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Home My WebLink About2012-01034 (Mechanical) �. ^ CITY OF ORONO * Z pJ 1 2 - 0 1 0 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2012 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1250 ARBOR ST PIN : 10-117-23-31-0106 LEGAL DESC : CRYSTAL BAY MINNETONKA : LOT 0 BLOCK 0 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,000.00 NOTE: DAY/I�TIGHT-INPUT BTU'S 60,000 APPLICANT MECHANICAL 50.00 HEATING&COOLING DESIGN INC STATE SURCHARGE MECH(VALUATION) 1.00 10830 ABLE STREET BLAINE,MN 55449- TOTAL 51.00 (612)328-7172 OWNER ENGEBRITSON,REGINA 1250 ARBOR ST WAYZATA,MN 55391- 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 consiruction 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�i'�e for cause. /� �-- lf� / �6 / /� �, � /0 -/�-� � Applicant Permi ignature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. L • R � FOR CTl`I'USE OIYLY - l �Q� City of Orono �� O. � P.O.Box 66 Date ReGeived: Ferlmit# 2750 Kelley Parkway � � �,�;,� Crystal Bay,MN 55323 AppToved By: Amowtt$: �` Phone(952)249-4600 F�(952)249-4616 ��oa� CITY OF ORONO—MECHANICAL PERNIIT (All Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Marshall) CxEN�R�iL TNFOR�vIATI01�1 1. You may apply for mechanical permits by mail or in person at the Cily offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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. TYFE OF PER.NITT Check All That A 1 �f Residential ❑Commercial(Approval Required) t� ❑New ❑Additional ❑Repairs �Replace Job Site/Q�m�r In�`urmation: Site Address: �2�� Ol� �'f Owner: �I Ni � Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractc�r Informatian: D�f1(�(V 1�1C. Contractor: �-I�F�TI N�� GouU N(� Contact Person: �G O l� Address: ,�� R'�3�-�. �' State Bond#: M�oo�3q City: ��' Zip: S�'`f'd�ExpirationDate: Phone: �O�Z•2��'°�� Alternate Phone: ❑ Insurance—Cunent: 1 �cx��c�,s��r��-��n��r�L�� Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quanrity: �, Make: ` Model: FueL• Flue Size: Input BTUs: ��,d d� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfir► F`UEL STORAGE (Must be approved by Ftre Marshall If propos�ng to abandon tank tn plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . _ � 1 r � � ' , � . !'.Li��,[ �T��Z'Y1.r,L,/�t�.�P�.t�l33.Y{.7� .,, . - � ,. . . L71'l�La��1:' "L.�VL rJ I��1.'i��.L tJ�+' � � ,. es,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;excludin�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 Surchazge $ 5.00 Mail-In Fee(If Applicable) $ Z.00 Total Permit Fee $ PE�:M�'�'�'EE C��T.f L,�1'��'}N' � —�t�BS f3�'ER$5�3t}.� „ , If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � l V�.J V x.0125$ (contract price) (minimum$50.00) Z. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be cha.rged to the customer for the work done. If any material,equipment, labor or installations aze fumished 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. . � �EC;��.AN�CA.L PERM�T,A.�'`�''I.��A'�"Tf��EIVIE�T' 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 sta.tements made on this application are complete, true and correct. Applicant's Signatur : Date: ,(}I�T`"L , _ -�@S��FCfi't�'t ---'i 3