HomeMy WebLinkAbout2010-00106 - mechanical � ' CITY OF ORONO PERMIT NO.: 2010-00106
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �ssu��: 02/25/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3355 GRAHAM HILL RD
PIN : OS-117-23-11-0008
LEGAL DESC : GRAHAM HILL PRESERVE
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 27,600.00
NOTE: (2)HEA"I�[NG SYS'I�EMS AND(2)COOL[NG SYSTEMS
(1)KITCHGN EXHAUST-600 CFM
(6)I3ATH GXHAUST
GASLINF POR OUTDOOR GRILL,(4)FIREPLACES,(2)FURNACES.(1)COOKTOP AND(1)DRYF,R
APPL[CANT MECHANICAL 345.00
HEATING& COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 13.80
18550 COUNTY ROAD 81 TOTAL 358.80
MAPLE GROVE, MN 55369-
(763)428-3677
OWNER
BPS Properties, LLC
201 LAKE ST E
WAYZATA, MN 55391-
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 f3uilding Code. "I�his permit is for only the work described and does
not grant permission for additional or related work which requires separatc
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not speciticd hercin.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of thc date ot�� suance,or if construction is
suspended for a period of 180 days at any i ie atter work has commenced.
Thc applicant is responsible for assur' required inspections arc
requested in confo ce with th�,tate uilding Code.This permit may be
revoked a m or due c e.
, / � � �J �o�!/��
p � nt Permitee�Si � atur Date Iss ° By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
' � FOR CITY I�SE O\Ll'
' p City of Orono �Q� 0 � ����
�4 �� P.O.Box 66 Date Reccived: Permit#
� 2750 Kelley Parkw�y ���. �
a � h, Crystal l3ay,MN 55323 Approved By: Amount`'s.
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CITY OF ORONO—MECHANICAL PERMIT
(�111 Commcrcial permits must be approved by dic 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. Applicatioiis will
be reviewed and a permit will be issued within two working days.
2. Pernlit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERI�IIT CARD IS POS'TED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required foi-each
heating,ventilation,humiditication-dehumidification,and air conditioning installation iucluding
heat loss/]leat gain calculation,design teinperatures,equipment ratings and identification as to
type.nlanufacri�rer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved, a separate building pernlit inust be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Buildi�ig 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 1 )
❑ Resideiltial � Commercial(Approval Required)
�l�e�v ❑ Additional ❑ Repairs ❑ Replace
Job Site / Owner Inforn�ation:
Site Address: �� .S� �i'�^ �� �' �— '��
O���ner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person: � ��
HEATING & COOLtNG TWp INC.
Address: 18550 County Rd. 81 State Bond #:
� 369-9231
(763) 428- 77
City: www.heata��,��_ Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
� Yes, this section applies
"The replacement of a ResidentiaL fixture or a�pliance that meets all three of the following requirements:
1. Does not require n�odification to electrical or gas service.
2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: a�id
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 Appticable) $ 2.00
Total Permit Fee �
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
1 f above does not apply; follow gliidelines below:
L CONTRACT PRICE * is 1.25'%of contract price with a(Minimum Fee of�50.00)
7i �O�0 • �t� x .0125 $ �7��
( ontract price) (minimum 5�0.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $ �.3�8�
(contract price) (minimum 5 SO)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �0 ��
■ * CON"I�RACT PRICE or JOB COST means the actua] or estimated dollar amo�mt charged for the
pernlitted�vork including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any n�aterial, equipment, labor or installations are furnished by
the owuer, tenant or any other party, the reasonable market value of such items must be added to the
estiinated cost or contract price for pemlit 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 Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The wldersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
i
Applicant�s Signature: Date:
��e•_
�
Reset Form
3
� MECHANICAL SYSTEMS BE1NG INSTALLED
Note: All Geothern�al Systems will now require a Site Plan &Review by our B�iilding Official.
IS THIS GEOTHERMAL? ❑ Yes � No
HEATING SYSTEMS
Quantity: 2
Make: �
Model: �.�.�1��?�
Fuel: /��'�.
Flue Size: 3�� '��--
Input BTUs: l Zo�v o '�
Output [3TUs: ll�l o ��
CFM: �o a p
COOLI1vG SYSTEMS
Quaiitity: Z
Make: l �" ��
Model: 2 0(`v �'�'�
Tons: 7i� ✓���
H. Power
F[REPLACES
� Gas Factory Fireplace Brand Name:
� Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove Witli Flue
�'Eh`TILA"CION
❑ No. I Kitchen Exhaust_ � duct recirculating �B� cfm
❑ No. � Bath Exhaust(must have duct outside) ��De cfi1�
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be npproved hy Fire Marslzall if proposi�ig to abn�idoi� taiik iir pince.)
� Installation � Removal
Fue] Oil: gallons ❑ Underground � Inside � Outside
LP Gas: gallons
Other:
CAS LINE ONLY
❑ �-' Outdoor GriLl � Other;List What&Where: ���� �������/ �������
/.!�•7 �vt-
2
�� � ATE� / TIME
CITY OF OR NO CALLED IN 3 ��`!�
INSPECTION OTICE SCHEDULED /�-'4f
PERMIT N0. /D -OD/d�o COMPLETED
ADDRESS [�J��S COr/�-�LQ�YI �Z G� �C�
OWNER TELEPHONE NO.�IOZ -�3�57�
CONTRACTOR `" ���" ���
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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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� � ORKSATISFACTORY:PROCEED Il PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ IfVSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on s�te: ,�-� -,
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Inspector. ��t," �..� i _�� � � -
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C� ��� " � DATE TIME
CITY OF ORONO "- `�'1 caLLED W -���—�1__�������''��'
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INSPECTION NOTICE j'' SCHEDULED ;-�,J ��-��
PERMIT NO. ,�� �_��`�C,'OMPLETED
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OWNER CONTR. � � � }'1<' �
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� DESC IPTIDN"��� t,�� 7�( I� � ��'�� � �� C��S../1
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y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
v ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU�YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:.
Inspector._`�;� p`-t�]�{�
White Copy/lnspector's File Canary CopylSite Notice
C� ��
� DATE TIME
CITY OF ORONO CALLED IN � � � �
INSPECTION NO. ICE � SCHEDULED z����` '
PERMIT NO. �COMPLETED
ADDRESS v��� � C�I�C1 �Y:Zi� ( t � � I �
OWNER TELEPHONE NO�� << �' �-� ��I
CONTRACTOR � � C � �� �
� DESCRIPTION `� ! V� �` ( � Y l�� ����-�1 ' �YY�
ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB 0 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 ❑ SEPT C INAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours irt advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. . r�r
White Copyllnspector's File Canary CopylSite Notice .