HomeMy WebLinkAbout2011-00123 - mechanical CITY OF ORONO PERMIT NO.: 2011-00123
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 02/23/20ll
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3405 HIGH LA
PIN : OS-117-23-11-0002
LEGAL DESC : REG. LAND SURVEY NO. 0843
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
COIVSTRUCTION TYPE : MECHANICAL- MULT►PLE
VALUATION : $ 10,000.00
NO I'E: 1 RUUD NAT. GAS FURNACE
I RUUD 3"I'ON AC
I
APPLICANT MECHANICAL 125.00
RONS MECHANICAL, INC. S"CATE SURCHARGE MECH (VALUATION) 5.00
1812 OLD BRICKYARD RD.
SHAKOPEE, MN 55379 MAIL-IN FEE 2.00
�� MISC FEE 0.00
TOTAL l 32.00
OWNER
REILLY, KEVIN & DGNISE
3405 HIGH LA
LONG LAI<E, MN 5�356-
AGREEMENT AND SWORN STATEMENT
l�he��ork for Hhich this permit is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is tbr onl��the�eork described and does
not grant permission lor additional or related work which rcquires scparatc
permits. All provisions of la���s and ordinanccs govcrning this typc of w�ork
shall be compied with���hether or not specitied herein."I�his 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 timc after work has commenced.
The applicant is responsible for assurin�all required inspections are
requestcd in conformance with the State 13uilding Code.This pennit may bc
revoked at anv time I'or due cause.
�Gl..+.� (/y�- / / l l
Applicant Permitce Signature Date Issuc Qy nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE.
�
� FOR CITY USE ONLY
� � O,�D�O City of Orono
P.O.Box 66 Date Received: Permit#
�;, � 2750 Kelley Parkway
a ����� � Crystal Bay,MN 55323 Approved By: Amount�:
�
�d� � o` Phone(952)249-4600 Fax(952)249-4616
�,���
88A0�
CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permiu must be approved by thc Buildin�Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return 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 Designs—Complete calculations, details and specifications are required for each
heating,ventilation,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 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 Record must be submitted before final.
TYPE OF PERMIT
(Check All That A ly)
[''�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs [�'�eplace
Job Site/ Owner Information:
Site Address: �- �V J ���
Owner:��� ��r Mailing Address:
c�ty: l�/ �-�/I�� z�p: cj �
Home Phone�� Alternate Phone:
Contractor Information:
r
Contractor:� J � �/�!� ��U�Y Contact Person: �-�f" �
Address:�Z�� V�V� ���U��Vll G� �e Bond #: �LI ��I ` �L�
��J � �
City: � ��"�/ Zip:���E piration Date: �� �� � �
�
Phone: �V✓� � � 5 Alternate Phone:
❑ Insurance— Current:
1
�
0
MECHANICAL SYSTEMS`BEING INSTALLED ���`�
�;� ,
l
Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes [�No
HEATING SYSTEMS
Quantity: �
Make: R,�A,l1��
Model: ���=1 Q-1�1 C��
�
Fuel: � L1
Flue Size:
Ir.put ETT._Js: �'�U��'Ci�J
ou�ut BTus: �`� ,5�� c�
CFM:
COOLING SYSTEMS
Quantity: 'l
Make: ��.��
Model: V��m�J�j(�
Tons: � ---Y- –�—
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION �
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by 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:
2
s
a
PERMIT`FEE CALGULATION(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 Pernut $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
` "�' � PERMIT FEE CALCULATION(S)`—JOBS OUER $500.00 ,
� «.
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�
�l, ,L�L�U x.0125 $ ��� '1,7V
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$5.00)
� .OQOS g I� .� ��
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��:�.�L
■ * 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 fumished 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 permii 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 times the Contract Price or a minimum of$5.00.
' ' ' 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�W
Applicant's Signature: C��Y�r� �✓'�•�'v`� Date: �' ��' ��
3
/
�� D TIME �
CITY OF ORONO CALLED IN �–
INSPECTION OTICE SCHEDULED —� %��
PERMIT NO -�oo�a3 COMPLETED
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR �
>; DESCRIPTION �—__ �
�
� ❑ FOOTING ❑ PLUMBING FINA ❑ 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 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:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED rJ ISSUE CERTIFICATE OF OCCUPANCY
W
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 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
( r
Inspector.
White Copyllnspector's File Canary CopylSite Notice