HomeMy WebLinkAbout2009-00542 - mechanical CITY OF ORONO PERMIT NO.: 2009-00542
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/31/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 4105 OAK ST
PIN : 06-117-23-41-0095
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 007
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 6,800.00
NOTE: HEATING SYSTEM-(1)BRYANT-MODEL#355CAV-NATURAL GAS-2"PVC
80 INPUT BTU'S 74 OUTPUT BTU'S-1400 CFM
(1)COOLING SYSTEM-BRYANT 124A-2.5 TON
APPLICANT MECHANICAL 85.00
HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 3.40
18550 COUNTY ROAD 81 TOTAL 88.40
MAPLE GROVE,MN 55369-
(763)428-3677
OWNER
THOMPSON,MICHEAL&STEPHANIE
4105 OAK ST
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 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. ¢ �j
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009
O SApplature Date I d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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40 City of Orono FO CI YiUSE ONLY
P.O.Box 66 Date Received: �✓
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01 2750 Kelley Parkway Permit'# d. 6 cr7 y�
Crystal Bay,MN 55323 A roved B
a (952)249 4600 pp Y' Amount$ gl
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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)
GENERAL:INFORMATION
L 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A ly)
Residential ❑ Commercial(Approval Required)
❑New ❑Additional
❑Repairs Replace
Job Site/Owner Information:
Site Address: a
�,3N4 Owner: ` Mailing Address:
City: - �m 9 Zip:
Home Phone: (-y' 3S W13 Alternate Phone:
Contractor Information:
Contractor: Contact Person:
HEATING&COOUNG TWO jut%
Address: 1 R n r•...m4f Rd.81 tate Bond#:
Maple Grove, MN 55369-9231
City: (763)4677 Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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r ?i Flue Size
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COOLING SYSTEMS
Quantity /
Make. °
Model �e
Ton$.
H.Power
FIREPLACES
❑ _ Gas Factory Fireplace
El Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No..
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
El No.No. Bath Exhaust(must have duct outside) cim
❑ No. Other Fans: Locations cfrn
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside.
LP Gas: gallons
Other.
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
il
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following'requirements
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
s
Is;' rove installed or replaced by the homeowner or licensed contractor.'
}# Slap next section,if this applies;" Cost of Permit
4 y A Surcharge D a r
State
$ 150
5F; `n �•y. Mail-In Fee(If Applicable) Y $ 150
s3
k Total Permit Fee '
z
If above does.not a 1 'follow
pp y, guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35 00)
x.0125$ £
- . (contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.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 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. adispute 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 certifies that all statements made on this application are complete, true and
11
correct.
Applicant's Signature: \`r-., _
Date:
3
e✓C/{ DATE TIME V
CITY NO CALLEDIN
INSPECTION NOTICE SCHEDULED
PERMIT NO JW!?-6jQT�& COMPLETED
ADDRESS �/OSQ-L/ S-f-
OWNER sA2A-.t-t SU..,t.dS�G)PeONTR.4_ingf'!!�Aobm
TELEPHONE NO. ��✓O 355
DESCRIPTION
El FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q El TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNEWCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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LU ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next Inspection 24 hours In advance. (952) 249-4600
OvvnedContractor on s e:
Inspector.
White CopyMspector's File Canary Copy/Site Notice