HomeMy WebLinkAbout2013-01145 - infloor heat in basement � `
CITY OF ORONO * Z 0 1 3 - 0 1 1 4 5 *
2750 KELLEY PARKWAY DATE ISSUED: 10/28/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1421 NORTH ARM DR
PIN : 07-117-23-44-0073
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 1,500.00
NOTE: INFLOOR HEAT IN BASEMENT ROUGH-IN ONLY 700 SQUARE FEET.
APPLICANT MECHANICAL 50.00
SERVEY PLUMBING STATE SURCHARGE MECH(VALUATION) 0.75
10609 166TH ST W
LAKEVILLE,MN 55044- TOTAL 50.75
(952)393-1272 PAID WITH CC# 6464
OWNER
DJY Construction
3452 PILGRIM LN N
PLYMOUTH,MN 55441-
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 permission for additional or 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 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 t' for due cause.
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Appl' i ee Signature Date ssue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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�O A T City of Orono (� ��l � '' �� �
1 V P.O.Box 66 Date Rec,�iv� � ermit
0 2750 Kelley Pazkway `
Crystal Bay,MN 55323 Approved By: Amount$: ���J
Phone(952)249-4600 Fax(952)249-4616
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F �.�' CITY OF ORONO—MECHANICAL PERMIT
t�KES H O� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATIDN
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. 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 Desiens—Complete calculations,details and specifications are reyuired 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 Al1 That A 1
❑ Residential ❑Commercial(Approval Required)
� New ❑ Additional ❑ Repairs ❑Replace
'Job Site/Owner Inforn�ation:
Site Address: j y n? f / " f/>'Y' � Ll�t'
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �� �� �/ — `tt�hi yt@�ntact Person:
Address: j(7�U� /�� �S t i�.� State Bond#:
City: ��t,�-�' vi �� Zip:�/� Expiration Date:
Phone: ���. �9�1,�7� Alternate Phone:
❑ Insurance—Current:
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MECH�NICAL`SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes '�No
HEATING SYSTEMS
Quantiry: -1-�/1. /C�C',r �,�� 7 � � � S����
Make: < L ' �l I �''1 �'1 J � ���.�.. � _
f � � �
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
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be upp�oved by Fire Marsha!!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:
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❑ 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;excludin�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 $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
IS OO.— x.0125$
(con ract price) (minimum$50.00)
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.
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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 Staxe of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: - '":%'` Date: �O`� `��
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DAT TIME �
CITY OF OR NO CALLED IN ��
INSPECTION N TIC � SCHEDULED L�_�' �� �
PERMIT NO. � r l� C PLET
ADDRESS �
OWNER TELEP ONE . Z- -7��
CONTRACTOR
� DESCRIPTION � ��/i�� ��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
= O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑1yORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W j[7�RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSlte Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ^CHEDULED ��
PERMIT NO. �3 --a«f� COMPLEfED
ADDRESS I�fr2� J�a�th /�r� �'Jr.
OWNER TELEPHONE NO.
CONTRACTOR S�rvQ� /�l.
�; DESCRIPTION �l ��✓ �"'���� h �4�
lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
4' ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
�
Q ❑ FRAMING O MECHANICAL FINAL p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J �-PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. C�N� �''
White Copyflnspector's Ffle Canary CopylSite Notiee