HomeMy WebLinkAbout2008-00046 - mechanical CITY OF ORONO PERMIT NO.: 2oos-00046
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 07/15/2008
' 952 249-4600 FAX: 952 249-4616
ADDRESS : 1200 LYMAN AVE
PIN : 35-118-23-43-0024
LEGAL DESC : REG.LAND SURVEY NO. 1067
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,200.00
APPLICANT MECHANICAL 140.00
CITITES COMPANIES INC. STATE SURCHARGE MECH(VALUATION) 5.60
BIG LAKE,MN 55309-
(763)263-0220 TOTAL 145.60
OWNER
GIBSON,RICHARD&LISA
1200 LYMAN AVE
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 gtant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing 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 conformanc the State Building Code.This permit may be
d at any time ue c
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5� o�' �.�..-�-�.�, �n��, �s,�8`
A icant Permitee Signa ure Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CITY USE ONLY ,.,,�(�
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. O¢��O City of Orono �I�� p� � , lJ•�
P.O.Box 66 Date Received: l ( Permit��i
� � �;., ; 2750 Kelley Parkway
�t�� ip�'�� �� Crystal Bay,MN 55323 Approved By: __� Amount$:_�
\�����o�� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(A11 Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
GENERAL INFORMATION
L You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEtVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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 l
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
Job Site/Owner Information:
Slte AddI'ess: 1200 Lyman Ave
�Wrier: Rick Gibson Malllrig f�dCITeSS: same as above
C1Ty: Orono Zip: 55321
Home Phone: (61z�3ss-i�2o Alternate Phone:
Contractor Information:
COritTaCt01': Cities Companies Ina COfltaCt PeTS01]: Jake Eliason
Address: 11�1 wati St State Bond#: BDA�9oo666t�6
CITy: BigLake Z�p. 55309 Expiration Date: o3i3iio9
Phone: ��63)263-0220 Alternate Phone: �763��42-o9as
11/13/08
�✓ Insurance—Current:
1
, ME��CAL; aY�T���3EII��t�I�TAI,G�D
HEATING SYSTEMS
Q��ri� 1
Make: Trane
Model: T�2D120A9VSV
Fuel:
natural gas
Flue Size: 3r�
Input BTUs: 120,000
Output BTCTs: 114,700
CFM: 1950
COOLING SYSTEMS
Quantity: 1
Make: Trane
Model: 4TTX6060B
Tons:
5
H.Power ��
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen E�aust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfrn
❑ No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIItE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: ' gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill 0✓ Other/List What&Where: Ma'I'
2
, P��'�����'��f S�j
��� . ���BA��� �S'�`�'`�i�'° , .�: '�.. .� .:. � ° . �
❑ 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 total cost of$500.00 or less;excludin�the cost of the fiacture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip ne�ct section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
; PERMIT'�'EE�A�,CLTL�►Ti�'J S �� . t����t3
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of$35.00)
11,200.00 x.0125$ 140.00
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fes of$.50)
11,200.00 x.0005 $ 6.00
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
147.50
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 signe�copy of the actual conttact.
■ **T`he STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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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 a11 statements made on this application are complete, true and
correct.
Applicant's Signature: �� Date: 0�/15/08
i�f�
3
� �°ATE TIME �
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CITY F ORONO CALLED IN l Z�-��
INSPECTION OTI E SCHEDULED �� —� ° 30
PERMIT NO. � � �y�O COMPLET o
ADDRESS V
/
OWNER CON . � S
TELEPHONE NO.
� DESCRIPTION �'�C� �� �
� ❑ FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLAND���
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL f%�y
Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING R� ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL f ) ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: �
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��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on sit
Inspector.
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