HomeMy WebLinkAbout2008-00101 - mechanical , , s
CITY OF ORONO PERMIT NO.: 2oos-ooio�
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 07/3U2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 205 HOLLANDER RD
PIN : 25-118-23-44-0011
LEGAL DESC : HOLLY ACRES 2ND ADDN
: LOT 000 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOI�T TYPE : COOLING SYSTEMS
VALUATION : $ 5,500.00
NOTE: COOLING SYSTEM-COMFORTMAKER,NTL 48,4 TON
VENTILATION-(1)KITCHEN EXHAUST-8"DUCT,600 CFM
VENTILATION-(1)BATH EXHAUST,80 CFM
APPLICANT MECHANICAL 68.75
GALLAGHER HEATING STATE SURCHARGE MECH(VALUATION) 2.75
17209 TUNGSTEN ST NW TOTAL 71.50
RAMSEY, MN 55303-
(763)753-5340
OWNER
BURNS,DAVID&CASSIDY
205 HOLLANDER RD
WAYZATA, MN 55391
AGREEMENT A1vD SWORN STATEMENT
The 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 goveming 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 construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with e State Building Code.This permit may be
revoked ny e for due e.
- � �' 3 'v �tC 7 ��i �D 8`
Applicant Permitee Signature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE.
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` FOR CITY USE ONLY
/�� City of Orono
� �O`Y*" P.O.Box 66 Date Received: Petmit#
� � ' 2750 Kelley Parkway
3 t?}!`• +•' Crystal Bay,MN 55323 Approved By: Amount S:
? = ., c���` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Matshal])
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City of�ices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS 1\RE NOT
VALID IINI"IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mecharucal Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditionin�installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufachu�er 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. Ali work must be inspected(rough-in and fmal). 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 )
�Residential ❑Commercial(Approval Required)
❑New �dditional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: t� c� /70����� ,� ��
Owner: 1�li'�! �Gt:/I f Mailing Address: :�,�''������ « /C t�
City: �Y�r��� Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: C7 � • .t� �f Contact Person: �'�y
Address: �7��� �,�f�r .�.���f?O, State Bond#: �l ���3'�S
City: � Zip:�,7��Expiration Date: �� ����
Phone: ��`�3'�.j�3'���� Alternate Phone: ��a������+�
❑ Insurance—Current:
1
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MECHAIVICAL SYSTEMS BE1NG INSTALLED
HEATING SYSTEMS
Quanhty:
Make:
Model:
Fuel:
Flue Size:
Input BTiJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: /
, /
Make: �j �rl�' i"
Model: �'"�T �
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
c/,i
No. _� Kitchen E�aust 15 duct recirculating ��o cfm
[� No. _L Bath Exhaust(must have duct outside) ��cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSII�II,L)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
, . .
PERMIT 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 modification to electrical or gas secvice.
2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip ne�.t section,if this appiies; Cost of Pennit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ l.50
Total Permit Fee $
PERMIT FEE CALCULATION S)—JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CON'TRACT PRICE 'is 1.25%of co�}firact price with a(Minimum Fee of$35.00)
���� '� ��
t.� ,����'C� X.012$$
(co�trac price) (minimum 535.00)
2. STATE SURCHARGE *"Add the State Bldg Code Div. Surcharge(11Tu�imum Fee of$.50)
x.0005 $
(wnhact 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
pennitted work including materials,labor,profit,and other Fxed costs. It is the amount to be chazged
to the customer for the work done. If any material, equipment, labor or installalions are ftunished by
the owner,tenant or any other party, the reasonable mazket value of such items must be added to the
estimated cost or contract price for pennit fee putposes. 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 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 applicaUon are complete, true and
correct.
A licant's Si nature: �`�� `� Date: / i�
PP g �/
Reset Form
3
CCI S�� ` 1 `` A f'`� TIME
CITY OF ORONO " CALLED iN ���`''�''
INSPECTION N TICE ' SCHEDULED � __,��,���
PERMIT COMPLETED �
ADDRESS ' � � �����-�'"1C-YU'/l
OWNER CONTR.
TELEPHONE NO. —�o � ��� �
� DESCRIPTION � ��-�1.1�.�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FI LING
Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/W NDS
y ❑ 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
� ❑ DEMO-FINAL ❑ SEPTIC INSTAI,L. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTI6 FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� ❑W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CO RECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
Owner/Contractor on s' e:
Inspector. 1 �
White Copyllnspector's File Canary CopylSite Notice
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/ DSE�� TIME
CITY OF ORONO CALLED IN �
INSPECTION NO�ICE / SCHEDULED � - -7—DG �
PERMIT NO. �� -t�t L��I COMPLETED
ADDRESS � �� �� � � �C�Q'p� C
OWNER CONTR.��('�� v'E , )�C.QS
TELEPHONENO_ �"�J� � c�`�� -" � ��'� ^�
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� DESCRIPTION �(� �1 �I��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU�YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED C OMPLETE
� ❑CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
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. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice