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HomeMy WebLinkAbout2009-00126 - mechanical CITY OF ORONO PERMIT NO.: 2009-00126 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 03/30/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 825 OLD CRYSTAL BAY RD S PIN : 09-117-23-21-0001 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,000.00 NOTE: 1 LENNOX HEATING SYSTEM 71000 BTU APPLICANT MECHANICAL 50.00 VOGT HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 1.00 3260 3260 GORHAM AVE ST.LOUIS PARK,MN 55426- MAIL-IN FEE 2.00 (952)929-6767 TOTAL 53.00 OWNER DAYTON,JUDSON&ELIZABETH 825 OLD CRYSTAL BAY RD S 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 permit may be revoked at any time for due Cause. Applicant Permitee Signature Date Issued By Sig ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE OVE. t I • FOR CITY USE ONLY ©`'r City of Orono 70 0 P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway t(/:'•j Crystal Bay,MN 55323 Approved By: Amount$: f (952)249-4600 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 ❑Repairseplace Job Site/Owner Information: y Site Address: O a 5 D1d ci- S'&J s /cu v Owner:ol(.dd l JGId J r) Mailing Address: City: OKOt\(7 Zip: S S 3 Home Phone: -1.S242gU/iln Alternate Phone: Contractor Information: Vogt Heating,AC,Plumbing Contractor: Contact Person: vh.� Address: 3260 Gorham Avenue State Bond#: St.Louis Park 55426 City: Zip: Expiration Date: Phone: (952)929-6767 Alternate Phone: ❑ Insurance-Current: 1 --rs.11 ,N. MID .,+r t t!,44,: HEATING SYSTEMS Quantity: I Make: r�,1 l{i V /- Model: C1lL' (r)19V03( "O7 Fuel: Flue Size: Input BTUs: -11 1000 Output BTUs: 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 cfin ❑ 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 0 Underground 0 Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill El Other/List What&Where: 2 { 701.`• 1+.4441,11 PERMIT FEE CAT 41 (OA' x =BASED OFF -2002 STA 'E�; ,; ❑ 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 $ t: :,,; s _.` l SERI V:F.E500.01 A 1`I J (81W01 KOYER15 0'00 ``;„Z If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee off$$35.00) 2,000 x.0125$ , 00 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State(Bldg Code Div.Surcharge(Minimum Fee of$.50) V x.0005 $ / V (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 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. :=_ :-WC I TI0 ?ERaTIM =TCATION 700t7MEll i:4: 0.4Y 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. 9qApplicant's Signature: AA i! '_ _� li1l.� Date: 3c2 — 4 �arFyrAz � kf;.�..� '� 21557 Reset Form 1 , 3 RC? • DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED SLIM j :Ro PERMIT NO. s ? -00g10 COMPLETED ADDRESS O IdI/'� S OWNER CONTR. V C)L&. i')-1- Ocd TELEPHONE NO. T y\1 I - L I D- 1490 Z-O2 o DESCRIPTION Jr1ar11f,- F-i r-)af 14, ❑ FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q 0 FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ❑ INSULATION Cl WOOD BURNER/FIREPLACE 1111— ❑ TREE REMOVAL 0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION It FINAL El SEWER HOOK-UP 0 PROGRESS ❑ DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT 0 DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP 1:9 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO ccl COMMENTS: c W 0. cc cc fe AJ 0�.� CC Q W CC d Lu ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ RRECT 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) 249-4600 Owner/Contractor site: Inspector. White Copyllnspector's File Canary Copy/Site Notice