HomeMy WebLinkAbout2009-00273 - mechanical , CITY OF ORONO PERMIT NO.: 2009-002�3
,. "� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 06/02/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2103 SUGARWOOD DR
PIN : 34-118-23-21-0018
LEGAL DESC : SUGAR WOODS
: LOT 004 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 13,000.00
NOTE: 2 CARRIER NATURAL GAS FURNACES
2 CARRIER 3 TON AC
APPLICANT MECHANICAL 162.50
CENTRAIRE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 6.50
7402 WASHINGTON AVE
EDEN PRAIRIE,MN 55344 MAIL-IN FEE 2.00
(612)941-1044 TOTAL 171.00
Minnesota State License#:OOTR93
OWNER
WINKEY,TRAVIS&LISA
2103 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 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 are
requested in conformance witk the State Building Code.1'his permit may be
revoked at any time for due cause.
"" " " �'. � � / /
Applicant Perrr►itee Signature Date Issue y S ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A
-
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' FOR CITY USE ONLY
` ` Q City of Orono
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�� ��,X P.O.[3ox 66 �ate I�ecaived: Permit#
,„ 2750 Kelley Parkway
�a �ik�'� ��� Crystal Bay,MN 55323 Approved By� Amount$:
;�����40;"� (952)249-4600 �
CITY OF GRONO-MECHANICAL PERMIT
(All Commercial penuits must be approved by the Building OfPicial or Inspector and/or Fire Marshalll
GENERAL INFORMATION
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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
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
l�eat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. \�Jh�n any new cons7uction or rer.:adelina is involved,a separate bi:�lding permit mi.4t be
obtained.
5. All work must be done in accordance with the U�iform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice requirecY)
7. I�ouse Heating Test Record rnust be submitted before final.
—..--- TYPE OF PERMIT
(Check All That Apply)
�Reside�ntial �Commercial(Approval Required)
❑ New ❑ Addition�il ❑ Repairs �]Replace
Job Site /Owner Information:
.-.
r
Site Address: �C_,3 ��r���4 �%t�;`��:�.�'r �c�c' ��i'�
Owner:G--t!at'r.,. c,�,'; �'t �=-�r,... Mailing Address: ? !c�-,� f_��ei��"�'-��`<'�t.%� ��`%
City: L/Y�El✓I,{� Zip: `� -,� .�;
Home Phone:;a��_'�'-�IG'��-h�`�� Alternate Phone: /v%l,,����-��=i'�j`J�
Contractor lnformation:
Contractor:�l�t� t7�ti,� ��='� --�''t C�- Contact Person: ���->�� c-z �7�-�? ��'�
,:
Address:�����`�����r1� tz'H,,t�-4-�.- State Bond #:
City: �=�at'�Vt f%"�t �' ' �-- Zip:�-7?�/� Expiration Date:
Phone: `��`� �� ��� 1 'Il�"f i� Alternate Phone:
❑ Insurance-Current:
1
� � MEGHANI<;AL ��STEMS BEING INSTALLE��;.. ` =
Note: All Geothertnal Systems will now require a Site Plan& Review by our Building Ofticial.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: � _ �
Make: �i���'��^ _
Model: =i�'j/[/�`��J�
Fuel: /�J�t,t'-�i�i,`'j _
c�
Flue Size: ,�j
lnput BTUs: ;� �-, QL�
Output BTUs: �?�� ��'� _
�
CFM:
COOL[NG SYSTEMS
.��
Quantity: - � _
Make: /,---t'+v��I �'�'7�
Model: ?-�,�,��j(�
Tons: -?
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENS'ILr.i trJN
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approv,ed by Fire Marshall if proposing to abandon tank in pluce.)
❑ Installation �j Removal
Fuel Oil: gallons ❑ Underground a Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill �� Other/List What&Where:
2
� � � PERMIT FEE CALCUI,ATION(�)� � �
BASEp (��'F -2p42 STATE STATUE
❑ Yes,this section appiies
1'he replacement of a Residential fixture or appliance that meets all three of the following requirements:
I. 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 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 CI�LCtJLATION(S)-JOBS QVER $SOQ.OQ , -�
If�above does not apply; follow guidelanes below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� � �.'.'(%i.; - <%<J X.0125 $ / �Y .�� �C%
(contract price) (minimum$�0.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
: ?' _ , ''�- x.0005 $ .', , �;_�,.
�. .
(contract price) (minimwn$ .50)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAC, PERMIT FEE(Add Lines 1-3 Above) $ j�; � . l�`rr'
■ * CONTRACT PR10E 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 donf;. lf 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 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 STATF,SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANTCAL;�'ERMIT APPLI���Tv;��REEMENT
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: %�% ���1�!�;����:���,�"" Date: `� - '� � —a
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