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HomeMy WebLinkAbout2010 - 00071 - mechanical • CITY OF ORONO PERMIT NO.: 2010-00071 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/10/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2720 WHITE OAK CIR PIN : 04-117-23-42-0020 LEGAL DESC : REG. LAND SURVEY NO. 1447 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 12,000.00 NOTE: HEATING SYSTEM-MAKE: WEIL MCLAINE-NATURAL GAS-6"FLUE 70,000 INPUT BTU'S, 59,000 OUTPUT BTU'S APPLICANT MECHANICAL 150.00 DITTER INC. STATE SURCHARGE MECH(VALUATION) 6.00 820 TOWER DRIVE MEDINA,MN 55340 TOTAL 156.00 (763)478-9558 OWNER KELLEY, CHARLES 2720 WHITE OAK CIR 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 time for due cause. ,+- >Gt,/--'07--- ' II / /OoZ// //e) Applicant Permitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t5 4/P 644 p�-dash FOR CITY USE ONLY OCity of Orono `r0 P.O.Box 66 Date Received: Permit# —44,,„.„ 2750 Kelley Parkway 41 Crystal Bay,MN 55323 Approved By: Amount$: '1 r',o- (952)249-4600 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 D Repairs 0 Replace Job Site/Owner Information: / ( // Site Address: ) 72-0 W/' €2L �' 'f re_ Owner: Chi.le4 Pe 1/€0( Mailing Address: ,� 7?-© •P City: 6/ ✓w Zip: 5-5-3 5C.- Home Phone: ! " it-75—'210 Alternate Phone: Contractor Information: Contractor: TEktact Person: C-Xkt;trlCCOOUNG �'� Address: INCE rriire Bond #: 820 Tower Drive • Hamel, MN 55340 City: (763)Z8-9558 Expiration Date: Phone: Alternate Phone: Lcrp.(444 pr•civaA ❑ Insurance—Current: Ger. c+ab; I;fy ,�.,}o u.)&e-14,, 1 C4*t f h. ,reA.y )44.,,y3) X54 'it 444# Z.vs u roK,te C� Iti! 0,g YSTE S BEING INSTALLED ;Y. Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: / Make: WetV M'L4,c Model: C 60..--3 Fuel: /t2 Iuv-_/G0 6 Lt Flue Size: Input BTUs: 70/060 Output BTUs: 5c1/000 CFM: A//if COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES /Jo ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION /✓c) ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) PIO ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground 0 Inside ® Outside LP Gas: gallons Other: GAS LINE ONLY /✓d ❑ Outdoor Grill 0 Other/List What&Where: 2 *, t� ,Ut 31"�'a 0 .— uv iia 7i. h ,' 0 ' r `�> + XPi � ia4d;"i 4 EDQFF .200 TA TA sG �' � �� �� i 116 Y-s,this section applies T e replacement of a Residential ixture or a.'fiance that meets . three of the following requirements: 1. Does not require modification to .-• ical or gas service. 2. Has a total cost of$500.00 o -ss;exc ..in i the cost of the fixture or appliance:and 3. Is improved,installed . eplaced by the ho 'eowner or licensed contractor. Skip next sec 'en,if this applies; Cost of Pe it $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ % '',4?'..,�r'1s�'`� °10,l 7 +1 .. c ' ALC O 0 -- -, `'ary. ,ua... x I PATI JOBS OVER 500.0 , If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) tir t2t 'Cd x.0125 $ / So./D (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 0 ii-/ or x.0005 $ 6_e0 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ tsr./`1 • * 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. "'"'' '4'""'' MECHANICAL PERMIT APPLICA' TQ T"AGREEMENT 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. &(...1e Applicant's Signature: � Date: //.--7-- Z I-/o R`#'se F411 Ci. 3