HomeMy WebLinkAbout2008-00432 - mechanical - ' CITY OF ORONO PERMIT NO.: 2oos-oo432
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 12/04/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1340 REST POINT LA
PIN : 07-117-23-32-0002
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMTT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 2,016.00
NOTE:
INSTALL HEATING SYSTEM.
APPLICANT MECHANICAL 35.00
ONE HOUR HEATING STATE SURCHARGE MECH(VALUATION) 1.01
13 21ST AVE S TOTAL 36.01
ST CLOUD,MN 56301-
(320)202-8463
OWNER
HOUTMAN,J&K
1340 REST POINT LA
MOUND,MN 55364
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 parmission for additional or related work which tequires 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 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
re e a ' e for due cause.
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A lic t P i r Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
, �
FOR CITY USE ONLY
��� City of Orono
O x 0 P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway .
�� � Crystal Bay,MN 55323 Approved By: Amount$:
L__,� �� � (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 INFO TION
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 A 1
[�Residential ❑Commercial(Approval Required)
❑New ❑Additional �Repairs �Replace
�'
3oh Site/Owner'Informativn:
Site Address: ��J�� �1Q1��C' �'C�\Y��' (�Q�'le
Owner: ��1\M �(���(�l Mailing Address: ��XY1Q _
City: ��(UY1�O Zip: �1(D�c��P
HomePhone: h��y�.a—��I�s� AlternatePhone: C4�r�--1��-cF1r��S`1
Cantractor Information:
Contractor: �'}�Q_�(jL1,Y �Q,-`'l1� Contact Person: G��
`_1
Address: ,� C��S� �� 5 State Bond#: '����,�q�
City: U1� Zip���� Expiration Date:
Phone: ,��-C�u�� —��lQ� Alternate Phone:
❑ Insurance—Current:
1
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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 BTiJs:
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
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
� No. Bath Exhaust(must have duct outside) cfm
� No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) If proposing to abandon tank
❑ Instal lation ❑ Removal i n p 1 a c e.
Fuel Oil: gallons � Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
l. 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
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 Appiicable) $ 1.50
Total Permit Fee $
3 3"k �iy�.. �`,�, �� . ,., ..r ? �� . ���� 1J w"��:.��1�� �;
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
. ('� Q x.0125$ � V
(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) $ (3(� ,���
■ * 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.
�,� �,-���'.,� � ���1� �;.�� ������
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: �f � Date: dU
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�� HEATING TEST RECORD
PE�,�No�����- ooy3�
NNER ��a✓�✓v�c..� '-' ��►'�
)DRESS 13�/D ,�c,�;�--��1�e� �.tif
STALLED BY /�-�
JITING CONTRACTOR (�'�� J/�
GAS DESlGNED UNIT
4KE ,� �
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=Rl�►c ,��b�1�3 D �
arEo rnrPur�'�. O� C�
rEsr
4NlFOLD PRESSURE ./.� PERCENT CO2 f y
PUT CFH _ PERCENT 02 __j��
ri9CKTEMP Q� 7`� PEACENT/PPMCO,.�.
M!T SETIING I �� PERCENT EFF-��
4TE TESTED ` �'�
4ME OF LICENSEO TESTER �P�
TY UCENSE# ��7'�C C��O�
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