HomeMy WebLinkAbout2008-00342 - mechanical � •.
CITY OF ORONO PERMIT NO.: 2oos-oo342
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/29/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 425 OXFORD RD
PIN : OS-117-23-41-0023
LEGAL DESC : STIELOWS 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,000.00
NOTE:
NATURAL GAS HEATING SYSTEM- 155,000 INPUT BTU'S
APPLICANT MECHANICAL 137.50
MACK PLUMBING&HEATING STATE SURCHARGE MECH(VALUATION) 5.50
5940 YUCCA LANE N
PLYMOUTH,MN 55447- TOTAL 143.00
(763)559-8455
Minnesota State License#: 004121PM
OWNER
SCHWARTZMAN,JON&JANE
425 OXFORD RD
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 dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming 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 consWction is
suspended for a period of I80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant ermitee Signature Date ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WO OTHER THAN DESCRIBED ABOVE.
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� � 2750 Kelley Parkway '�� �,��'-��`'���z�� ������,�`�'�rn �� ��4����
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(952)249-4600 '�#�� a�� � ���-���� ; �t .;�,--^;�--�.�
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pemut 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 Desi�ns—Complete calculations, details and specifications aze required for each
heating,ventilarion,humidification-dehumidification,and air condirioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identificarion as to
type,xnanufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building pernut must be
obtained.
5, All work must be done in accordance with the Uniforxn 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.
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�Residential ❑ Commercial(Approval Required)
"�New ❑Additional ❑Repairs ❑Replace
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Site Address: �o� �^ ����(T9✓�C �6C.
Owner: ��c�l ul a r�!iI'!a'>? Mailing Address:
City: ��/7 � Zip:
Home Phone: Alternate Phone:
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Contractor: Qc,1� �ir1 Contact Person: �� �qC/
Address: 51�I� jf�ecz�.w�� State Bond#:
City: � � Zip:=ii�p ExpirationDate: l,� �,�/� g'
Phone: ��.3- .�5 J-8�.3� Alternate Phone:
❑ Insurance-Current:
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Note: A�1 Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes (�No
HEATING SYSTEMS
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Make:
ModeL•
Fuel: �p�� . �pCtS
Flue Size:
Input BTL1s: /���nOG�
-r
Output BTUs:
CFM:
COOLING SYSTEMS
Quanrity:
Make:
Model:
Tons:
H.Power '
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations ��
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:
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
. 1. Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin¢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 Pernrit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
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(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�I�. D e9d� 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 esrimated 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 installarions are fiunished 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.
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: `�`_—� i�yi%"\ Date: ��--a 9 ��
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DATE TIME
CITY OF ORONO CALLED IN a�.3
INSPECTION NOTICE SCHEDULED �- -o ll�ea
PERMIT N0. �o8-�d-3�a- COMPLETED
ADDRESS 2 � /`�=
OWNER CONTR. � ' �� ��
TELEPHONE NO. 763 SSg ��J 5
� DESCRIPTION �/l ���6 f'' /1C"�L�'/�'1 q -- /�-�-�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ 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
J ❑ PLUMBING FINAL � FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CAI.I TO ARRANGE ACCESS.
Cal1 for the next inspection 2a hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. � _� � ___ __
White Copyllnspectors File Canary Copy/Site Notice
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CITY OF ORONO CALLED IN g � �S
INSPECTION NOTICE SCHEDULED / /�:DO
PERMIT NO. ��g"�o3`f� co LETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. 7 p� � � / � ��`"
� DESCRIPTION �L�� � �J �
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLAC
� TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
LUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YC�YES_NO
c�., COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W O CORRECT WORK&PROCEED �SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on ite:
Inspector. Z
White Copyllnspector's File Canary CopylSite Notice
t�"`� ' D T TIME �
CITY OF ORONO CALLED IN `� �
INSPECTION NOTICE SCHEDULED - - 8 2:BD
PERMIT NO.a►-��tOa''-�d��� COMPLETED
ADDRESS `tZS �Q���_ /�-=
OWNER CONTR.�aC� pl��"
TELEPHONENO. '�� SS9 �5��
� DESCRIPTION �l ���/� ^ l.�L
� ❑ FOOTING � MECHANICAL RI EXCAV/G ING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL LAKESHORENVEfLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ 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
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice