HomeMy WebLinkAbout2009-00908 - mechanical CITY OF ORONO PERMIT NO.: 2009-00908
, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 12/2U2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1680 NORTH FARM RD
PIN : 27-118-23-44-0010
LEGAL DESC : THE FARM AT LONG LAKE
: LOT 009 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 7,000.00
NOTE: 2 BRYANT NAT.GAS FURNACES
APPLICANT MECHANICAL 87.50
KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 3.50
13075 PIONEER TRAIL
EDEN PRAIRIE,MN 55347-6 MAIL-IN FEE 2.00
(952)941-4211 MISC FEE 0.00
TOTAL 93.00
OWNER
KAUFMAN,PHILIP&NICOLE
1680 NORTH FARM RD
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 permission for additional or related work which requires sepazate
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.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buiiding Code.This permit may be
revoked at any time for du�cause.
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Applicant Permitee Signature Date Issued By Sign re Dat
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono � . � ' ��,�� , Y� .;� ., �� ,�t ..
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P.O.Box 66
� � 2750 Kelley Parkway ; ''�� '�' e� �:n : ��,;� �'`��;��
� � Crystal Bay,MN 55323 + �•'`_ � + �'3ki�ittlR
(952)249-4600 s`� ���
CITY OF ORONO—MECHANICAL PERMTT
(All Commerciel pecmits must be approved by the Building�aid or Inapector md/or Fire Marshall)
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1. You may apply for mechanical permits by mail or in person at the City of�'ices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TI�
PERNIIT CARD IS POSTED ON THE JOB S1TE.
3. Mechanical Desians—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 pmvided.
4. VJhen 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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
. .. . ., . _ ..
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: � � -
,�esidential ❑Commercial(Approval Required)
❑New ❑Additional �Repairs 0 Replace
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Site Address: � �(�'
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Owner:��� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
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Contractor: �eve Heating&AC Contact Person: �hley Griffin
Address: �3075 Pioneer Trail State Bond#; RLI-561165
City: Eden Prairie Z�p: 55347 Expiration Date: 08/14/09
Phone: (952)941-4211 Alternate Phone: (952)345-7242
❑� Insurance—Current:
1
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �'1�10
HEATING SYSTEMS
�,tiTy: I
Make:
Model: � t/ Z.0$� �-����
Fuel: a •
Flue Size:
Input BTUs: U ���
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
VENTILATION
Q No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
0 No. Other Fans: Locations cfm
F[JEL STORAGE (Must be appmved by Fire MarshaU ijproposing to abandon tank in plac�)
❑ Installation a Removal
Fuel Oil: gallons ❑ Underground 8 Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY •
❑ Outdoor Grill � Other/List What&Where:
2
PERMIT FEE CALCULATION(S)
` BASED OFF -2002 STATE S7'ATUE (
❑ Yes,this section applies
The replacement of a Residentia]fixture or appliance that meets all three of the following requuements:
1. Does not require modification to electncal or gas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and
3. Is unproved,installed or replaced by the homeowner or licensed contractor.
Skip next section;if Ihis applies; Cost ef Pemut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Tota1 Permit Fee $
Ay1�,
If above does not apply;follow guidelines below:
1. CONTRACT PWCE ' is 1.25%of contract price with a(Minimum Fee of$50.00)
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X .o�2s$ � �
(contract price) (minimum$50.00)
2. STATE SURCHARGE " dd the State Bldg Code Div. Surcharge(Minimum Fee ot S.50)
d0
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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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 matenal, equipment, labor or installations are fiunished 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 pennit 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 the price.
:':�:.. :
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 cert�es that all statements made on this applicarion are complete, true and
correct.
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Applicant's Signa e: Date:
�, ��Of'!!1
3
� I �� ��q� TIME "
CIN OF ORONO CALLED IN f�
INSPECTION NOTICE SCHEDULED � �
PERMIT NO. o�L�-' QD�D� COMPLETED
ADDRESS �IoSD /VO>'� ��'/N �EL
OWNER /�lGd�lP �L��C7�.EONTR.
TELEPHONE NO. Z 9uv �oZ9� �`�- lo�Z Z� D�3
� DESCRIPTION � �
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
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
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURId ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on si :
Inspector.
White Copyllnspector's File Canary CopylSlte Notice