HomeMy WebLinkAbout2014-00089 - mechanical , . CITY OF ORONO * 2 0 1 4 - 0 0 0 8 9 *
2750 KELLEY PARKWAY DATE ISSUED: OU29/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2610 MAPLERIDGE LA
PIN : 21-117-23-21-0009
LEGAL DESC : REG. LAND SURVEY NO. 1468
: LOT 000 BLOCK 000
PERMIT TYPE : MECHAMCAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 3,883.00
NOTE: TRANE FURANCE AND A/C
BATH EXHAUST
GASLINE TO DRYER
GASLINE TO FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 1.94
PRACTICAL SYSTEMS TOTAL 51.94
4342B SHADY OAK RD Payment(s)
HOPKINS, MN 55343
(952)933-1868 CHECK 7994 51.94
OWNER
FESLER& JANE ZELETES, DANIEL
2610 MAPLERIDGE LA
EXCELSIOR, MN 55331-
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 thc
State Building Code. This permit is for only the work described and does
not grant permission for additional ar 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 hereia This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended Yor a period of l80 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e Building Code.This permit may be
revok d at m r due cause.
,` � � � � (/L 7 � / Z� /�
,
Applicant Perm� Signature Date ssue y Signature Date
FOR CITY USE ONLY
/O A, City of Orono
� � �y P.O.Box 66 Date Received: Permit#
' � 2750 Kelley Parkway
{ Crystal Bay,MN 55323 Approved By: Amount$:
( � Phone(952)249-4600 Fax(952)249-4616
� � ' � �
F �.`' CITY OF ORONO—MECHANICAL PERMIT
�
���rst�oa
� ____i (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pernut 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 Desi�ns—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 fmal.
TYPE OF PERMIT
Check All That A 1
�sidential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �place
Job Site/Owner Information:
Site Address: 2(0 l O M�7(p ��c�s,e� (�
Owner:��G.�,.�. 7 Q�e,-�S Mailing Address: ?�(o I� �"lc�.,,J(.� ��—,�� L�
City: �XCp�s��,r- Zip: 5533(
Home Phone: Alternate Phone: ��2." Z?�l "Z�`�J�
Contractor Information:
Contrac Kline Corp tact Person:
DBA: Practical Systems
Addres 4342B Shady Oak Road e Bond#:
Hopkins, MN 55343
City:
952-933-1868 iration Date:
Phone: Alternate Phone:
❑ Insurance—C�nent:
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
Quantity: �
Ma1�e: �f►-r.c r�t.. `i'u�-1 Z L�u�t}9V�l V,�'
Model: �V°�J�
Fuel: ��}'�
Flue Size:
Input BTUs: 1JJ� J�O
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: Ti�,r-lt., �{TT X SU Jb/��`��
Model: ��.-�b
Tons: � ��S
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen E�chaust duct recirculating cfrn
� No. �_ Bath E�chaust(must have duct outside) �o cfm
[� No. � Other Fans: Locations ��e.r cfm
-T
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 ONLY
� Outdoor Grill ❑ Other/List What&Where: 6H���-c� c1�-.�N
Gc,�l,�-c -Fo se.� -c+� �-�.�cL
2
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requuements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludins 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 $
PERMIT 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$50.00)
'':�;�j�,� x.0125$
(conuact price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(cootract 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.
MECHAr]ICAL 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.
�` i
Applicant's Signature: L _ Date: � � '�
3
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D T � TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE HEDULED /" - �
PERMIT NO. '" co LETED
ADDRESS
OWNER � EL PHONE NO. ' �d� �
CONTRACTOR s •
� DESCRIPTION Q� ���
� ❑ FOOTING ❑ P G FINAL D EXCAV/GRADiNG/FILLING
� ❑ POURED WALL MECHANICAL RI ❑ LAKESHORENVETLANDS
❑ FRAMING ❑ CHANICAL FINAL � TREE REMOVAL
ZO INSULATION ❑ WOOD BURNER/FIREPLACE � SiTE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTNACTOR TO MEET Y�OU:_YES_NO
c�.� COMMENTS:
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W� K SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑ RRECT NfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COMERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 urs in adva 952) 249-46��
OwnerlContractor on site:
Inspector:
WhiM Copyllnspector'a Ffle Cenary CopylSfte Notiee
DATE TIME ✓
CITY OF ORONO CALLED IN lo `S' '
INSPECTION OTIC p.�, SCHEDULED 6'"/ — 3:�
PERMIT�O���D�A �/ COMPLETED
ADDRESS � lD
OWNER TE PHONE N0.1��33� S'�£j
CONTRACTOR � ��-S " �
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� DESCRIPTION ' �
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
O ❑ FRAMING �AECHANICAL FINAL ❑ TREE REMOVAL
Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATEH HOOK-UP ❑ PROGRESS
� O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPT�C FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE
� O CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
iNSPECTOR WlLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
cau ro 24 hours in advaru:e. (952) 249-4600
ctor on site• �
Inspector: ��►
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�- D TIME V
CITY OF ORONO CALLED IN '��
INSPECTION NOT E SCHEDULED � - �
PERMIT NO. D - � COMPLETED
ADDRESS a�b�O L�� %�
OWNER ` TE HONE NO. �
CONTRACTOR �
� DESCRIPTION �I� �eG�.
� ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q O POURED WALL 0 MECHANICAL RI ❑ LAKESHORFJWETLANDS
4j O FRAMING �CHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL
v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT10N/REMOVAL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
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W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 1�869RECT NfORK,CALL FOR REtNSPECTION TEMPORARY
V✓ BEFORECOWERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
cen f inspection 24 hours in advance. (g52) 249-4600
Mractor on site: ����
Inspector. �
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