HomeMy WebLinkAbout2014-01086 - mechanical CITY OF ORONO * Z 0 1 4 - 0 1 0 8 6 *
., 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2014
� ORONO, MN 55356-
952) 249-4600 FAX: (952) 249-4616
ADDRESS : 145 MANOR CIR
PIN : 04-117-23-11-0024
LEGAL DESC : COUNTRYSIDE MANOR 3RD ADDITION
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 650.00
NOTE: 1 KITCHEN EXHAUST
APPLICANT MECHANICAL 50.00
SCHOENING MECH STATE SURCHARGE MECH(VALUATION) 0.33
409 MADISON ST SE TOTAL 50.33
WATERTOWN, MN 55388- Payment(s)
(952)292-2523 CREDIT CARD 4803 50.33
OWNER
NAFSTAD,ADAM&KRISTIN
145 MANOR CIR
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMEIYT
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 rype 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 insp ctions aze
requested in confo ce with the State Building od ,, his permit may be
revoked at an ' e r due ca
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Applicant Pe itee Sign re Date Issued By Signature Date
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� FOR CTTY USE UNLY ,
' �O A r City of Orono `
�yO P.O.Box 66 Date Received: Per[nit#
2750 Kelley Parkway
' Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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`� �.�' CITY OF ORONO—MECHANICAL PERMIT
t�'�fSHOIL
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORI+�IATI01*T
1. You may apply for mechanical permits by mail or in person at the City offices. Appiications 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. 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 DesiQns—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 PERIVIIT
Gk�eck All Th�.t A 1
�Residential ❑ Commercial(Approval Required)
(�] New ❑Additional ❑ Repairs ❑ Replace
Job Site/Owner`Informatian:
Site Address: ��� Y�/l�►�0,� C ► ei c.� ���' �f�'c
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Co�tractor Information:
Contractor: ��4�9tf� l�6 �� Contact Person: ��"l��
Address: 7�4 �'�15D/l� S�`S'��State Bond #: �Tj � �l'7��
City: t��-`�cd Zip:��Expiration Date: ��� ��� �I �
Phone: �5 Z�2- 2S 23 Alternate Phone:
�] Insurance—Current:
1
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. '
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
,t
� No. � Kitchen Exhaust � duct � -r�s�a�iir� � cfrn
No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE O1VLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
r
.
❑ 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;excludinQ 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 Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
���0 x.0125$
(contract price) (minimum 550.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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 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. .
Applicant's Signa � �� Date: I ✓�� � l �
3
DATE TIME �
CITIf OF ORONO CALLED IN
INSPECTION NOTI ,E SCHEDULED
PERMIT NO. � �0�� COMPLEfED �—
ADDRESS /�fS N�1o� C« .
OWNER TELEPHONE NO.
CONTRACTOR �/'�:y�r I'�'I e�!� - g'Sa ,�f�- o7S�3
� DESCRIPTION ��i�'` `loa�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING ❑ ECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICOMANCTOR TO MEET YOU:_YES_NO
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� t`�BK.SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECTY110RK CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITAT�ON ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector: ��� �
White Copyllnspectors Flle Canary CopylSfte Notke