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Home My WebLink About2008-00045 - mechanical � �, �� CITY OF ORONO PERMIT NO.: 2oos-00045 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 07/15/2008 - 952 249-4600 FAX: 952 249-4616 ADDRESS : 3045 SIXTH AVE N PIN : 28-118-23-32-0008 LEGAL DESC : LJNPLATTED 28 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,000.00 NOTE: (HEATING SYSTEM)-LENNOX,NATURAL GAS,2"FLUE,INPUT BTU'S-45,000,OUTPUT BTU'S 40,300,800 CFM (COOLING SYSTEM)-LENNOX, 13ACD-018, 1-1/2 APPLICANT MECHANICAL 50.00 SAYLER HEATING&AIR STATE SURCHARGE MECH(VALUATION) 2.00 3354 HUMBOLDT AVE S TOTAL 52.00 MINNEAPOLIS,MN 5540& (612)702-6622 OWNER RYDER,JOHN&BARBARA 3045 SIXTH AVE N 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 separate 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 aze requ d in con iance with the State Building Code.This permit may be revoked at� ause. ___--7 i t�i o i i Applican it Signatu e Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. � ♦ FOR CITY USE ONLY ,��; City of Orono P.O.Box 66 Date Received: Pertnit# ��' ��j 2750 Kelley Parkway �� ' �� Crystal Bay,MN 55323 Approved By: Amount S: ,"� rt�.� (952)249-4600 CITY OF ORONO—MECHA1vICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector andlor Fire Marshall) GENERAL INFORMATION 1. You may appty for mechanical permits by mail or in person at the City ot�'ices. 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 TAE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications aze required for each heating,ventilation,humidification-dehumidification,and ait conditioning installarion 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 pernut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Buiiding Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (2448 hour notice require� 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 Job Site/Owner Information. � /�� Q A ,, Site Address: � � y � �i /,YC dV . Owner: J O h n ��/d t�'' Mailing Address: �G►1'� City: � I�C�t� Zip: �� S1� Home Phone: �J�' y7� ' �7 p 7 Alternate Phone: Contractor Information: ` Contractor: � �/' !��G��^ �� Contact Person: �J�G��9 `� Address: ��'( ��''� �c�l�� ,� State Bond#: City: ` Zip:��Expiration Date: Phone: ��`7lI r�—6��-� Alternate Phone: ❑ Insurance—Current: 1 , �. ��;��IG�L�I��'��`�:��'��"T�� HEATING SYSTEMS Q�ary: 1 Make: � a X Model: (J�� IT "' �l /J " �`l ,_ Fuel: '�. Flue Size: `' UG Input BTCJs: �� V�/ Output BTUs: �'�� JU� CFM: ��i `:`,' COOLING SYSTEMS Quantity: � Make: /)n U C Model: �� Tons: �_ H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin 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 8c Where: 2 , � , � ��Tt��E+��L�t�.,��N�� ASE�E3�F�2C�Q��T�"�5'��'T� ❑ Yes,this section applies The replacement of a Residentiai fixture or appliance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a t 1 ost of$540.00 or less;excludine the cost of the fiacture 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 Applicable) S 1.50 Total Permft Fee $ PEI�MiT�E�:�LC�t��+�� S �3(��E��$��ktl� If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.011) IVV�• �� x.0125$ (coavact price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Swchazge(Minimum Fce of$.SO) x.0005 $ (coMtact price) (minimum S so) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 _ 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) S ■ * CONTRACT PRICE or JOB COST means the achaal 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 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. ■ '�The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. .1��AfL�'�R�T%��'�:��"�flA�:��R.��F:N�' ;, . 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. ApplicanYs Signature: Date: -- �� —u� ' �.�+�rnt _ 3 � . . � s3S�o I-�AT LOS.S EN'I�OF-IfdSPE�UN ��. ��: Weat�erstri�s �� f;oa:tnaction Pjo. j�f�� Windows I Door• ReFerea« Out.alaQ Iat Wsli Ge1ia� Rnof: Floor Kind F{�, � cr-- o . es o f4_ Fl. xoom t.ea�► �� ar�th � Efe�c ' Fl-I F2oom Lca� wi�th Efi�,� - Windows and Doo�a--Cracka=e ead Area Wiadows and Door�--Csacka4e aad Area �riain H�fLh� N...c ..a c �r.. w�ais x.�rae xw•c ...i[L 4'... Na •C yaw• et paw• U�hts K er�ck p.fL il�. ef�awa •C�ae• Il�tts �[eraek p.it . �• , �7 �� // , � �/ � �� Coef. Btu _ Cxf. Btd n6ltretion _ lnfiltration �au �=u - Fzp.wa�� _ F�p.�val� 1�fot a:p,w�U ,� Net ezp. wall � Int.wall — - IaG wall � Cci�inQ Cci�ing. Floor Floor Totsl Btu. _„_ Tocai Bca. Rcqvired sq. h. ED.R or cQ. iai. WA Lcader ire: R �� h. ED_R or � w. w. �n�. w.A..I.�d« Ena Fl.� . 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