HomeMy WebLinkAbout2015-01048 - heating systems CITY OF ORONO * Z 0 1 5 - 0 1 0 4 8 *
�- 2750 KELLEY PARKWAY DATE ISSUED: 08/18/2015
� ORONO, MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 2325 GLENDALE COVE LA
PIN : 34-118-23-33-0065
LEGAL DESC : GLENDALE COVE
: LOT 006 BLOCK 001
PERM[T TYPE : MECHANICAL(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
NOTE: PER HOMEOWNER,REPLACING EX[STMG UNIT,WITH EXISTING GAS LINE. PURCHASED FROM LOWES AND ALL HE IS
DOMG IS CONNECTING BRACKETS AND HOOKING UP.
APPLICANT MECHANICAL(<$500) 15.00
STATE SURCHARGE MECH(<$500) 1.00
HOEHN,CASEY&JILL MAIL-IN FEE 2.00
2325 GLENDALE COVE LA
LONG LAKE,MN 55356- TOTAL 18.00
Payment(s)
CREDIT CARD 1148 18.00
OWKER
HOEHN,CASEY&JILL
2325 GLENDALE COVE LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be �
revoked at any time for due cause. �
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Applicant Permitee Signature Date [ssued B Signature Date
, FOR CiTY LSE ONi.Y
� 7�'` �O� City of Orono S
� �, O p,p.Box 66 Date Received: __C�ermit# _�y�'�� �
� 2750 Kelley Parkway �(�'�
Gystal Bay,MN 55323 Approved By: -IL� Amount$:�
Phone(952)249�600 Fax(952)249-4G1G
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�qkFSH����� CITY OF ORONO—MECHANICAL PERMIT
_� (All Commercial permits must be appro�•ed by the Buildiug Ofticial or Gispectoi'and/or Fii'e 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 pennit will be issued within two working days.
2. Permit cards will be sent by rettu-n mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PER]viIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidifieation-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 conslruction or remodeling is involved,a separate building permil must be
obtained.
5. All work must be done in accordance wit�i the Uniform Mechanical Code/State Buiiding 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 Recard must be submitted before final.
TYPE OF PERMIT
Check All That A 1
� Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑ Repiace
3ob Site/Owner Information:
Site Address: � � � � � � � �ti N � � _ � �
Owner: ✓ : i� � C /� j .: t� <� �� Mailing Address: z � z ; � i-< ,�, ci a /c C e v C L r�
City: t� �- � �-, o Zip: s� �.I s c;
Home Phone: �' z � ' Y � - z s � -, Alternate Phone:
Contractor Inforrnation:
Contractor: ��"t Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Cuirent:
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A
�"' MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geolhermal Systems will naw require a Sile Plan &Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity: r
Make: n_-, r '! r � / < � 8 � y ,�-,K k X
Model: r�-r H t� �. r� N �
Fuel: N�:, f . G « �-
Flue Size: �> ��
Input BTUs: ` �"' �>u G>
Output BTUs: �� �� �c> o � �� � �� ���� `'
CFM: �'
COOLING SYSTEMS
Quantity:
Make:
Model:
T�ns:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Na►ne:
❑ Wood Butning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masomy
VENT[I,ATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be upproved by Fire Marshall if prnposin�to abandon tm:k it:pluce.)
❑ 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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PERMIT FEE CALCULATION(S)
BASED OFP- 200� STATE STATUE
� Yes,this secrion applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require moditication 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 vr replaced by the homeowner or licensed contractor.
Skip next secrion,if this applies; Cost of Pertnit $ 15.00
1�1� q$ �`t 11�. � State Surcharge $�.89� , � 00
�� t`�`�f��'" ��5�� J ����. Mail-InFee(If Applicable) $ 2.00
S ir��� �r,e p l O�C._,�!'\� � ,,- , ��C �►� ; t Totat Permit Fee $ -- _ _.
, _.. . -.. . . . •
� ; . . , . .- .
� , ,, , , a , ; A :�
f�Gy - ...,._ . , , • :. . .: ..r '_�-."-
PERMIT FEE CALCULATION(S}-JOBS OVER$500 QO
[f above does not apply;follow guidelines below:
1. CONTRACT PitICE *is 1.25%of contract price with a(Minimum Fee of$SO.OU)
x.0125$
(contiact price) (minimum$50.00)
2. STATE SURCHARGE
x .0005 $
(conh�act piice)
3. POSTAGE g HANDLING(Only on Mail-In Applications) $ 2.00
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 iiicluding materials, labor,profit, and otlier fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are fumished 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the Ciry 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 inade on this application are complete, true and
correct.
Applicant's Signature: � �^ ��--, /� � .-�---�— Date: 8 / �� / i s
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