HomeMy WebLinkAbout2008-00048 (Mechanical) �
- CITY OF ORONO PERMIT NO.: 2oos-00048
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/15/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2255 ABINGDON WAY
PIN : 03-117-23-23-0008
LEGAL DESC : ABINGDON GLEN
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 1,500.00
NOTE: AC-CARRIER 2.5 TON
APPLICANT MECHANICAL 35.00
SHARP HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATIOl� 0.75
7221 UNIVERSITY AVE NE
FRIDLEY,MN 55432 MAIL-IN FEE 1.50
(763)572-0459 TOTAL 37.25
OWNER
STINCHFIELD,FREDRICK&CHERYL
2255 ABINGDON WAY
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 sepazate
permits. All provisions of laws and ordinances goveming 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 asswing all required inspections are
requested in conformance with the State Building Code.1'his percr►it may be
revoked at any time for due cause.
`��.( �- � � � 15� �C�S
Applicant Permitee Signature Date Issued By ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTI�R HAN DESCRIB ABOVE.
� = FOR C1TY IISE ONLY
��� City of Orono
�y Q P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
��� Crystal Bay,MN 55323 APP�ved By: Amowt$:
(952)249-4600
CITY OF ORONO-MECHANICAL PERNIIT
(All Cnmmercial permita must be approved hy the Building Official ot Inspector and/or Fire Mazshall)
GENERAL INFORMATION
1. You may apply for mechanic�l germits 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 c�rds will be sent by retum mail after a review is completed. PERNIITS ARE NOT
VALID UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD LS POSTED ON THE JOB SITE.
3. Mechanical Desisns—Complete calculations,deta.ils and specifications are required for each
heating,ventilatioq humidification-dehumidific�tioq and air conditioning installation including
heat loss/heat gain calculakion,design temperature.s,equipment ratings and identification as to
type,manufacturer and model. Data sl�all be prese�ed 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 accordaace with the Uniform M�ahanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hoar notice reqaired)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs • Replace
Job Site/Owner Information:
Site Address: � �
.,[ � � ,
Owner: I� E' Mail' g Address: ,S ��.
. � /
Crty: �('J Zip; �7'5,5�
Home Phone: IJ "�"l-" Alternate Phone:
Contractor tnformation:
/1 r
Contractor: � •` � Contact Person:
Address: �f�(��, i ,N,�� State Bond#: 3gD S�//9
�
City: � Zip:� Expiration Date: 7 �tl Og
Phone: 7 -S '� Alternate Phone:
❑ Insurance-Current:
1
�"� .
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HEATING SYSTEMS
QuantitY:
Make:
Model:
Fuel:
Flue Size:
Input BTLJs:
Output BTIJs:
CFM:
COOLING SYSTEMS
Quentity.
e
Make:
�vlodel:
Tons: ,
H.Power
FIREPLACES
[] Gas Factory Fireplace
�� Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTII.ATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Loc�ions cfim
FUEL STORAGE(MUST BE APPROVED BY FIliE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
. LP�as: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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❑ Yes,this section applies
The replacement of a Residential fixture or anuliance that meets all tlu�ee of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total co of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improv�,installed or replaced by the homeowner or licensed contractor.
Skip next secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applic�ble) $ 1.50
Total Permit F� $
���� �''',,����:���'��,�`r,:'.�:,.����''��:���:��
If above does not apply;follow guidelines below:
1. CONTItACT PRICE *is 1.25%of con�price with a(Minimnm Fee of$35.00)
�/� x.0125$ ��
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimam Fee of$.50)
x.0005 $ a 7�
(comract price) (minimum$ .so)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PE1tMIT FEE(Add Lines 1-3 Above) $
a
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other Sxed costs. It is ffie amou�t to be chazged
to the customer for the work done. If any material,equipment,labor or installations are furnish�by
the owner,tenant or any other party,the reasonable mazket value of such items must be added to the
estimated cost or cont�act 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 SURCHARG�is.0005 of the Building Departmeirt at(952)249-4600 for the price.
� ' - ��':�.131'�.-Y-Y�1;i�d'lA�..�-�t0.�171,�+�,�-�:�`�k+��;���.�.'�e�': ��.��- - -
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 Sta.te of
Minnesota, and certifies that a11 statements made on this application are complete, true and
cortect.
� - 1Applicant's Signature: . Date: �
,,��s'et'� . . _.
3
. � :
' MINNRSOTA DEPARTA7ENT OF � ,
� LABQrR&INDUSTRY. ; """"�°T"°fi"^"`"E"''°F
LABqR&INDUSTRY
Conshv�tion Codes and Licensing Div�tsion � Co�bnction coa�ana I3ceos3ng niv�sion
Commissioner of Labor and Indns : �O�°°e''°f�n���a�a�ay
� , Has Received and Filed a$23,000 Sarety Bond,
Has Received�nd Filed a$25,000 Snrety Bond, : �R�d ny Ms 32�.s�x,for wo��R�a�a
As Required by MS 326.992,for.Work R ]$tC� ' �►Y�e 3tate Mechanical Code
� :TO: �o D.Hanson Bond No: 3904119
by tLe State Mechanical Code : sua�s�e�&a� �ro:oaa36
• condiHoniog,Inc.
To: Kevin D.Hanson • Bond No: 3904119 • Effective Date Eapiration Date
Sharp Heating&Air Conditioning,Znc. MB ID: 02336 � ��1/Z�� �norzoos
7221 Uuiversity Ave.N.E. � - "---------- - - - - - -
Fridley MN 55432 . �
Effective Date Espiration Date :
7/21/2007 7/20/2008 ;
� MBFormRC
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