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Home My WebLink About2008-P00232 - heating system CITY OF ORONO PERMIT NO.: 2oos-oo232 2750 KELLEY PARKWAY �� ORONO, MN 55356- �ATE IssUEn: 09/18/2008 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 3534 IVY PL PIN : 20-117-23-42-0019 LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 13,950.00 NOTE: IN FLOOR HEAT-BURDERUS,NATURAL GAS,3" APPLICANT MECHANICAL 174.38 VICTORIA PLUMBING STATE SURCHARGE MECH(VALUATION) 6.98 1855 WEST 80TH ST P.O. BOX 174 TOTAL 181.36 VICTORIA, MN 55386 (952)443-0034 Minnesota State License#: 005584PM OWNER CAPRA, TED&NANCY 3534 IVY PL WAYZATA, MN 55391 AGREEMENT AND 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 sepazate 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 80 days at any time after work has commenced. T cant is res ib e for assuring all required inspections are quest i onfo a e ith the State Building Code.This permit may be evok d y ime fo u cause. � � t � �_� C`7'Y�Ce v'1 � � — /� —C;�-� �-' � .4pplicant ermitee Sig ature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � FOR CITY L'SE ONLY� � ' ,�� City of Orono . O Q P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � � � �, ,'' Crystal Bay,MN 55323 Approved By: Amount$: , ��` �' �a (952)249-4600 ��%o$ CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Oflicial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by maii or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernvt 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 PERMTT 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 wark 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 ❑ Replace Job Site/Owner Information: Site Address: � � �� -�V � ��0��-- Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information:� � � Contractor: � f�iC,�r;t„ �"Ivmb��•�, Contact Person: �('� ��h r� ,.J Address: P O ��C �7�+- State Bond#: ��,�4,S��_ City: ��f�,.� Zip:��xpiration Date: j Z�_S�� 6� Phone: �'1:�� (�`'� AlternatePhone: LI�� 4"t0 '—Z-�S7 ❑ Insurance—Current: 1 ' MECHANICAL SYSTEMS BEING INSTALLED �� ' ` i ��: . l�ote: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�No � HEATING SYSTEMS Quantity: -, \ Make: ��''u �L_ � �� ModeL• � P j�Z ' Fuel: c.,�J't„( �r,�� Flue Size: 3 ;� Input BTUs: ��i, Output BTUs: (C� CFM: COOLING SYSTEMS Quanrity: Make: Model: Tons: 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 cfin ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 f � � � � � � � PERMIT��EE CALCU�LATION(S) �� BASED OFF -2002 STATE STATLIE ❑ 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�service. 2. Has a totai cost of$500.00 or less; excludine 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ P��:M�'�'.�EE,�A.UG:UI;ATION � , ,��'� ��,�: � ``°-�� '�' �=�i If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) i 3_ �_5c ��,, X.o�2s $ —�tract pnce) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contractprice) (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 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. ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. . MECHAI'�II�Ai.,PERMIT APPLIC�1.�'��:��.EEMENT :,;� � � �`: z�� , � �� 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 state ts ade on this application are complete, true and correct. Applicant's Signature: Date: �` �� 3 � / —' I � DAT TIME CITY OF ORONO CAL�ED IN a .3 v� INSPECTION NOTICE SCHEDULED !d � o /o:3D PERMIT NO.�D/l�—OD�o� COMPLETED ADDRESS 3 vv ��Q �--- OWNER CONTR. GL TELEPHONENO. — � ^� � DESCRIPTION � -�• � ❑ FOOTING � MECHANI L 1 ❑ EX RADING/FILLING Q ❑ FRAMING ❑ MECHANI INAL ❑ LA SHOREM/ETLANDS 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W a j _�l.c/�S T— V�� l O • � � O � W aC Q � Z W � W � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETItRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALITOARRANGEACCESS. Cail for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on sit : Inspector. � _ � White Copyllnspector's Ffle Canary Copy/Site Notice Q�IDATE TIME V ITY OF ORONO CALLED IN '� INSPECTION NOTICE ^1SCHEDULED — � $� PERMIT NO. ��c80MPLETED ADDRESS OWNER CONTR. � � TELEPHONE NO. � —' `f�� —D�� DESCRIPTION � ��-n� �� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. � ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PFiOGRESS � ❑ DEMO-SITE ❑ SEPTIC MAIt�T. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SE TI FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU YES_NO � COMMENTS: � W a O � �� >. � O � W � Q � 2 W � W � � O W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALITOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on sit Inspector. � . ( �1'�� White Copyllnspector's File Canary CopylSite Notice