HomeMy WebLinkAbout2008-00386 - mechanical CITY OF ORONO PERMIT NO.: 2008-00386
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 11/13/2008
952 249-4600 FAX: 952 249-4616
ADDRESS 315 TONKAWA RD
PIN 06-117-23-14-0021
LEGAL DESC REG. LAND SURVEY NO.0540
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE MECHANICAL-MULTIPLE
VALUATION $ 4,980.00
NOTE:
GUESTHOUSE: 1 LENNOX GAS FURNACE
HOUSE GARAGE: 1 MODINE GAS FURNACE
APPLICANT
MECHANICAL 62.25
SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 2.49
6219 CAMBRIDGE ST
ST.LOUIS PARK,MN 55416- MAIL-IN FEE 1.50
(952)926-4488 TOTAL 66.24
OWNER
BENNETT,MR.&MRS.FRANK
315 TONKAWA 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 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
revoked at any time for due cause.
Applicant Permitee Signature Date Issued flVignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCROED ABOVE.
FOR CITY USE ONLY
Q�pO City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323: Approved By: Amount$:
aaroo ` (952)249-4600
CITY OF ORONO MECHANICAL PERMIT
(All Commercial-permits must be approved by the Building Oficial 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. Pen-nit 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=—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 subrnitted before final.
TYPE OF PERMIT
F77 Check All That A '1
`Residential ❑Commercial(Approval Required)
New ❑Additional [❑Repairs >(Replace
70 Site;/,Owner Id6 matt n:
Site Address: 5� __j_0WAt_VlA �°'
OwnerAA� Mailing Address:
City: Zip:
Horne Phone Alternate Phone:
Contractor Information:
Contractor: S6� 1"���� L Contact'Person: �A LZE 1 sP0 22
Address: 140;�4'6 \"fUD6 Sr State Bond#: �L- 1%3oLf a.
City: �r{mac C r�Zip:�S'/l So Expiration Date: hob O D 17
Phone: Alternate Phone:
Q�
Insurance-Current:
1
1
HEATING SYSTEMS
Quantity: 1
Make: LxUNrl 1��i0e.�
Model: "D 30A
Fuel: PC.
Flue Size: �� T
Input BTUs: �lo, o 3`Di
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas Factory Fireplace
❑ Wood Burning Fireplace
Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
rl No. Bath Exhaust(must have duct outside) cfrn
❑ No. Other Fans: Locations cfhi
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LF Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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f�wr '✓' e',y ,t sw.y.Pg
02
\.� WS "M"M ''j i Yt
; 1. }�✓�. . t4
Ye r^r � '. A ." u
Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1 Does no require modification to electrical or gas service.
2. Has a total cost of$500,00 or less excluding 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
FE.tALALfJ1ZTS`- ,J? BSF ? rS�OrO ,
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
qqw__1 x.0125$ Cva.1�S
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
K� x.0005
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
MECPIA IC :I PER1VfI`I�'A LICATION tAGi
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: G' +/�"` Date:
3