HomeMy WebLinkAbout2009-00333 - mechanical � CITY OF ORONO PERMIT NO.: 2009-00333
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` 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 06/18/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 650 MINNETONKA HGLD LA
PIN : 06-117-23-44-0003
LEGAL DESC : MINNETONKA HIGHLANDS ESTATES
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 2,000.00
NOTE:
HEATING SYSTEM-(1)CARRIER-MODEL:58MVC080-14-NATURAL GAS-80,000 INPUT BTU'S
64,000 OUTPUT BTU'S
APPLICANT MECHANICAL 50.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.00
4342 B SHADY OAK RD TOTAL 51.00
HOPKINS,MN 55343
(952)933-1868
OWNER
BERG,JOHN&SHARON
650 MINNETONKA HGLD LA
LONG LAKE,MN 55356
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 grant pertnission 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.
1'he applicant is responsible for assuring all required inspections are
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 Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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FOR C1TY USE ONLY
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r °'�� Crystal Bay,MN 55323 Approvcd By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must bc approved by thc Building Official or[nspcctor and/or Firc 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 permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PGRMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB S1TE.
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. I Iouse Heating Test Record must be submitted before tinal.
TYPE OF PERMIT
(Check All That A 1
❑✓ Residential �Commercial(Approval Required)
❑ New �Additional �Repairs ✓❑ Replace
Job Site 1 Owner Information:
Site Address: 650 MINNETONKA HIGHLAND RD
Owner: JOHN BERG Mailing Address: SAME
LONG LAKE 55356
City: Zip:
Hoine Phone: �952)473-2147 Alternate Phone:
Conh-actor Infonnation:
Contractor: PRACTICAL SYSTEMS Contact Person: JOANN
Address: 4342B SHADY OAK RD State Bond#: 558516
City: HOPKINS Zip: 55343 Expiration Date: 09/01/09
Phone: (952)933-1868 Alternate Phone:
❑�✓ Insurance—Current: 01/01l10
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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: CARRIER
Model: 58MVC080-14
Fuel: NATU RAL
Flue Size:
Input BTUs: 80,000
Output BTUs: 64,000
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
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ 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 ONLY
❑ Outdoor Grill � Other/List What&Where:
2
PERMIT FEE CALCULATION(S) �
BASF,D OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
I. 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 appliance:and
3. [s improved, installed or replaced by Yhe homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge � .50
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)
2,000.00 x.0125� 50.00
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE **Add the State Sldg Code Div. Surcharge(Minimum Fec of$.50)
2,000.00 x .0005 � 1.00
(contractpricc) (minimum$ SO)
3. POSTAGE&HANDLING(Only on Mail-In Applications) � 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00
■ * 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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for thc price.
MECHAI�CAL 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.
Applicant's Signatuec: ' �� Date: � � �
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Reset Form '
3
" ' � D/A�J TIME
CITY OF ORONO CALLED IN /
INSPECTION NOTICE SCHEDULED �"Z _ _�:B�
PERMIT NO. o2DD�j-0033,� COMPLETED
ADDRESS �'v
OWNER C TR. P/'a�� �SLt�LYt�i�-o
TELEPHONE N0. 52- `�73 2I ��
� DESCRIPTION_�UY��I��i
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on 'te:
Inspector. � �
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