HomeMy WebLinkAbout2014-00068 - mechanical � ~ CITY OF ORONO * z 0 1 4 - 0 0 0 6 B *
2750 KELLEY PARKWAY DATE ISSUED: OU22/2014
ORONO,MN 55356-
952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1376 NORTH ARM DR
PIN : 07-117-23-41-0052
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 008
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,200.00
NOTE: 1 HEAT N GLO GAS FP
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.60
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 52.60
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CHECK 2003336 52.60
_ OWNER
BOWEN, WILLIAM
1376 NORTH ARM DR
MOLTND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
♦
��� �"o—`-^ _/� GL.'�'� / /
A licant Permitee Si nature Date �,
PP g Issued By Sig ure ��ate
FOR CTTY USE-ONLY ���� � �
' , �` City of Orono
�a�„
��'O¢ `��� P.O.Box 66 Date Received: Permit#
, 2750 Kelley Parkway
�K�,� jt� �r �: a�� Crystal f3ay,MN 55323 Approved By: � Amount$:
"`!� ��y�;���yu'��' Phone(952)249-4600 Fax(952)249-4616
�dr�ae�,
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must bc approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
]. 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. 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 final.
TYPE OF PERMIT
(Check All That A 1 )
esidential ❑ Commercial(Approval Required)
�w ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: � 3 �� �� G'�✓�� ���LL�
Owner:�,c.P,��n9 t�o�r,u�y Mailing Address: �`c�1 �i_ �'_o�� �3 S�
City: �-�,,�„n.,,-f.� Zip: �5`�i 3 7
Home Phone: ��� `'���������' Alternate Phone:
Contractor Information:
Contracto ab RTH & HOME TECHNOLQ�G�E� Contact Person: �Z�.�:r�y
Lic 662656
Address: 2700 FAIRVIEW AVENUE N State Bond #: 0� ��`��
ROSEVILLE, MN 55113
Cit 651.633.256�i • Ex iration Date:
Y� P• P �"—� � ��
Phone: Alternate Phone:
❑ Insurance—Current:
1
� MECHANIC�� �`Y`��"��IS BEING INSTALLED :; . ;. " � .;,:'
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:
:nput BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
�� Gas Factory Fireplace Brand Name: C��►'1�' q'
❑ Wood Burning Fireplace —�
❑ Wood Stove Model No.: SL.�4 ' ��—L��
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. _ Kitchen E�aust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ [nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS L1NE ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
2
P��i1, �EE caLcuLaTloN�s> ,
� BASED�O�F -�2002 STATE STA�i`UE
❑ 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;excludine 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-[n Fee([f Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULAT�QN S --J4BS 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)
I ��''L�'� ./lU x.0125 $ �F�, E�.%
(contract price) (minimum$50.00)
2. STATE SURCHARGE
��C�iC�, fj�3 x.0005 $ ���
(contract price)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �2-.�i�
■ * 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 fumished 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, ine City may request the submission of a signed copy of the actual contract.
MECI-���AL P�R.MT'T"A�'��,�CA'�`��1�- ,.. ��I�NT
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 Signature: ��%G� ������-� Date: ��� �— ��
Reset Form
3
���'��� ✓
� DI�Er/ TIME
CITY OF ORONO CALLED IN A� `�
INSPECTION NOTI E SCHEDULED — �
PERMR NO. � O COMPLETED
ADDRESS � 3?�O /�r7�1 I�VI
OWNER TELEPHONE NO. I Z 3�7�
CONTRACTOR _�S[ _
� DESCRIPTION �� ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAtNT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL_ O NARD COVER REMOVAL
v ❑ PLUM PTIC ❑ FOUNbATION/REMOVAL
2 OWN NTNACTOR TO MEET _ �NO
� COMMENTS: r e ' `
a V4s �,�LeIQGG '— Uert� �ti�,Tr''`+�94v�/�e$ •
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� ❑WORKSATISFACTOR1hPROCEED ❑PROJECTCOMPLETE
W �RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECTYVORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑C�iRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR YVILI RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call br the next inspection 24 hours in advance. (g52) 249-46��
OwnedCorrtractor on site:
Inspector: `
White yllnspector's File Cenary CopylSite Notics