HomeMy WebLinkAbout2011-01071 - mechanical , CITY OF ORONO PERMIT NO.: 2o1�-oio��
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE IssuE�: 09/16/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 800 BROWN RD N
PIN : 34-118-23-11-0007
LEGAL DESC : REG. LAND SURVEY NO. 1275
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,059.00
NOTE: 1 BRYANT NAT GAS FURNACE
1 BRYANT 4 TON AC
APPLICANT MECHANICAL 113.24
PRONTO HEATING&AC STATE SURCHARGE MECH (VALUATION) 4.53
7588 WASHINGTON AVE S
EDEN PRAIRIE,MN 55346- MAIL-IN FEE 2.00
(952)835-7777 MISC FEE 0.00
TOTAL 119.77
OWNER
PENDLETON, MEG&JON
800 BROWN RD N
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved pians and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not gran[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 l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance wi[h the State Building Code.This permit may be
revoked at any time for due cause.
`-i'i%t�-�-� �- � � l l
Applicant ermitee Signature Date Issued By nature ate
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED AB E.
FOR CITY USE ONLY
f1,/`¢��:,, City of Orono
�� �� P.O.Box G6 Date Received: Permit#
�, i: 2750 Kelley Parkway
� ���y . �,',� Crystal Bay,MN 55323 Approved By: Amount S:
��?' 4zc���•yo! Phone(952)249-4fi00 Fas 1952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
L You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit wili be issued within two working days.
2. Pennit 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
PERI�tIT CARD IS POSTED O\THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilaYion,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 n�ust 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 A 1 )
Q Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs Q Replace
Job Site/Owner Information:
slte Address: 800 BROWN ROAD N
Owner:MEG PENDLETON MailingAddress: 800 BROWN RD N
c�ty: ORONO zip; 55356
Home Phone: �612� 636-1257 Alternate Phone:
Contractor Information:
PRONTO HEATING 8�AC WADE SEDGWICK
Contractor: Contact Person:
7588 WASHINGTON AVE S 9389583
Address: State Bond#:
EDEN PRAIRIE 55344 04,�28�� �
City: Zip: Expiration Date:
Phone: (952) 835-7777 Alternate Phone:
❑ FEDERATED MUTUAL
Insurance—Current:
1
MECHANICAL SYSTEMS BE1NG 1NSTALLED
Note: All Gcothcrmal Systems �vill now rcquire a Site Plan&Review by our Building Official.
iS THIS GEOTHERMAL? ❑Yes �❑No
HEATING SYSTEMS
Quantity: 1
1vlake: BRYANT
Model:
315AAV060135
FueL �~�
Flue Size:
6"
Input BTUs: � 35000
oUtp�,t B�-us: 108000
CFM:
COOLING SYSTEMS
Quantity: �
Make: BRYANT
Model: 126BNA048
Tons: �
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
V ENTILATION
❑ 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 ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATLJE
❑ Yes,this scction applies
The replacement of a Residential fixriire 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;excludine the cost of the fixture or appiiance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this app(ies; Cost of Perniit $ 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 belo��:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
9059 x.o,25� 113.24
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE g059 4.53
x.0005 S
(contract pricc)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $119.77
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted�vork including materials, labor,profit,and other fixed costs. It is the ainount to be charged
to the customer for the work done. If any material, equipinent, 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undcrsigned hereby appiies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
`�-- 9/7/11
Applicant's Signature: Date:
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