HomeMy WebLinkAbout2018-00462 - mechanical r 4` CITY OF ORONO * 2 0 1 8 — 0 0 4 6 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/12/2018
ORONO,MN 55356-
(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
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 2,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)CARRIER HEATING SYSTEM
APPLICANT MECHANICAL 50.00
CENTRAIRE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 1.00
7402 WASHINGTON AVE MAIL-IN FEE 2.00
EDEN PRAIRIE,MN 55344- TOTAL 53.00
(612)941-1044 Payment(s)
Minnesota State License#:mech-MB004739 CHECK 11461 53.00
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. 1'his 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 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 Issued By ignature Date
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,�O A TO City of Orono
R�C G IV�� FOR CITY USE ONt,Y
<y P.O.Box 66 Dete Rcceivod: Permit#
2750 Kelley Parkwa�pR 12 2018
Crystal Bay,MN 55 3 Appmve�d By: Amount S:
P6one(952)249-4600 Fa�c(952)249-4616
y� �,� CITY OF ORONO
`qKES H���G CIT'Y OF ORONO—MECHANICAL PERMIT
(All Commercial pemvrs must be approved by the Building Official or lnspector and/or Fire Marshall)
��vE�.nvFo�TTox
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 cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD I5 POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specificarions are required for each
heating,venrilation,humidification-dehumidificarion,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 construcrion 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 fmal). 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 A' 1
�Residential ❑Commercial(Approval Required) [Backflow Device:0 AVB ❑PVB]
❑New ❑Additional ❑Repairs �Replace
Job Site/Owner Information:
Site Address: �QQ�j ,��,,s���,�ov �e-
Owner:�M K 1����' Mailing Address: �.�
city: /%La.vo zip: �5 3.��0
Home Phone: � I�1-- �,�- �j,�S� Altemate Phone:
Can�ractor Information:
Contractor: ��v ¢�_ Contact Person: ��i
Address: ��7- G✓�lsf/i r_r��to,�1�4�/ State Bond#:
City: C�E�v_�� Zip;�r�Expiration Date:
Phone: �.sa -qy� /o s�� Alternate Phone:
❑ Insurance—Current:
1
s-
, .
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
���� � --
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Make:
S�"�O ,s
Model: _�
Fuel: NC�
Flue Size:
/�
Input BT[Js: ���--�Z���
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Firepiace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Eachaust duct recirculating cfin
❑ No. Bath Eachaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
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:
2
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of$50.00)
�
��� �� x A125$ ���
(contract price) (minimum S50.00)
2. STATE SURCHARGE ��U
x.0005 $ � f
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00_
ov
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 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 installarions are furnished by the
owner, tenant or any other patty, 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 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 state ade on this application aze complete,true and correct.
Applicant's Signature: Date:
3