HomeMy WebLinkAbout2014-01330 - mechanical ` CITY OF ORONO mmufflEffunom
2750 KELLEY PARKWAY * 2 0 1 4 — 0 1 3 3 0
DATE ISSUED: 11/13/2014
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2535 OLD BEACH RD
PIN : 21-117-23-22-0019
LEGAL DESC : THE MARSH AT LAFAYETTE
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
VALUATION : $ 600.00
NOTE: GASLINE FOR GARAGE UNIT HEATER,
APPLICANT MECHANICAL 50.00
STEINKRAUS PLUMBING INC.
STATE SURCHARGE MECH(VALUATION) 0.30 112 E 5TH ST
ITE 101 Payment(s) TOTAL 50.30
SU
C ITE 10 MN 55318 CREDIT CARD 0562 52.30
(952)361-0128 TOTAL PAID 52.30
DUE -2.00
OWNER
CODUTE,TOM&ALICIA
2535 OLD BEACH RD
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 pe/"'/�
y be
revoked at any time for due cause.
11 1,3 // " /'Z
Applicant Permitee Signatur ate Issued F6 Signature Date
! 1111312014 13:36 Steinkraus Plumbing ft)NEM15912 P.0011004
)FORKM U.,$9.1ONLY
City of Orono 1:
P.O.Box 66 hate ILec:cived:" ermit#
2750 Kelley Parkway +�
Crystal Bay,MN 55323 AppmyeclBy, Amount$: ✓
Phone(952)2494600 Fax(952)2494616
CITY OF ORONO-MECHANICAL PERMIT
K$S H Or' (M Commercial permits must be approved by the Building Official or 1nsp4ctor and/or Fire Marsha[!)
GcEIVERAL IIVFQRM?TTON
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)24911600.
(24-48 hour notice required)
7. House Treating Test Record must be submitted before final.
-...-TY- P
Check.-A11 That,
Residential ❑Commercial(Approval Required)
❑New Additional ❑Repairs ❑Replace
rot; Site 7 Owner~!n£orimation;.
Site Address: &536- 01' c 1�cye�
Owner: QO JcU Mailing Address:
City: Zip: e
Horne Phone: Alternate Phone:
Contractor Information:
Contractor: ���►I us P1Ut' h%T-PC- Contact Person:
Address: I i,1..r 64--11-5r 6 v` 't 14�f State Bond#: a
City: 0-46514K Zip.QrVir Expiration Date:
Phone: -- 1. 012-f Alternate Phone:
Insurance--Current:
1
• 'W1312014 13:36 Steinkraus Plumbing fAX)952361590 P.0021004
y ,.. V_ z <
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:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating _.. ...- cftin
❑ No. Bath Exhaust(must have duct outside) cf n
❑ No. Other Fans: Locations chn
FUEL STORAGE I(21 fust be approved by.mire Marshall ,proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ 1 —
Outdoor Grill � ether!List What&Where: g�`E ►e- 0�1r �-'��'r.
--
2
"1111312014 13:36 Steinkraus Plumbing fAX)952361508 P.0031004
❑ 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 cos 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 $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee S
If above does not apply;follow guidelines below:
I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Ree of$50.00)
x.0125$ JV!~
(contract pricc) (minimum$5Q.00)
2. STATE SURCHARGE �^ � al
k�C7{� X.0005 $ 0
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -2A-
4.
.4. TOTAL PERMIT REE(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 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