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HomeMy WebLinkAbout2015-01100 - mechanical MMMIRMI >� CITY OF ORONO * 2 0 15 - 0 1 10 0 2750 KELLEY PARKWAY DATE ISSUED: 08/31/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4635 TONKAVIEW LA PIN : 07-117-23-32-0027 LEGAL DESC : REG.LAND SURVEY NO. 1036 : LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 2,200.00 NOTE: NEW REPLACEMENT OF FURNACE APPLICANT MECHANICAL 50.00 DNA HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 1.10 950 BAYVIEW DR TOTAL 51.10 EXCELSIOR,MN 55331- Payment(s) CHECK 15060 51.10 Minnesota State License#:mech-MB695427 OWNER SEVERSON,LUKE 4635 TONKAVIEW LA MOUND,MN 55364- 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' ons 5F-iFRiiVg all required inspections are requeste ' confo nce ith the S e Building Code.This permit may be rev or u cause. re Date Issue0ySignature Date City of Orono FOR MY USE ONLY �O A tO 'Y P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount S: Phone(952)249-4600 Fax(952)249-4616 y CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 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 UNTII.THE PERMIT CARD LS POSTED ON THE JOB SITE. 3. Mechanical Desi sns—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. TYPE OF PERMIT Check All That Apply) ❑Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: (// ��� �vrGJi '— Owner:X/l am i/ � J/I Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:© WT" WIT Contact Person: Address: Q52&4 'zpe-4-) State Bond#: t City: t _ Zip;,SW Expiration Date: f Phone: (2-2-2 In:I9 Alternate Phone: ❑ Insurance-Current: 1 Model: " Fuel: Flue Size: Input BTUs: d Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTH ATION ❑ 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 ❑ Outdoor Grill ❑ Other/List What&Where: 2 a J M+tsps rx. sw`r 18 W-6 ❑ MP 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;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 $ 15.00 State Surcharge $ 1.00 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$50.00) x.0125$ (-nu-t price) (ndaimum$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 fiunished 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 ordin of the City and the regulations of the State of Minnesota, and certifies th iments m e on this application are complete, true and correct. Applicant's Siorn th, e: Date: - 2 3