The URL can be used to link to this page

Home My WebLink About2012-00711 - mechanical f ' CITY OF ORONO * z 0 1 z - 0 � 7 � 1 * 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2905 SIXTH AVE N PIN : 28-118-23-31-0006 LEGAL DESC : GARDEN GROVE : LOT 002 BLOCK 002 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE NOTG: (4)REGISTERS,(2)DUCTS AND(4)JOINTS APPLICANT MECHANICAL(<$500) 15.00 ELLINGSON,JORGEN& YUMIKO STATE SURCHARGE MECH(<$500) 5.00 2905 StXTH AVE N TOTAL 20.00 LONG LAKE, MN 55356- OWNER ELLINGSON,JORGEN &YUMIKO 2905 S[XTH AVE N LONG LAKE, MN 55356- AGREEMEIYT AND SWORIY STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / - � � �,.' L C� ' � l�� (.� �'L___ � �� Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r �� ' FOR CITY USE ONLY ,�` Cit �of Orono / t �7 ¢O`�' P.O3Box 66 Date Receiv�� Permit# �/ � �/�/ ��;; � � 2750 Kelley Parkway � �� a 1�''��;=' F Crystal Bay,MN 5�323 Approved By: Amount$:�CJ �'d �,��,.�o` Phone(952)249-4600 Fax(952)249-4616 ��Ho� CITY OF ORONO-MECHANICAL PERMIT (All Commercial pern�its musCbe approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 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. Pernut 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 hearing,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 ❑ Repairs ❑ Replace Job Site/Owner Information: c� � '�t 1.�� ✓V O+--'d ``L Site Address: 2 ( � � � C � Owner: �O�'��- �`�t�"l. �L�'�- Mailing Address: � � �-��- �`l �� n ��/4�Od � � i ;�f � � �c � City: �csh(� Zip: 55� s`� � Home Phone: t..�� Z��Z- Alternate Phone: �� , "Contractor Information: ., � —` o. ��,-- � Contractor: ��'� ��Q-� Contact Person: �`J�'�� `� Address: �� U ��'�� State Bond #: Z� �- � �� ( � �� City: Zip:��xpiration Date: �.�- � � � Phone: � �� ` �� Alternate Phone: -�` � � Insurance-Current: 1 . . `� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes �io HEATING SYSTEMS Quanrity: Make: Model: Fuel: Flue Size: Input BTLJs: Output BTLJs: 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/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locarions cfm I'� ��-°�S � � �(v t.�'S ] 5�a.�, FLJEL STORAGE (Must e approved by Fire Marshdll if 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: 2 / ` . � Yes,this section applies The replacement of a Residenrial 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;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ Z Zv� If above does not apply;follow guidelines below: ` 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (coniract price) (minimum$50.00) 2. STATE SURCHARGE - x.0005 $ (contract price) 3. POSTAGE&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 esrimated dollar amount charged for the pernutted work including materials, labot,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 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 perxnit 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. T'he undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the inanc of the City and the regulations of the State of Minnesota, and certifies that al s made on this application are complete, true and correct. Applicant's Signa Date: `� �� 3 �� •. W � r � � � ��v� �C�. � ��s� w � � �r� �-r�� ,l�`w� i y�a,��' 2�� l�. .:��s-�� ti/�--x' � , . _ : __ _ � " - � �� 2`� I �� Z�