HomeMy WebLinkAbout2009-00014 - mechanical CITY OF ORONO PERMIT NO.: 2009-00014
, � 2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: OU20/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3546 NY PL
PIN : 20-117-23-42-0018
LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO
: i�OT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 17,400.00
APPLICANT MECHANICAL 217.50
HEAT[NG&COOLWG TWO INC. STATE SURCHARGE MECH(VALUATION) 8.70
18550 COUNTY ROAD 81
MAPLE GROVE, MN 55369- TOTAL 226.20
(763)428-3677
OWNER
DRAZAN, MICHAEL& MARY
3546 IVY PL
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The wark 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 wark described and does
not grant pennission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied 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 l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in confonnance with the State Building Code.This pemiit may be
revoked at any,time for due c e. i ,.-� ,
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Applican errir�tee Signature Date Issued By Signature Date
/
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
,
t � ,�Q�` City of Orono - _i;::,°-.:FORCI"�YF�USE;ONI�`Y ,- - ;
*- �Y P.0 66 ;� ;{t : a'•;; _ .,;
.Box .. ;::x � .`.�", , :,.
� � Date Receive� '� i � Peimit#`. ' �
� ��. 2750 Kelley Parkway • _;� , r .:,.;,. � ` .:,..�,� e, '
�_ » �y� Crystal Bay,MN 55323 .Approved By Amourif,$:;
o (952)249-4600 .
'"�ssxo$ ��;', .
A � -
CITY OF ORONO-MECHANICAL PERMIT -
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
�ENERAL INFQRMt�TION .. : ;
. . ' . � . . . 'f- . � . . . . . . .
' 1'� You may apply for mechanical pemuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days,
2. Pernrit 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 Desi �-Complete calculations,details and specifications are required for each
heating,ventilatioq humidificarion-dehumidification;and air conditioning instaltation including �
heat loss/heat gain calculation,design temperatures,equipment rarings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4• When any new conshuction orsemodeling is involved,a separate building permit must be
obtained. �
. 5. All work must be done in accordance with the Uniform Mechanical Gode/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 fmal.
,
' � TYPE:OF PER�vIIT; . .' ' ,
: ; •� - � ;: , (Cli 1 TYiat A ly _-
eck A1 ;, �
�„Residential ❑ Commercial(Approval Required)
�]New ❑Additional ❑ ep irs
� R a' ❑Replace
Job Szte/Owner Tnforinat�on: , :';
Site Address: �/ I
Owner:���p1�( ��� Mailing Address: �
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:'
Contracto�Eq,T�Ne g r ��tA�rwn�NQ Contact Person:
18550 Count�Rd.81
Address: �aP�e Orove.MN 55369-9231 State Bond#:
www.heataool2�m
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance-Current:
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Quantity: f � �
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Make �� �-. ` � �J e�l��f/t'l� �-:':
� Model ���
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,� Fuel � _ _
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Flue Size �
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Input BTUs �� `�' �� � j
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f Output BT'Us � ,
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±,COOLING SYSTEMS
, Quanhty: � �
Make:
`„ Model: ��.3�1����, -_)����I/J�O�at
. Tons: � �
H.Power : : - ' .
. FIREPLACES .
❑ Gas Factory Fireplace
0 Wood Burning Fueplace
":,. ❑ Wood Stove
❑ Wood Stove With Flue '
_ .
: Brand Name: « Model No::
VENTILATION
�❑ No. � Kitchen Exhaust duct recirculating c�
No. �_ Bath Exhaust(must have duct outside) ��
❑ Na Other Fans: Locations ��
FUEL STORA,GE(MUST BE APPROVED BY FIRE MARSHALL)
- ❑ Installation � : Removal
Fuel Oil: gallons , .
� LP Gas: ❑ Underground ❑Inside ❑Outside, �
gallons
Other:
` GAS LINE ONLY . _
❑ ` Outdoor Grill ❑ Odier/List What&Where:
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_ ❑ ; .Yes,this section applies �
f � The replacement of a Residential fixture or appliance that meets all three of the following'requirements:r:
}� i F� . � .� -. ... ` �.�. /� � .�-.. �,. ._ .-{,. ." ...
; „� , � -, ' 1. Does not require modificarion to electrical or gas service. ' ' �
_ 2 _ Has a total 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 sechon,if tlus applies; • Cosf.of Perinit $ 15 00 �`�
� } , .. . . . < ;�
� � }�`' , State Surchar e t '
� i� . g � $ 50 ,; , ;,c
; j - Mail-In Fee`(If Apphcable)" '� $ 1 SD ; a
" _ ; Total Permit Fee ` '$ �'' �" "
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If above does not apply;follow guidelines below:
1: CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00).
�
,� `.��i x.0125$ -,
,_ (con ct price) : (minimum$35.00) ; ..;:
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2. STATE SURCHA.RGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
. x.0005 $ '
, ;
,�price) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 �
_ 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $
• �' * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted 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 purpo§es. In the even4 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.
�Ru��n?� 'S%� �" s � f a r RMIT`�, '''�L'�`� ��0 � , � .
t -.�'�:�� �.: � ,�7��C��PE '� ° ��..,.,���``��RE 3 �� ��'��`
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The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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 this application are complete, true and
correct.
Applieant's Signature: " Date: �� Z D�i
3
1^\�\\ �� � DATE TIME
��CITY OF ORONO CALLED IN ���q
INSPECTION NQTICE SCHEDULED � �
PERMITNO. :��C7� -(Y1�IL' COMPLETED
ADDRESS J�� �-(� � � �/ �,�� �--
OWNER CONTR. I—"LC�I�j��iCf �
TELEPHONE NO. t r I�- �(�3- c S�7 I C L^��1 i ��� �
� DESCRIPTION I f--t�.l I� T�E'Sf �`�� � ��S
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS�i�(
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL J
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� �IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
r
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� -� � �
ATE TIME
CITY OF ORONO CALLED IN /D
INSPECTION NOTIC SCHEDULED O l�
PERMIT NO. � DDD/ C PLETED �� �I
ADDRESS ��
OWNER CONTR. ry
TELEPHONE NO. �C//�✓ �Oqy� �P�� � 3� S7�
� DESCRIPTION /����-��- >`-� � .T e
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAI ❑ LAKESHORENVETLANDS
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 INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W /�}�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W�O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CA�I FOR REINSPECTIOIJ TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECANDITIONWRNIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETl1RN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractoy�n
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
��� � � / DATE TIME V
CITY OF ORONO —� CALLED IN p �-.3 ��
INSPECTION NOTICE SCHEDULED .2 -
PERMIT NO. -� � COMPLETED - S�
ADDRESS
�
OWNER ONTR.
TELEPHONE NO. � ` ' �
� DESCRIPTION
� ❑ FOOTING ❑ MECHANICAL RI ❑ XCAV/GRADING/FILLING
Q ❑ FRAMING �MECHANICALFINAL ❑ LAKESHORE/WETLANDS
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 INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING ❑ FOUNDATIOWREMOVAL
Z OWN TRACTOR T EET YOU:�YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITlONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site:
Inspector. i �
White Copy/inspector'a File Canary Copy/Site Notice