HomeMy WebLinkAbout2015-00037 - mechanical ' 1 CITY OF ORONO * Z 0 1 5 - 0 0 PJ 3 7 *
27_50 KELLEY PARKWAY DATE ISSUED: O1/13/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1025 HERITAGE LA
PIN : 10-117-23-13-0008
LEGAL DESC : FOXHILL
: LOT 002 BLOCK 002
PERMIT TYPE : MECHAN[CAL(>$500)
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTION TYPE : F[XTURES- MULTIPLE
VALUATION : $ 645.00
NOT[�:: RGROU"I�E"Il{E Kf►�CF[GN VI�N�I�. REROU"CF, POYF,R SUPPLY RF�,GIS��F:R.
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 0.32
FLARE HEATING& AIR COND MAIL-[N FEE 2.00
9309 PLYMOUTH AVE N
SUITE 104 TOTAL 52.32
GOLDEN VALLEY, MN 55427 Payment(s)
(763)542-1166 CHECK 62438 52.32
OWIYER
BYRNES, STEPHEN& PAMELA
1025 HERITAGE LA
WAYZATA. MN 55391-
AGREEMENT AND SWORN STATEMENT
The work tor�chich this pemiit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This pemiit is for onl��the work described and does
not arant permission for additional or related work w�hich requires separate
permits. All proeisions of la��s and ordinances governing this type oi�H�ork
shall be compied��•ith whether or not specified herein.This permit��ill
expire and become null and void if construction authorized is not
commenced H�ithin 180 da�-s of the date of issuance,or if construction is
suspended tor a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
reques ed in confonnance wit the State Building Cods:.�l5is permit may be
mv - at any time for tYue� use
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A� icant Yermitee Sign'ture Date Issu By Signature Date
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FOR CITY USE ONLY
,-�OA�O City of Orono
��I ��� P.O.E3ox 66 Date Received: Pennit#
2750 Kelley Parkway
Crystal Bay,ti1N 55323 Approved By: Amount`�:
� � � Phone(952)249-4600 Fax(952)249-4616
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��q,�:�,�.`\ CITY OF ORONO—MECHANICAL PERMIT
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__Y (.All Commercial pennits 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 oftices. Applications will
be reviewed and a permit will be issued within two working days.
?. Permit cards will be sent by return mail after a review is completed. PERMTTS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PER�TIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation, humidification-dehumiditication,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 Recard must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�esidential ❑ Commercial(Approval Required)
❑ New ❑ Additional �Repairs ❑ Replace
Job Site/Owner Information:
Site Address: � Z �I TGI�e L.
Owner: Mailing Address:
Ciry: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��Qt� E}tGi��lflc� �A�(G Contact Person: ��jiCC�
,
Address: G(�,"�'Q, lyn►ol�'�'�1 �1VG N State Bond#: I I��X.�jy2�}
City: C'10�t�Y1 VGIIGY Zip;��„'� Expiration Date:
Phone: 7CpE�-5y2-(I�o� Alternate Phone:
❑ Insurance—Current:
1
MECHAMCAL 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 ��(X}�� � ���Ghen v�n�, ClG�����' �yG�
Quantity:
sc��lY feg�s��,r
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VE�T[LATION
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans Locations cfm
FliEL STORAGE (Must be approved hy Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
I ,,� �,_�,�I,�cement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
'. Has a total cost of$�00.00 or less;excludin�the cost of the fixture or appliance: and
Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In 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(Nlinimum Fee of$50.00)
�,�� x .0125 $ �.�0
(contract pnce) (minimum$50.00)
2. STATE SL'RCHARGE
C��.c� X.00a5 $ . 32
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ Z.00
4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ ��e��
■ * 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
�l�he undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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: I'�Z,���
3
DATE TIME �
CiTY OF ORONO CALLED IN
INSPECTION TIC �CHEDULED �—� -�-5 a�
PERMIT NO.���'��� C MPLETED �
ADDRESS ���
OWNER L PHONE NO.
CONTRACTOR 7�� -� �`�'�/� �
�; DESCRIPTION L" �
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIILING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q
� 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONT(iACTOFi TO MEET YOU:_YES_NO
� COMMENTS: ,
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�ECT WORK 8 PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
O C�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
I CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlConUactor on site:_,�C�/��
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Inspector. �'�'
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White Copyllnspector's File Canary CopylSite Notice