HomeMy WebLinkAbout2010-01164 - mechanical CITY OF ORON PERMIT NO.: 2010-01164
2750 KELLEY PA AY
ORONO,MN 55356 DATE ISSUED: 11/30/2010
952 249-4600 FAX: 952 49-4616
ADDRESS : 315 OLD CRYSTAL BAY RD N
PIN : 33-118-23-31-0004
LEGAL DESC • : UNPLATTED 33 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION., : $ 2,800.00
NOTE: 1 RUUD RGPQIOEAMER GAS HEATING SYSTEM
APPLICANT MECHANICAL 50.00
RIVER CITY SHEET METAL INC. STATE SURCHARGE MECH(VALUATION) 5.00
8290 MAIN ST.NE
SUITE 39 MAIL-IN FEE 1.50
FRIDLEY,MN 55432 TOTAL 56.50
(612)754-2199
OWNER
ENGLEMAN,MR.&MRS.ALAN
315 OLD CRYSTAL BAY RD N
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.
Applicant Permitee Signature Date Issued E ynature ate
SEPARATE PERMITS REQUIRED FOR WORK OT R HAN DESCRIBED ABOW90
.
FOR CITY USE ONLY
0 City of Orono
P.O.Box 66 Date Received: Permit#
•,,,_,,. �''' 2750 Kelley Parkway
Crvstal Bay,MN 55323 Approved By: Amount$.
r W (952)249-4600
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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
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 31,5 ( 91a_
Owner: Ar ,V% �✓!t 1 A = N Mailing Address: j IS r 4 r( ✓� J "t'
City: D ° Zip: SS 3S�
Home Phone: qS d- L03- I / Alternate Phone:
Contractor Information:
Contractor: River cw S ct, af2tl Contact Person: �Y`YiS 1Z�Lpp
Address: JtigA AU& S� tq6 *37 State Bond#: M 63 3 & 4
City: l'I eV Zip:7 37_ Expiration Date: I f
Phone: Alternate Phone:
❑ Insurance—Current:
1
x
HEATING SYSTEMS
Quantity:
Make: V a
Model: Q 10 EJ qq 2
Fuel: A S
Flue Size:
Input BTUs: >5 O u
Output BTUs: q S J G
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ -Underground F-1Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
+�
JO
❑ MUE
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;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 $
a - -
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.90)
c
Y 0 a , uu x .0125$ JG. 0
(contract price) (minimum$35.00)
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2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Feevf .609
x.0005 $ J IS ('
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ a 6•, O
■ * 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.
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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: C (� ti� loo,p Date: (— Y— r)b
J
,m1,0,e0 f5, v -' TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 1-2-7- 1 AO
PERMIT NO D 1COMPLETED
ADDRESS �,, a
OWNER e2MZ B PONE NOY12 7 •��9�
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F LUNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/W NDS
Oy ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
h ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
ElDEMO-SITE ElSEPTIC MAINT. ElFOLLOW-
UP
El DEMO-FINAL El SEPTIC INSTALL ❑ HARD COVER REMOV L
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOV
OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
S;C4 C- ��e- TrD Z CCU
W
W
Q
2
W
W
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4j ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 hours in advance. (952) 249-46011
Owner/Contractor on site:
Inspector:
37 �