CFM: _ COOLING SYSTEMS n Quantity: ' � : / . ` , ,. . Make: •a�K. '�`� .��,� —� Model: `� C� ����/V�� �(n . Tons: H.Power . FIl2EPLACES _ —e' �'�� ; '�l� � G�S o n- � ❑ Wood Burning Fireplace ". ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. _ / Kitchen��aust duct recirculating �C� �� ❑ No. �3� Bath E�aust(must have du c t o u t s i d e) c fm ❑ Na �_ Other Fans: Locations /j /p/,f C�f T�� .L� zi FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal FuelOiL• gallons - LP Gas: ❑ Underground ❑ Inside ❑ Outside, gallons Other: GAS LINE ONLY ❑ Outdoor Grill Oflier/List What&Where: U��- �- � � � `1 �,,,� 2 �� � ! . ���, ��.�:�������-�pER1V1�1�F�j�A�CI�L��'��FICSN�S) � -� M�{�.��.���=��'��� ;:��, ` � OFF rt 2042;_STAT�S`EA��;U����� ���$ �`'r � ��� �� -_ BASED� .�}� �;��b r ' � ;��. ❑ - . Yes,this section applies � _ The replacement of a Residential fixture or appliance that meets all three of the following requirements: . 1� ;`r> � - 1. Does not require modificarion to electrical or gas service. � ; 2. Has a total cost of$500.00 or less;excludin�tfie 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 - � li State Surcharge $ .50 � '` Mail-In Fee(If Applicable) $ `' 1.50 , Total Permit Fee $ � _ `,�t5` : > � ,.:-PERlyIIT�EE-C�L,CT�I;A`�IO�(�)` '#JOB��O�ER�SOQ:00�,�'.��X.�'�:,� ��;� If above does not apply; follow guidelines below: L CONTRACT PRICE *is 1.25%of contract pnce with a(Minimum Fee of$35.00) • . : , , � ..__::.. c � _ _ �qc�U� � x.0125 $ (contract price) (minimum$35.00) x,. � 2. STATE SiJRCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50) � i�j e � ` -I J�C� -� 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 estimated dollar 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. 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 signed copy of the actual contract. ' **The STATE SURCHARGE is .0005 of the Building Departrnent at(952) 249-4600 for the price. '`y` _r.=�MECHANICA.��PERMIT APPLICATIO�I�A.GREEIviEI�` ��k��� �,�rt�, x �'ce,�n, z� �� r X a . � �� ��:a �`+nn—. 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 ciTy� � //ysP F pR � P FCT �NQ \ '7 q0 pRM�T N�N N�T�cE RFSS �q� r���FR ��� �� ��M F��0 ���TF �. �FPHpN � p�FTED l /� T�M �� OFS� FNo � < E � R�p �� o FoaT�"G T�ON c��TA '� ��a .� o O� �a'�" c � j/ �_ N ' � Ns��a r/ . !�� O lNq�`e�•oN O MF�yqNl�q� �/��O� \ �l�. v DF � NqN� Rl /`'��,� � �4Q O pEMO��S/TF Q W���evRAC F�Nq� ��i� � � `��� q T NF G<� LJ �v O pC Me N G q�C �F��R N��k`p/FIRFp CACF � F kcA��GR O N F Rip� G F�/vq� �SFpr c MAiNT U P Q �k FSNp q��NGiF�� Q`4Q� COII,�MFNT RACT�R T�ME O\SEP�T/C�-�Nq�'qCC. �Op l��NSp�jOV�Fr��ps C' J� aS �Yp�,�( y � C Mp RFSS C?1��; O (JC FS O L9� �. �/y F�(� NT Q � � NqR ��"t'UP �4 O Fo��DA O�N AFM��qC Q ��AC �� �� ��� PERMIT NO.: 2009-00153 d c�, DATE ISSUED: 04/14/2009 ��o O� <1 C�qRK SATjSF 6 O G C RFCTW qCT�RV � eEFOq�CT Wp RK$pRpcR�cFF� R �CpqR��CO�FR N�q��FO FO , OO/gT�p ADF�o�Fv��o�o,T/RRF�HSpF�T�o� �_ MSpFC Fq pOs C q�.V O�y W�T ,�� ✓F�r T/pMR�QU��O cqCC�M H/N\ SSUeC�R�OMpC�F �wn Cc�///Or t R�o cA<<T AqR OR yoURs �%P\Pr�Mp�R�OF OCCUP 'ns er/Contra h@n xt%n A/VGEqCC�s `-�C/��o?qKF�qMANFN� QNCy pe�to �te• sAecti°n2qho4r s � ��SSUFO wn;re S�n ad�a COpY//�SPecrors�'/e nCe �����Z 49�Q600 Ca�ary COpy/S're�or'C e APPLICANT PLUMBING FIXTURE FEE 100.00 STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 4.00 13025 GEORGE WEBER DR SUITE#1 TOTAL 104.00 ROGERS, MN 55374 (763)428-1833 OWNER BPS Properties, LLC LLC, BPS PROPERTIES, 201 LAKE ST E WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT "Che�vork 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 pennission for additional or related work which requires separate permits. All provisions ot'laws and ordinances governing this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. � The applicant is responsible for assuring all required inspections are �,���J�� requested in conformance with the State Building Code.This permit may be � ����-l'� revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued Qy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.