HomeMy WebLinkAbout2010-00008 - heating system CITY OF ORONO PERMIT NO.: 2010-00008
� 2750 KELLEY PARKWAY
f ORONO, MN 55356- DATE ISSUED: OU06/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 915 BROWN RD N
PIN : 27-118-23-34-0002
LEGAL DESC : UNPLATTED 27 1 18 23
: LOT 000 BLOCK 000
PERM[T TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 2,000.00
NOTE: 1 RUUD NAT. GAS FURNACE
APPLICANT MECHANICAL 50.00
SHARP HEATING&AIR COND INC.
7221 UNIVERSITY AVE NE STATE SURCHARGE MECH(VALUATION) 1.00
FRIDLEY, MN 55432 MAIL-IN FEE 2.00
(763)572-0459 MISC FEE 0.00
TOTAL 53.00
OWNER
LANE, MR. & MRS. THOMAS
915BROWNRDN
LONG LAKE, MN 55356-
AGREEMENT AND SWORIV STATEMENT
'I�he work for which this permit is issued shall bc performed according to
the approved plans and specifications,applicable City approvals,and the
State Buildin�Coda This permit is for only the work described and does
not grant permission for additional or rclated 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
expirc and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or iCconstruction is
suspended for a period of l80 days at any time afrer work has connnenced.
Ihe 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.
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�..��VI.G�t� � / / �'{�-L`"_7'�,-- /
Applicant Permitee Signature Date Issued By Si ture ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
� FOR CITY USE ONLY
City of Orono
J�����;, P.O.Box 66 Date Received: Permit#
� �;., , ��) 2750 Kelley Parkway
� {'n� Crystal Bay,MN 55323 Approved By: Amount$:
�A�q����o„%� (952)249-4600
i!t�o8�:
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or lnspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Appiications 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 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.
TYPE OF PERMIT
(Check All That A 1
�Residential � Commercial(Approval Required)
❑New ❑Additional ❑ Repairs ✓�Replace
Job Site/Owner Information:
Site Address: 915 Brown Road No.
Owner: Tom Lane Mailing Address: 915 Brown Road No.
City: Orono Zi 55356
P�
Home Phone: �952)473-1868 Alternate Phone:
Contractor Information:
Contractor: Sharp Heating &AC Contact Person: Floyd Joswick
Address: 7221 University Ave. N.E. ��te Bond#: 3904119
City: Fridley Zip: 55432 Expiration Date: 07/20/10
Phone: (763)572-0459 Alternate Phone:
❑ Insurance—Current: 12/29/10
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MECHANICAL SYSTEMS BEING INSTALLED �
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes 0✓ No
HEATING SYSTEMS
Quantity: �
Make: RUUD
UGPN07
Model:
FueL• Nat. Gas
Flue Size:
Input BTUs: �0,000
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
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if p�oposing to abandon tank in place.)
� Installation a Removal
Fuel Oil: gallons ❑ Underground a Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Qther/List What& Where:
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PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
T'he 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 Surcharge $ .50
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$50.00)
2,000.00 x.0125$ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE "* Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
2,000.00 x.0005 $ 1.00
(cootract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.00
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materiais, 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.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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.
Applicant's Signature: Date: 01/04/10
Reset Form
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�f� //DATE Q/� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED / �/v�
PERMIT NO. �` �COMP ETED
ADDRESS �`S / � � �����Y�- �
OWNER CONTR.s��
TELEPHONE N0. — a�� �
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� DESCRIPTION ' �-'��� �-��"
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED L4PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractoronlsite: '
Inspector. te �� j ` , ,
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