HomeMy WebLinkAbout2009-00432 - mechanical CITY OF ORONO PERMIT NO.: 2009-00432
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/23/2009
` � 952 249-4600 FAX: 952 249-4616
ADDRESS : 3697 LYRIC AVE
PIN : 17-117-23-34-0037
LEGAL DESC : NAVARRO
: LOT 001 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,125.00
NOTE: 1 BRYANT NAT.GAS HEATING SYSTEM
APPLICANT MECHANICAL 50.00
DMP HEATING&COOLING INC. STATE SURCHARGE MECH(VALUATION) 1.56
808 STEAMBOAT LANE TOTAL 51.56
MONTROSE,MN 55363-
(763)229-4347
OWNER
ARONE,JOSEPH
3697 LYRIC 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 dces
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By S' ature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB
FOR CIT1i'IISE ONLY
' � � -- " City of Orono
s OQ'�"�O p.p.goX� Date Iteceived: Permit#
, 2'750 Kelley Parkway
' � �• � Crystal Bay,MN 55323 APproved By: Amount S:
' ' '� ' E (952)249-4600
�arx�
CITY OF ORONO-MECHANICAL PERMIT
(Ail Commercial permits must be approved by the Buildittg Otlicial or Inspector andlor Fire Marshall)
GENERAL iNFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wil}
be reviewed and a permit wilt be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT�EGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desig�s—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air condirioning installation including
heat loss/heat gain calculation,design temperatures,equipmern 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 I
�`�'Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
Job Site/Owner Information:
Site Address: _;� 61 7 ���� ��"-
Owner: , J o t 0�('e�- Mailing Address: ��9? �'`t-A� �
City: �r oa t� Zip: S�J.Z-�
Home Phone: Alternate Phone:
Contractor Information:
, � �e � � �� � �
Contractor: '�MP if�f�"� ��°U'� Contact Person: � �" � �'r
Address: 8a Y S���o���'��'� State Bond#: ��G1� �3 �Z 6 �
City: ��"�� Zip:,�SJ6S' Expiration Date: /�e��l o�� a' a�0
Phone: �tSs� a�� Y�yT Alternate Phone:
❑ Insurance-Current:
1
' � ' MECHANICAL SYSTEMS BE1NG INSTALLED
' Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �,No
HEATING SYSTEMS
Q,��ri: �
Make: �3 rY dn—{-
lvtodet: 3 SS��
Fuei: ��'
i
Flue Size: � `
Input B'T[Js: 7�'�`�'"�
Output BTUs: � D�e `
CFM: ��
COOLING SYSTEMS
Quanhty:
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 Elchaust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfm
� No. Other Fans: Locations cfrn
FUEL STORAGE (Must be a�roved by Fire Marshall ijpro�pa�s�ng to abandon tank iR plac�)
Q Installatian ❑ Removal
Fuel Oil: gallons ❑ Underground �tnside �Outside
LP Gas: galions
Other:
GAS LINE ONLY
❑ Outdoor Grill Q 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 aapliance 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 fixture or app(iance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) S 2.00
Total Permit Fet $
PERNIIT FEE CALCULATION S —JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRiCE *is 1.25%of contract price with a(Minimum Fee of S50.00)
3�as� � X.0�25$
(contract price) (minimum 550.00)
2. STATE SURCHARGE *'Add the State Bidg Code Div.Surcharge(Mioimam Fee of 5.59)
x.0005 S
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S
■ * CONTRACT PRICE or JOB GOST 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 materia(,equipment,labor or installarions are fumished by
the owner,tenant or any other pazty,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 Deparhnent 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 application are complete, true and
correct.
ApplicanYs Signature: ��. �(�` Date: � ` � 3 � �/
Reset Fo�m
3
�� (� Q ATE TIME V
CITY OF ORONO CALLE Ol G .
INSPECTION O I SCHEDULED �
PERMIT NO. '��3 MPLETED
ADDRESS 7 / \
OWNER ONTR. ��
TELEPHONE NO. �S�—`T 7��l� �
� DESCRIPTION G� '
� ❑ FOOTING � MECHANICAL RI ❑ EXC /GRADING/FILLING
y ❑ FRAMING �AC�CHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION �❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ING FINAL ❑ FOUNDATION/REMOVAL
OWNER/ TRACTOR TO MEET YOU: YES_NO
�., COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-46�0
OwnerlContractor on si�:
inspector. � .(_
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