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Home My WebLink About2009-00320 - mechanical CITY OF ORONO PERMIT NO.: 2009-00320 �' 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 06/15/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2009 SUGARWOOD DR PIN : 34-118-23-21-0013 LEGAL DESC : SUGAR WOODS : LOT 005 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 5,800.00 NOTE: 1 CARRIER NATURAL GAS FURNACE 1 CARRIER 3.5 AC APPLICANT MECHANICAL 72.50 CENTRAIRE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 2.90 7402 WASHINGTON AVE EDEN PRAIRIE,MN 55344 MAIL-IN FEE 2.00 (612)941-1044 TOTAL 77.40 Minnesota State License#: OOTR93 OWNER KILEEN,MARY&THOMAS 2009 SUGARWOOD DR 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 dces 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 wiil 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. �i� i�..ev`'� Liy`' l l l l Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. i fi C� �(�--v�� R . � ' FOR CITY USE ONLY '�' City of Orono � '�4�� P.O.Box 66 Date Received: Pennit# `Q�,,, �' ;, 2750 Kelley Park��ay t �,�'�" w',:' Crystal Bay,MN»3�3 Approved By: Amount$: �� k'� �o`,�" (952)249-4600 ��?^+a,��., CITY OF ORONO-MECHANICAL PERMIT �All Commercial permits inust be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMAT[ON L 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 VAL1D UNT1L YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL 1'HE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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 ty��e, manufacture�•:an:� model. Data shall be presented on fnrm provided. 4. Wh:,n 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). Cal) (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 �Cummercial(Approval Required) ❑New ❑ Additional ❑Repairs �Replace Job Site/Owner Information: � � 1 Site Address: ��l%'� "��'�'t"�d�-�r�(/c�r�� 'j�� Owner:,l c�ti�J� ` 1 3 Mailing Address: -,�,�` .�� _";� :�1 r�:C.i%ctc;`,; /.Jj� z � �.�- City: ;�-�J� ,•, L ,,. Zip: <,-�C�� ,,._ Home Phone: Alternate Phone: f:�t �� L•�>5�" "' � Contractor Information: � .. Contractor: (/�'vl �Y`i��i ti��r".� -��"�� ' ContactPerson: �� -=, :i� ! ��c- Lilr i�� Address: ��IC✓�C�/��7 Gi�t��,�1'�t l.`T��`==- State Bond#: City: ��`�� ✓"��"� Zip:;��i Expiration Date: Phone: ��;� `��1/ -�1�°`%t� Alternate Phone: ❑ Insurance-Current: 1 • • - . �� MECHANICAia S'YST�1�I��BEING INSTALLED �� _ --_-� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: ��'',�_.�N'I�l� Model: �7`S(''iI/.� �� Fuei: N�� «`� - Flue Size: C/' µ Input BTUs: ( l��G�i'�� Output BTUs: �C�C�E� CFM: _ — COOLING SYSTEMS Quantity: i Make: ��,,i✓1ti1�` ModeL• �� Tons: �� /:�- ---- H. Power — FIREPLACES ❑ Gas Factory Fireplace Brand Name: _ ❑ Wood Burning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTfLA'f'ION ❑ 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 proposing to abandon tank in place.) [� Installation � Removal Fuel Oil: gallons ❑ Underground a lnside �Outside LP Gas: gallons Other: GAS LINF.ONLY ❑ Outdoor Grill � Other/List What&Where: 2 J • ► � PERMIT FEE CALCULATION(S) � �� BASED OFF - 20Q2 STf�TE STATUE�� ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Uoes not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding 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 $ I 5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � -- PERMIT �'EE CALCULATIOI��t��'DO ' If�above does not apply;follow guidelines below: 1. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$50.00) �- '`�_.��,,f.' x.0125$ " ��i (contract price) (minimum�50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum 1�'ee of�.50) �? _T!� x.0005 $ 't`�' (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 7� �G ■ * 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 pern�it fee purposes. In the event tliat there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contraet. ■ '"* The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICAT�ON AG�EEIv1�NT The ��ndersigned 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. ,� /! - �� r Date: (�- /�� Applicant's Signature: , C � Reset Form ,1 �' 3 �