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Home My WebLink About2012-00281 (Mechanical) ,,,�,� CITY OF ORONO * z 0 1 2 — 0 0 2 8 1 * 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2012 ORONO, MN 55356— 952 249-4600 FAX: 952 249-4616 ADDRESS : 1396 BALDUR PARK RD PIN : 08-117-23-31-0002 LEGAL DESC : BALDUR PARK : LOT 016 BLOCK 001 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTE: GAS STOVE APPLICANT MECHANICAL(<$500) 15.00 BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE MECH (<$500) 5.00 1424 3RD STREET N MINNEAPOLIS, MN 55411- MAIL-IN FEE 2.00 (763)755-6468 TOTAL 22.00 OWNER SCHROEDER, MIKE& KAT[E 1396 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended f'or a period of 180 days at any time after work has commenced. '1'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due c�use. `7'Y�l.t�.c�( LiJ� l l � �j,✓� l l Applicant Permitee Signature Date Issued By Sig re �� te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . �i��c� �22 r� � :�� C'o� �z 2 ��`�.�� G ,� � � ` F02 CITY USE ONLY �� City of Orono �� '��t�� P.O.Box 66 Date Received: Permit# �� , �, � 2750 Kelley Parkway a t`' 1� '" r� Crystal Bay,MN 55323 Approved By: Amoont$: �1� ��;4u'�r/1�� Phone(952)249-4b00 Fax(952)249-46]6 � �r�u f$� CITY OF ORONO—MECHANICAL PERMIT (All Commercial peanits must be approved by the Building Official or Inspector and/or Fue Marshall) GENERAL INFORMATION - 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pemut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MiTST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involued,a separate building permit must be obtained. 5. All work must be done in accordance wath the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. �� TYPE OF PERMIT "(Check All That A 1 �]Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ,�Replace Job'Site/Owner Information: .--� �� r�7 Site Address: ) >� b�-GD l�t'-- ��-+=K. '�--p � �--� Owner:�T7� �Ff��-��- � Mailing Address: �3 l� ��1 L �'/'- '��2� �� ,��, � City: ��--c�r.�v Zip: :�/ � 1 Home Phone: �'�I Z � � I � �' ��/ Alternate Phone: Contractor Information: �,ttl'S�i ��Jis�i 1a�.>5 . Contractor: �� i�-�N1�-�iN ��✓��/N< Contact Person: Address: ��z�� 3�p �1'- � State Bond#: 3�� `> � City: /f ��'�`'�-F$��5 Zip:��7�� Expiration Date: C� � G �� Phone: �l Z �Z Z �j z 1 2 Alternate Phone: ❑ Insurance—Current: 1 .# - MECH�NICAL SYSTEMS BEING 1NSTALLED ' ' " Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must 6e approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: l�" �' S�'�� 2 .� . � ��PERiV1IT FEE�CALCULATION(S) � � � �� BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requuements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ 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 $�'�� PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ Gp� (contract price) (minirnum$50.00) 2. 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) $ V ■ * 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 pernut 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. MECHANICAL PERMIT APPLICATION 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. r��-----,/ _ ��/,�-�� j 2 Applicant's Signature: �=�'�� Date: �� Reset Form 3