HomeMy WebLinkAbout2010-00525 - mechanical CITY OF ORONO PERMIT NO.: 2010-00525
„ 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/24/2010
` 952 249-4600 FAX: 952 249-4616
ADDRESS : 4725 NORTH SHORE DR
PIN : 07-117-23-32-0017
LEGAL DESC : BERGQUIST&WICKLUNDS PARK
: LOT 005 BLOCK 005
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 2,500.00
NOTE: 4 GASLINES:2 FIREPLACES, 1 COOKTOP, 1 DRYER
1 HRV1100
REGISTERS,FAN COVERS,FINISH VENT DRYER
APPLICANT MECHANICAL 50.00
METRO AIR INC.
16980 WELCOME AVE SE STATE SURCHARGE MECH(VALUATION) 1.25
PRIOR LAKE,MN 55372 TOTAL 51.25
(952)447-8124
OWNER
ROEDEL,JOHN
4725 NORTH SHORE DRIVE
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 confoml4nce with the State Building Code.This permit may be
re�ok any time
A,pl PArmitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
OCity of Orono FOR CITY USE ONLY
04 A�
•rO P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
�'t ! Crystal Bay,MN 55323 Approved By: Amount S:
.oC (952)2494600
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 Designs—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 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.
(2448 hour notice required)
7. Mouse Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
Residential ❑Commercial(Approval Required)
✓✓✓I"`New ❑Additional IR-tepairs ❑Replace
Job Site/Owner Information:
Site Address: 01 IV L v T S h r e r
Owner: ������������Hyl 1�,� `, yS Mailing Address: `� ���'�t t1
City: �- U' Zip:
SS3 ,S�
Home Phone: y a Alternate Phone:
Contractor Information:
Contractor: Contact Person:
METRO AIR, INC-
Address
X698 S.E. State Bond#: '\A
City: Prior Lake. MN 55372
Zip: Expiration Date: Z�
Phone: METRO AIR, INC. Alternate Phone: �` O
952-447-8124 G 01 L
Fax: 952-447-8126 ❑ Insurance—Current: 1 .
1
NNI MECHANICAL SYSTEMS BEING INSTALLED -71
HEATING SYSTEMS
Quantity: -- -
Make: -- — --
Model: --
Fuel:
Flue Size:
Input BTUs:
Output BTUs: --
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES '� < I s r '� �C,`-i L O V r 1/ t
❑ Gas Factory) Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION RV 1 Q)13 � N, (-,(� (1
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY cI S
❑ Outdoor Grill ❑ Other/List What&Where: \- U C kC+6 0
1 - y
2
PERMIT FEE 'CU
—L
,--.':;{BASED�O�F=2002�STATE STATUE
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. Hasa total cost of$500.00 or less;excluding 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 $
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$35.00)
d� x.0125$
(contract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $ Z
(contract price) (minimum 5 .50)
3. POSTAGE&IIANDLING(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 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.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
. CAL PERMIT APPLICATION AGREEMENT
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.
�\JAApplicant's Signature: y Date: v
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ID TE TIME
CITY OF ORONO CALLED IN f4//D
INSPECTION NOTICE SCHEDULED 0
PERMIT NO. a U l d^M�,2 SCOMPLETED
ADDRESS a 5 A-1 Sh o r`P
OWNER �A TELEPHONE NO.
CONTRACTOR / �--t^��
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
Z
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Q
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ElPLUMBING RI ❑ SEPTIC FINAL ElFOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU
YES NO
COMMENTS:
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Wcr- ElWORK SATISFACTORY.PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED 7 ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CJ BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
I_', INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector._ Car-(
White Copy/Inspector's File Canary Copy/Site Notice