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HomeMy WebLinkAbout2012-00042 - mechanical CITY OF ORONO PERMIT NO.: 2012-00042 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 01/18/2012 952 249-4600 FAX: 952 249-4616 ADDRESS 3710 TOGO RD PIN 17-117-23-31-0027 1 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 003 BLOCK 010 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 8,000.00 NOTE: (1)HEATING SYSTEM-DAY&NIGHT-C9MPX060-NATURAL GAS-2"PVC-60,000 INPUT,57,000 OUTPUT, 1000 CFM (1)COOLING SYSTEM-DAY&NIGHT-C4A324-2 TONS-2 H.POWER (1)BATH EXHAUST-75 CFM GASLINE TO THE FIREPLACE IN BASEMENT AND DRYER APPLICANT MECHANICAL 100.00 MASTER HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 4.00 4963 70TH AVENUE LORETTO,MN 55357 TOTAL 104.00 (763)498-7883 PAID WITH CC# 6939 OWNER LINDQUIST,LINDA 3710 TOGO RD WAYZATA,MN 55391- 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 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 are requested in conformance with the State Building Code.This permit may be revo any timer ue cause. Applicant Permitee Signature Date Is i By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. F R YjUS�©NLY O City of Orono P.O.Box 66 �a �� zrii# . 0� 3ate� eceru 1, 2750 Kelley Parkway Crystal Bay,MN 55323 Byr Amour$ °� C Phone(952)2494600 Fax(952)249-4616 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) CrE1RAI.;i �TFFO'RMAT30N 4: 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 Designs—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)2494600. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. T8R ,I"T C �1 t`ha`t LPp1 Residential ❑ Commercial(Approval Required) ❑ New RAdditional ❑Repairs Replace sit OIeTOTma1+131 r: Site Address: . TO (jd ICC Owner:C� y f ctuSon Mailing Address: City: No-yckro- Zip: Home Phone: Alternate Phone: "btra for c tuna on., =; Contractor: fiqSfitr J+C"y�S`Co4j, 5LUCOntact Person: ��Com, VG`Y'n -'-- Address: 4773 -76% kk- State Bond#: ZS---A K City: L--O r<#o Zip Expiration Date: S-n—Zd 12. Phone: 7 63-49S-7 IRQ Alternate Phone: (,(2-247 3 Frg� ❑ Insurance-Current: 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yesf$No HEATING SYSTEMS Quantity: ' f Make: Model: C9 M P X O c0 Fuel: Nc+ Cc, Flue Size: 211 PV c Input BTUs: d0� Output BTUs: "000 CFM: 1000 COOLING SYSTEMS Quantity: I Make: Qay c M y�fi Model: C4A3 2-4 Tons: Z- H.Power 2, FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ® No. �— Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY Q ❑ Outdoor Grill ® Other/List What&Where: Fi fe-RIA 2 g5KT `A prye-r 2 ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludine 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 $ 15.00 State Surcharge $ 5.00 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$50.00) �Ka OGC x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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 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 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: �IU�IJe� Date: 3