HomeMy WebLinkAbout2011-00934 - mechanical CITY OF ORONO PERMIT NO.: 2011-00934
~` 2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 08/25/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2060 NORTH SHORE DR
PIN : 10-117-23-31-0003
LEGAL DESC : UNPLATTED 10 117 23 �
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 2,700.00
NOTE: 1 CARRIER 2.5 TON AC
APPLICANT MECHANICAL 50.00
VOGT HEATING&AIR COND
3260 GORHAM AVE STATE SURCHARGE MECH(VALUATION) 1.35
ST.LOUIS PARK,MN 55426- MAIL-IN FEE 2.00
(952)929-6767 TOTAL 5335
OWNER
GODFREY,LYLE&NORMA
2060 NORTH SHORE DR
WAYZATA,MN 55391-
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 gran[permission for additional or related work which requires separate
permiu. 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 aze
requested in confotmance with the State Building Code.This permit may be
revoked at any time for due cause.
�7�21.C.LG !.�'t, l l l l
Applicant Permitee Signature Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE.
s
• � G� FOR CITY USE ONLY
�;`fj�`�� City of Orono �
;�0, 01 P'O.Box 66 � /^ <^�� �� Date Received: Permit#
�,,:,,� t 2750 Kelley Parkway �,�/ ''
i i
t�� ��rf��;'_ �1 Crystal Bay,MN 553 3 Approved By: Amount$:
�\? ��;j�,'�3,u"�-r'' (952)249-4600 ��!J
\�'isxo�,/
CITY OF ORONO—MECHANICAL PERMIT
(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 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 required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat]oss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manuf'acturer 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(-Ieating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
4' Residential �Commercia](Approval Required)
❑New ❑Additiona] ❑Repairs [�Replace
Job Site/Owner Information:
Site Address: Q��Q�v � � Q�� ����Y V
Owner: l.,(, Mailing Address:
City: Zip:
Home Phone: L �� Alternate Phone:
Contractor Information:
Contractor: Vogt Heating,AC,PIum LLC Contact Person:
Address: —���G� I`C�(�1������ State Bond#:
J�
City: St. Louis Park Zip�`���.1�Expiration Date:
Phone: (952)929-6767 Alternate Phone:
❑ Insurance—Current:
1
s
MECHA1vICAL 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
Quantity:
Make:
Model: C
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: ��/
Model: �� (,l.
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 cfm
❑ No. Bath E�chaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire MarshaU 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
a ' .
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 requirements:
l. Does not require modification to elech-ical or gas service.
2. Has a tota]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 $ .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$50.00)
a,��-v� �— X.o�zs$ 5 0� o�
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�1��" x.0005 $ (' v�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� � � �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amo arge or 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 Deparhnent at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMEI�1'T
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: Date: — I /
Reset Form ����0�
3
�� D TE TIME �
CITY OF ORONO CALLED IN —
INSPECTION NOTI E SCHEDULED � '" U:
PERMIT NO. ' � COMPLETED
ADDRESS����U 1 TH C/�U� I��
OWNER TELEPHONE NO.��Z �� ��57
CONTRACTOR U P
� DESCRIPTION /'��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W� ❑WORKSATISFACTORY:PROCEED �PRIOJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECANDITIONWlTHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CAIITOARRANGEACCESS.
Ca11 for the next inspection a hours in advance. (g52) 249-4600
OwnerlContractor on site•
Inspector. �
White Copyllnspecto�'s File Canary CopylSlte Notice