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:
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��� PERMIT NO.: 2009-00153
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c�, DATE ISSUED: 04/14/2009
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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.