HomeMy WebLinkAbout2013 - 00838 - mechanical CITY OF ORONO III 1111111111111111111II
2750 KELLEY PARKWAY DATE ISSUED: 08/21/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2325 WILLOW HILL DR
PIN : 03-117-23-23-0022
LEGAL DESC : WILLOW HILL
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 6,200.00
NOTE: 2 HEAT N GLO GAS FP
APPLICANT MECHANICAL 77.50
GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 3.10
100 ELDORADO DRIVE
JORDAN,MN 55352 MAIL-IN FEE 2.00
(952)495-2927 TOTAL 82.60
OWNER
GUIDERA,WILLIAM&AIMEE
2325 WILLOW HILL DRIVE
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.
Wie_
Applicant Permitee Signature Date Issued By :.nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A:JIVE.
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FOR CITY USE ONLY
i �0 City of Orono
P.O.Box 66 Date Received: Permit#
27.50 Kelley Parkway
iollitfr
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
F
C4�G CITY OF ORONO-MECHANICAL PERMIT
l'�ESHO
(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 El Repairs ❑Replace
Job Site/Owner Information:
Site Address: ,) t I 11
br-
-.)
Owner: iRMailing Address: 15DSC) k'CL.(t),ej-r,Lgit/CQ
City: 2 ' - - Zip: 55 I
Home Phone: - C --40 Lf Alternate Phone: 61)---(()ke S
Contractor Information:
Contractor: 1,i\ i k` 'V' � NIISt-Person: J L dy aC/L
/��--� Gr
Address: ( i_' h 'C1 D bvstate Bond#: ,6��S7 0(4
City: Zi Ex iration Date: ,9-___11(.0// 4/-
Phone: C! _ 7 -(1)76 Alternate Phone:
Insurance-Current: /O M -/ a — /O/2 /i3
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes El No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES 1 (� I ' l
Gas Factory Fireplac /� O Brand Name: )` ea CI v�-V
CIWood Burning Fireplec' ``�'�/
CIG Wood Stove Model No.: J(.?' -I 3-57-
❑ Wood Stove with Flue/Masonry )
VENTILATION
❑ 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.)
❑ Installation 0 Removal
Fuel Oil: gallons ❑ Underground ❑Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY
El Outdoor Grill ❑ Other/List What&Where:
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a R ' C:ONI.;''''•'1;,:
"'"1:;')1
"/%/ t.
❑ 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 $ 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$50.00)
� 03rx.0125$ 77 CO
(contract price) (minimum$50.00)
2. STATE SURCHARGE 00'
CN) x.0005 $ C?1. /
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S c` `-9 0
■ * 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.
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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 ofthe State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: 4 4.-C Date: /
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