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Home My WebLink About2008-00459 - mechanical � CITY OF ORONO PERMIT NO.: 2oos-oo4s9 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE IssuEn: 12/30/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2625 NORTH SHORE DR PIN : 09-117-23-42-0003 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) . PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 6,900.00 NOTE: 1 SLANT FIN NATURAL GAS HEATING SYSTEM 60,000 BTU ADDNTL$.60 CHARGED BECAUSE CHECK WAS WRITTEN FOR$91.80 INSTEAD OF$91.20. APPLICANT MECHANICAL 86.25 TEAM MECHANICAL STATE SURCHARGE MECH(VALUATION) 3.45 3508 SNELLING AVENUE MINNEAPOLIS,MN 55406- MAIL-IN FEE 1.50 (612)729-5646 MISC FEE 0.60 TOTAL 91.80 OWNER BUTZER,BARTHOLOMEW&ELIZABETH 2625 NORTH SHORE DR WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. "l�'N,�-1 �l. l l l l Applicant Permitee Signature Date Issue By 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. . .. , °� i � � CITY UF �RONO � �PPL�CA1'It)N FC�.ME��AI:i'E�4aT Bo� 66 (2750 T�cliey Pazkway) . Cr�stal �ay, MN, 5�323 * GENE,��I.INFOI�II�IATIUN ' 1. You may aPPly.for mechamicai-pera�its by mail or ia person at the City�officcs. A�plications will be . rsviewed.aad;a permit will be issued within 2 working days, ' 2. Permit cards will be sent by return mail aft$r a review is completed. PERNiITS ARE-NOT VAL,ID UNTIL YOU RECEtVE A PERMIT. W�U�T NOT BEf3�� '�1 LtNT�L THE'PEItN�IT GARD IS POSTE,� QN TI3E J�JB SITE. � 3. �1�,I�c,�anical I7es�gg� - Complete calculations, details and specifications are r�quircd fpr eaeh heatiag, W ventilation,humidificat�on-dehumidifioation, ancl air conditioning installatioa incIuding heat losst5,�at gain calculation, design temperattucs,equipment ratings and identif"�cation as to type, m$nt�facEurer and model. , Data shalt be present�ad on fonm provided, '[dentifiaatic+�n:of azid�ifications for vuater heatin� equipment shall also be provided: , . : <. 4. When any new construction or remodeling is invplvtd, a separate buildin.g pernut must.be obtained. 5. All work must be done i� accordance with the Uniform Meehanical Co�i�lState Buildin�;'Code requirements. 6. All work must be insps;cted (rough-in and final). Call 473-7357. 24-hour noti�e rec�uired. 7. Housc Heating Test Record must be suhmitted befare final: ructions Complete all items on this application. Co�pute ths perr�it �ee. Sign and c�ate the certification. INCOMPLETE APPLICATIONS WILL 1*it)T BE�'RO�ESSED. If you have questions, call 473-7357. Please check one: New Addition Repair : �Replace Resideatial Commercial JOB s�: a��.s �I��T� s� ��e z�p: ss 3�f Owner's Nar�e: ��> /��t r�zc:�c Tele�hone Num�er: �l,�z- �o�- �'ycv • • ' City; Unarro ZIP: Ss39/ 11�tailtng Address: ��aS hl�,�,h sh�,e�r D.�. Co�tractor's Name: �'c�t„� �'I�c��.r��L Telephon�Number: C�a 7�.9-s�y� Mailing Addre.ss: 3�r�� fN�JI yG �'Ls Cl�: � Zip: ssva(o , �� , , �'� � _ Make: �r ti� Model: v'�A,�fPv - Fuel: � � �- Flue Size• _,� , Inpuk BTtJs• Ga uco � Output BTUs: �o _ CFM: .. COOLING SYSTEMS` Quantity: Make: _ Model: - _ Tons: H. Power � � . � WOOD BURNING EOUIPMENT ' Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION ~ No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations �� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minunum Fee ($35.00) � ��,� �. x .0125 $ ��, �.s (contract price) 2. State Surchar�e. ** Add the State Building Code Division � Surcharge to each permit. (�C,��° ' x .0005 $ r3 `�� or $.50, whichever is greater (contract price) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �/ � * CONTRACT PRICE or JOB COST means the actual or estimated ctoiiar a�u�� acgca ror the pemutted �s � work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor, or installation 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 perrnit 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 contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services 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 Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. , Applicant's Signature: Date: /� -/�-�� Approved By: Date: CITY OF ORONO PERMIT NO.: 2009-00024 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OU27/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2625 NORTH SHORE DR , PIN : 09-117-23-42-0003 LEG�.L DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 1095 APPLICANT PLUMBING FIXTURE FEE 35.00 CITY VIEW PLUMBING& HEATING STATE SURCHARGE PLBG (VALUATION) 0.55 1880 WAYZATA BLVD W TOTAL 35.55 P.O. BOX 150 LONG LAKE, MN 55356 (952)473-8793 OWNER BUTZER,BARTHOLOMEW&EL[ZABETH 2625 NORTH SHORE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicabie City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance ith the State Buiiding Code.This permit may be revoked at any time for e c `` ��, ,�/ l ��7 � 0 9 .�' (�� yy�� i�- i i _A��'licant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE. FOR CITY USE ONLY ,�` City of Orono ,O¢�`�'O P.O.Qox 66 Date Received: Permit# 2750 Kelley Pazkway a �;'•*. �.� Crystal Bay,MN 55323 Approved By: Amount$: ��e ''�.'�.,�,u`,i� (952)249-4600 ,�t�o�',,. CITY OF ORONO—PLUMBING PERMIT - (All Commercial pertnits must be approved by the Building Official or[nspector) GENERAL INFORMATION 1. You may apply for plumbing 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 retum 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. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 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 State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A 1 � � �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need<'l'P.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: o��o oZ� �o�t� �/'�vC�- �C"��/`� Owner:�rSh�e.,/ �c?�bddl Mailing Address: �6�5 �� C:�2 UC" City: ��C Cir (� Zip: ��j�I � Home Phone: ��;�'�C�Iv .�73� Alternate Phone: Contractor Information: Contractor: C; � ��,'Q� P��'��; Contact Person: �v;✓� r, ef(.�t�� r✓j��IG'�^� _� Address: ��4 (� �lg I�a Zq D'�� State Bond#: ;��i'�� City: L�I�n�'�K�. Zip:� Expiration Date: I a 3� a�O Phone: �5��-1�3��1 �_ Alternate Phone: 6 l� ��6 SS 3��`� ❑ Insurance—Current: `S �� 1 PLC��FiXTt�� t�'�A�I,�' FIXTURE BSMT 1 2 OTE�R FIXTURE BSMT 1 2 OTI�R ' TYPE FL FL 'TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater 1 Disposal Water Softener Dishwasher Wet Baz Sillcocks Miscellaneous � �� : .a , , s ��;� ;!�.�'� � : ❑ 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;excludinu 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) $ 1.50 Total Permit Fee S (Permit Fees Continued On Nezt Page) 2 : PER�II�'FEE°C�iJt��t,'� : �-'�Q��It:.��.04 If above does not apply;follow guidelines below: . 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) � ��'� x.0125$ (contract price) (minimum�35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fce of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMiT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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, Iabor or installations aze 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 cont�act. • ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PL�II�TG��'F APP`�.I �� The undersigned hereby applies to the City for issuance of a Plumbing 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: Da�; � I GI Q�OO R�►s�t Fortrt ' 3 � ` .p AT �i TIME �/ CI�I(OF ORONO LLED IN ` /d` /�/ f'� INSPECTION N�TI /y�j HEDULED � .� —�'-�' -`-�-� PERMIT NO. �` �� `�w �OMPLETED ADDRESS �� J � � GY%��L' �lZ— OWNER CONTR. n f �I�.� � -� TELEPHONENO.=,I � � �-1��3 `� � Pr�h � DESCRIPTION ��.�C.f��'rl� /� �r'�� ❑ FOOTING ❑ MECHAN CAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � ❑ WALL BD. Z ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC IfdSTAIL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W C � � O �. � O � W � Q � Z W � W � j d W� ❑WORK SATiSFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHiN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector_ � � White Copyllnspector's File Canary Copy/Site Notice