The URL can be used to link to this page

Home My WebLink About2008 - 00159 - mechanical CITY OF ORONO PERMIT NO.: 2008-00159 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/21/2008 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1995 WEST FARM RD PIN : 27-118-23-43-0013 LEGAL DESC : THE FARM AT LONG LAKE : LOT 011 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,823.00 NOTE: I LENNOX GAS FURNACE, I LENNOX 3 TON AC APPLICANT MECHANICAL 147.79 SEDGWICK HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.91 8910 WENTWORTH AVE S MINNEAPOLIS,MN 55420- TOTAL 153.70 (612)881-9000 OWNER PARRISH,RICHARD 1995 WEST FARM 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. le67Ka1/( SI/ / 4(1 Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ABOVE. r FOR CITY USE ONLY (41(344 City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Fl s '..- Crystal Bay,MN 55323 Approved By: Amount$: (95 2)249-4600 <4,4, 'Od4 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 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)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: I`7 5 Far-in 12c1 L Owner: Vi £ "r15h Mailing Address: I'995. 44-yr) /CIX 11 ) City: Zip: •,.5- `J b Home Phone: jA - '44"7 ' D)vgg Alternate Phone: Contractor Information: Contractor: Contact Person: SEVR ZEATIN State Bond#: /D�f p 82 ttg(o 8910 Wentworth Ave. So 2n City: Minnea Zip: Expiration Date: �p-. 0 Phone: (952) 881-9000 Alternate Phone: ❑ Insurance—Current: 1 HEATING SYSTEMS Quantity: f Make: Le\Yl /� Model: ( / J /TIM l M P3�171_DD 1 Fuel: / l Flue Size: (di Input BTUs: �7 ()D b Output BTUs: 1 Z Lt CFM: COOLING SYSTEMS Quantity: 1 Make: Le-nn�x Model: L �, 6_, Tons: J H.Power FIREPLACES ❑ Gas Factory Fireplace E Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm E No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons E Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY E Outdoor Grill ❑ Other/List What&Where: 2 x4 ' z gee inamTsT$EE CATxr ATIOI�T ki--,, ��;cw -i ,� �e"'T.q ,�fi'x '�''k � 1t - t .. Yx '� . 4t 4k '��'�a6�7�t _ r,�3i ry i t , BA`SESD OF 2002 STAVE aSA I'UE ` H! # ❑ 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;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 $ PERIvt T PSE CA CaATION{S)'`-'JOBS (AVER..$50 ',00 .k;;'. If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee`off x$335.000)) "7 / �j x.0125$ f . / / (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add rthe State Bldg Code Div. Surcharge(Minimum Fee of 5.50) 1 ), 6'( 3. x.0005 $ 51 9 (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. MECHANICALPERliAIT APPLICATION AGREEMEI TT , 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. g _ �� „ , Applicant's Signature: /� ` _i`' _� _) Date: D � U Reset Form y`