HomeMy WebLinkAbout2010-00445 - mechanical � �"' CITY OF ORONO PERMIT NO.: 2oiaooaas •
2750 KELLEY PARKWAY �
ORONO,MN 55356- DATE ISSUED: 06/10/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2990 SUSSEX RD
PIN : 04-117-23-31-0014
LEGAL DESC : FOX BEND
: LOT 003 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 16,000.00
NOTE: 2 LENNOX NATURAL GAS FURNACES
2 LENNOX AIR CONDITIONERS
APPLICANT MECHANICAL 200.00
KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 8.00
13075 PIONEER TRAIL
EDEN PRAIRIE,MN 55347-6 MAIL-IN FEE 2.00
(952)941-4211 MISC FEE 0.00
TOTAL 210.00
OWNER
KELLY,JUSTIN&SUSAN
2990 SUSSEX RD
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 consWction 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!
v�l'�(� V1N l l l l
Applicant Permitee Signature Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
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O�O�O City of Orono ; '� � ; ; A r �:
P.O.Box 66 � � ,�;�,,,:,,,.,.,,'���.-,..�.�,�. ,
2730 Ke11ey Parkway �"` , : +�:
� � Crystal Bay,MN 55323 ��p�pe�,'�• ➢kiriMmt���;'.
� (952)249-4600
CITY OF ORONO-MECHANICAL PERMTT
(All Commercial permits must be approved by the Building Off'icisl or Inapector and/or F've Mafshsll)
_: . . •;, . .. _
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1. You may apply for mechanical pemvts 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. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE
PERNIIT CARD IS POSTED ON THE JOB STTE.
3. Mechanical Desians—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
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.
, � :�
�.Residential ❑Commercial(Approval Required)
❑New ❑Additional �Repairs �eplace
���VI�I'� t
, . , . � . ,.. ,
Site Address: �`"I"I V (�lJ���� �,��
Owner: Mailing Address: - ����
City: ���� Zip:
Home Phone:`��������� Alternate Phone:
�����5:PVRYr�. � 3 �k y, �'F�, .
Contractor: �eve Heating&AC Contact Person: �hley Griffin
Address: �3075 Pioneer Trail State Bond#: RLI-561165
City: Eden Prairie Zip: 55347 Expiration Date: 08/14/09
Phone: (952)941-4211 Alternate Phone: (952)345-7242
❑✓ Insurance-Current:
1
. �
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �io
HEATING SYSTEMS
Quantity: I (
-�°� � P � �'1l r-�c�C�Cri o
��� (��,r1��c.
Fuel: N� � .
Flue Size:
Input BTUs: �I �� VW
Output BTUs: �
CFM:
COOLING SYSTEMS
Quantity: I
Make: � �-{'1t1�
Model: �1��'�� L" � Q
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recuculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
Q No. Other Fans: Locations cfm
F[JEL STORAGE (Must be appmved by F'ue MarsleaU ifpropos6ig to abandon tank in plac�)
Q Installation a Removal
Fuel Oil: gallons ❑ Underground a Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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,
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require mod�cation to electrical or gas service.
2. Has a total cost of$500.00 or less;excludina the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if tivs applies; Cost of Pemvt $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
� I15l �V • � x.O125$ (� , �
oontreot p,;ce> (minimum sso.00>
2. STATE SURCHARGE *'Add the State Bldg Code Div. Surcharge(Minimum Fee ot S.50)
� l� , no o X.000s $ �. oa
ccontraot Ex;ce> (minimuu,s .so>
3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ _ 2.00
D�
4. TOTAL PERMIT FEE(Add Lines ]-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 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 pemut 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.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ord' ces of the City and the regulations of the State of
Minnesota, and that all st men e is application are complete, true and
conect.
Applicant's Si e: Date: W �
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