HomeMy WebLinkAbout2011-01358 - mechanical , � CITY OF ORONO PERMIT NO.: 2011-01358
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/3U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3315 GRAHAM HILL RD
PIN : OS-117-23-11-0007
LEGAL DESC : GRAHAM HILL PRESERVE
: LOT 6 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 31,200.00
NOTE: 2 BRYANT NAT GAS FURNACES
I TRIANGLE TUBE GAS FURNACE
2 BRYANT AC'S
1 KITCHEN EXHAUST
5 BATH EXHAUST
GAS LINGS FOR FP'S, DRYERS&COOK"COP
APPLICANT MECHANICAL 390.00
HEATING& COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 15.60
18550 COUNTY ROAD 81
MAPLE GROVE, MN 55369- TOTAL 405.60
(763)428-3677
OWNER
HEURUNCT, MARK& SUE
225 6TH ST S#2900
MINNEAPOLIS, MN 55402-
AGREEMENT AND SWORN STATEMENT
"fhe work for��hich 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 separa[e
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 the date of issuance,or if cons[ruction is
suspended for a period of 180 days at any ime �er work has commenced.
The applicant is responsible f suring a I re uir d inspections are
requested in conforma w� e S[ate B �ng ode.This permit may be
revoked l�ti or
.� i�
�/� / l / /
App � mrtee Signatu Date Issue By S� ature Date
SEPA TE ERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE.
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� .Ar / City o£Orono � � Foa cl�r�� usE o:vL���
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i �.�;; 2750 Kelley Parkway Dat�Received: _ pz�,t�, �
' ��'� �71y'�;�- � Crystal Bay,MN 55323 � �
"'l�t;;,�h 'W� �` (9�2\249-4600 APProved By- Amount$:
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CITY OF ORONO — M�CHANICAI, PER�tiIz�T
(All Cammercial permits must be approved by the Building Official or[nspector and/or Fire Marshall)
GENERAL'INFORMATION
1• You may apply for mechanieal pennits by mail or in person at the City offices. Applications will �
be reviewed and a permit will be issued within two working days.
2. Pennit cards will be sent by retum maii after a review is completed. PF_RMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERIviIT. `VORK MUST NOT B�GIN UNTIL THF
PER�l�1IT CARD IS POSTED ON THE JOI� SITE.
3. Mechanical Desi ns—Complete calculations, details and specifications are requu•ed for eacli
heating, ventilation, hunudification-dehunudification, and air conditioning install�ation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on fornl provided.
4. When any new conshuction or remodeling is involved, a separate buildu�g pennit musT be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requu ements.
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 ApPIY)
�] Residential ❑ Commercial (Approval Required)
� New ❑ Additional ❑ Repairs
❑ Replace
�Job Site/ Ow�iier Information: � �� � �
�
Site Address: t��� � �j �� ��.� 1� \\
�i�a rr� N\�
Owner: ('_��.��ir. ��;� ,��
Mailing Address:
City:
Zip:
Home Phone: Altemate Phone:
:Contractor Information: :
Contractor: H
�� 0 INC.Contact Person: -��
18550 County Rd, g� `'�
Address: Maple Grove, MN 55369-9231 State Bond #:
428-3677
www.heatcooi� com
City: ip: Expiration Date:
Phone: Alternate Phone:
❑ I�lsurance—Cui�-ent: �
-- — - — 1 --
'� . �— `" ---'�II;CHEINIC��L SYSTEIvIS BEII�IG II�TSTALLED
HEATING SYSTEMS
Quantity: j
Make: _ �
�N. /�►.J�i'�,,i� --J��
K�
Model: ���f I `C� ��� ��(D �
FueL � . ,, �^�
<•�
Flue Size: `� ��,/C `.� ���
Input BTUs: �g-p
� l/�, ���
oucpuc BTus: o o� � � �
CFM:
COOLING SYSTEMS
Quantity: � �
-�_
Make: �� a,�, ' 'r•.Y
-----��� ' ��
Model: � 1 ";,, ��
, 1 � • n;��
Tons:
H. Power
---------
FIREPL.ACES
� � ❑ (�as Factory Fireplace
�,;
� Y,�:,��d Riii�lin�Fireplac�
❑ �'vuod �[ovc
❑ V�iood Stove�Vith Flue
Biatid Name: � �
Model Na.:
VENTILATION
�� No. Kitchen Exhaust�duct �ji��a
NO• � Bath Exhaust(must ave duct out recirculating ��
❑ No. side) ��� „OAc�cfm
Other Fans: Locations
c fm
FUFL STORAGE (MUST BE�APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
FuelOil: gallons
LP Gas: ❑ Underground ❑ Inside ❑ Outside
gallons
Other:
GAS LINE ONLY
�` ��, �����;�;�ci�'L
� Outdoor Grill � Otlier/List What&Where: ,�
v�c �.
�1� ��-,
2
+� . .
PERNIIT 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 modificarion 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
��� PERMIT FEE�CALCULATION(S)—JOBS OVER�500.00. =� F `3,_�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�� 0���� x.0125 $
(contract price) (minimum 53�.00)
2. ST�TE SURCfIARGE **Add the State Bldg Code 1�iv. Surch3rge (i�iinimum Fce of�.56)
x.0005 $
(contract pricc) (minimum� .�p)
3. POSTAGE&HA�IDLING(Only on Mail-In Applications} $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $
' * CONT`RACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 pernut fee purposes. In the evenf 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.
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 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. �
� l
i
�
Applicant's Signature: � Date:
----�
3
� ��.� DAT TIME "'
CITY OF ORO O �LLED w � �
INSPECTION NOTICE SCHEDULED J� �
PERMIT NO. �U �� �d��� COMPLETED �
ADDRESS ��`� �� �v�� ���
OWNER T�LEP NE NO. �3�7O
CONTRACTOR � � � ��` CC-i'`
>; DESCRIPTION �'v`�'�—`'��"�- "`� 'V�-
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIf�C
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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 ❑ SEPTIG NSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU: YES_NO
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� COMMENTS:
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W� 'd.Ip(Q$K..SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑ CORRECT WORK&PROCEED ':' ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for ihe next inspection 24 hours in advance. �952� 249-Q6QQ
Owner/Contractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO �CALLED IN �(J D� / TIME �
INSPECTION NOTICE SCHEDULED �I'l3L �• -
PERMIT NO�l� ��— D/3Sc� COMPLETED
ADDRESS .33 � S C�r(�.' �2�'f'� � !�
OWNER TELEPHONE NO. 7�3 `�� 3�7�
CONTRACTOR __��� � �G�� ���
>; DESCRIPTION /��� /�/��\
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON S�AB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ ORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
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� Z49-46��
OwnerlContractor on sit .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� �vl DAT TIME J
CITY O RON CALLED IN I ��
INSPECTION NS�ICE CHEDULED � �
PERMIT NO. o��i-a�35�OMPLETED
ADDRESS J'�l� ((�l' �C�f'/1 ��� 'N!` �-
OWNER TELEPHONE N ` �� 5��
CONTRACTOR
�: DESCRIPTION `�� v�- �-� � r
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ E AV/GR N ILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESH ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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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W� CT�INORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 L CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �-j pHOTOTAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: "
Inspector. �'�
White Copyllnspector's File Canary CopylSite Notice