HomeMy WebLinkAbout2011-00347 - mechanical .
� CITY OF ORONO PERMIT NO.: 2011-00347
2750 KELLEY PARKWAY
� ORONO,MN 55356- DATE ISSUED: OS/16/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3095 NORTH SHORE DR
": PIN : 09-117-23-32-0014
LEGAL DESC : REG. LAND SURVEY NO. 0670
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 25,600.00
NOTE: 2 BRYQNT NAT GAS FURNACE
1 MODINE NAT GAS HEATING SYSTEM
2 BRYANT AC
KITCHEN EXHAUST
5 BATH FANS
1•MAKE UP AIR FAN
GAS LINE TO RANGE,BBQ&UNIT HEATER
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i
APPLICANT MECHANICAL 320.00
HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 12.80
18550 COLJNTY ROAD 81 TOTAL 332.80
MAPLE GROVE,MN 55369-
(763)428-3677
�� OWNER
± SIME,MICHAEL&PAMELA
°- 1592 MEDINA 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 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 th of issuance,or if construction is
suspended for a period of 180 d s at any ' e after work has commenced. �
The applicant is respo sible for s 'ng al required inspections are
requested in con ce with t tate ilding Code.This permit may be
� revoke ti for due c se.
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+„ / / / /
� Applicant Permitee i Date Issued By S' ure ate
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SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB .
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�,¢��� City of Orono ; ;� _
P.O.Box 66 Dat�.lieceivet] Peri�vt#�' ��
2750 Kelley Parkway
� ,��� Crysta]Bay,MN 55323 al�proned$y:`, ,Amdunf$ - `
� Phone(952)249-4600 Fa�c(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
'����_���'��:.:
1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernut 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 5ITE.
3. Mechanical Desiens—Complete calcularions,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calcularion,design temperatures,equipment ratings and identificarion as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a segarate building pernut 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.
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�.Residential ❑Commercial(Approval Required)
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❑ New ❑Additional ❑Repairs ❑Replace
J��� �i����er i�c�rma�tc��. :, �' �
Site Address: ��� � �n�i �.
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
�Co�ztract�r T�fvr�nation: `
Contractor: Contact Person:
; H�anNQ�coouNo rnro t��,
Address �� 18550 � .�tate Bond#:
f .�,`
�� Cirove� MN 85389-9?at ,��r;
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City: t�. ti' ���42 �';��cpiration Date:
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Phone: Alternate Phone:
❑ Insurance—Current:
1
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTHERMAL? ❑ Yes No
HEATING SYSTEMS
Quantity: �
Make: /�d�/1� �
Model: �V �
FueL• +� .
Flue Size: � (�C/ ����
Input BTLTs: �Z� �� �/ �
Output BT'Us: / �
CFM: � �
COOLING SYSTEMS
Quantity: Z
Make: �� '
Model: �
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 �� cfin
❑ No. � Bath Exhaust(must have duct outside ��cfm
❑ No. _� Other Fans: Locations �Q�cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.)
❑ Installation ❑ Removal }'� t,
+.M 2 �.r Y G1i�,..D��i....• A� �.Y���d���
.;:t�ii C'�-
Fuel Oil: gallons • ���+�(ct��rb�id��•,` �� ❑Outside
LP Gas: gallons tL�g-Gi� .��' ��'�� + ��`�''��'�'
Other: '" ��' •��«
�'\�. -�. t-� ,
��,,�t,.�,,,�t��;;;r.: �;•;�•
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where: /� /� Q ,
2 f— 1/n�� ,
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❑ Yes,this section applies
The replacement of a Residenrial 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 Pernvt $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�� �• ��c.0125$
(conF act price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00)
x.0005 $
(contract price) (minimum$5.00)
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
pernutted 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 installarions 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 times the Contract Price or a minimum of$5.00.
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: ✓ /�^
3
�/� �/� DPT-Ctin // TIME ✓
`� ITY OF ORONO C\-' CALLED IN �r ` d�`�.� /
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INSPECTION OTICE SCHEDULED
PERMIT NO. �4 � COMPLETED
ADDRESS ' � ��"� �
OWNER TELEPHONE IV� .r //� ' - � -`-� 7/
CONTRACTOR ' � \ �
� DESCRIPTION f�'�`"7 � �,��� � �
lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU: YES_NO
� COMMENTS:
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��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑COF�RECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑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
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContr tor on e:
Inspector. t``' z
White Copyllnspector's File Canary CopylSite Notice
�� �� DATE TIME �
CITY OF ORONO CALLED IN �� I
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INSPECTION NOTICE�34-7 SCHEDULED ��
PERMIT NO. '�nI I COMP�ETED
ADDRESS ��R� ���.>L�f`?�'� � �
OWNER TELEPHONE NO. � -�� ��
CONTRACTOR �� � � � ��y.�,
}n,, ,, 7
�; DESCRIPTION I�l�'�1 �/��. � �.�.�I /����QG�'� �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: ES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED /[�PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
inspector. �L �=�
White Copylinspector's File Canary CopylSite Notice