HomeMy WebLinkAbout2010-00814 - mechanical � � CITY OF ORONO PERMIT NO.: 2oiaoosia
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 09/09/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1920 SHORELINE DR
PIN : 10-117-23-42-0016
LEGAL DESC : REG. LAND SURVEY NO. 0096
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 6,810.00
NOTE: 1 CARRIER NAT GAS FURNACE
1 CARRIER 3 TON AC
APPLICANT MECHANICAL 85.13
SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00
3062 RANCHVIEW LN N
PLYMOUTH,MN 55447 MAIL-IN FEE 0.41
(763)473-2267 TOTAL 90.54
OWNER
KLINGER,CHRISTOPHER&KRISTA
1920 SHORELINE DR
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 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
revoked at any time for due c�use.
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Applicant Permitee Signature Date Issued By S gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB .
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2750 Kelley Parkway `� z ' �,�
Crystal Bay,MN 55323 � � �,,,,,,,�,;,,w Aet�1p1���,�„:.
� � Phone(952)249-4600 Fax(952)249�616 � �,����,,�.,... .
CITY OF ORONO—MECHA1vICAL PERMIT
(All Commercial permiu must be approved by the Building Official or Inspector and/or Fire Marshall)
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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 cazds will be sent by return mai(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 Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning instailation 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.
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❑� Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑� Replace
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s�te Aaaress: 1920 Shoreline Drive
Owner: Krista Mailing Address: 1920 Shoreline Dr
c;�,: Orono Z;p: 55391
Home Phone: �952) 513-8998 Alternate Phone:
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Sabre Plumbing Heating&AC Courtney
Contractor: Contact Person:
Address: 3062 Ranchview Lane State Bond#: 7O35Z73O
Plymouth 55447
City: Zip: Expiration Date:
Phone: (763) 473-2267 Alternate Phone:
❑ Insurance—Current: West Bend Mutual
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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
Q��t�Ty: �
M�xe: Carrier
Mo�e�: 58MVC
Fue►: Nat GaS
Flue Size:
Input BTUs: 10�,��� 1��,���
ou�ut BTus: 95,000 95,000
CFM:
COOLING SYSTEMS
Quantity: �
Make: Carrl@r
Moae�: 24APA5
Tons: 3
H.Power
FIREPLACES
Gas Factory Fireplace Brand Name:
Wood Burning Fireplace
Wood Stove Model No.:
Wood Stove With Flue
VENTILATION
No. Kitchen Ea�haust duct r�irculating cfin
No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfrn
FUEL STORAGE (Must be approved by Fire Marshall f proposing to abandon tank in place.)
� 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 apnliance 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;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip neact section,if this applies; Cost of Permit $ 15.00
State Surchazge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
6810.00 X.012$$ 85.13
(contract price) (minimum 550.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S5.00)
6,810.00 X.000s $3.41
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Apptications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $90.54
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for tt�e
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 mazket 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 times the Contract Price or a minimum of$5.00.
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: Date: 9�7�201 O
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