HomeMy WebLinkAbout2009-00336 (mechanical-heating system) CITY OF ORONO PERMIT NO.: 2009-00336
' 2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE IssuEv: 06/18/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3750 CASCO AVE
PIN : 20-117-23-31-0071
LEGAL DESC : CASCO HEIGHTS
: LOT 008 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATTON : $ 2,000.00
NOTE: MAKE:RUDD
MODEL:UGRL04
FUEL:NATURAL GAS
INPUT BTU'S:40,000
APPLICANT MECHANICAL 50.00
SHARP HEATING&AIR COND 1NC. STATE SURCHARGE MECH(VALUATION) 1.00
7221 LTNIVERSITY AVE NE
FRIDLEY,MN 55432 MAIL-IN FEE 2.00
(763)572-0459 TOTAL 53.00
PAID WITH CC# 1965
OWNER
LYNN,MARTI
3750 CASCO AVE
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
no[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 180 days at any time afrer 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 at any time for due cause.
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Applicant Permite�gnature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
'` FOR CITY USE ONLY
,1� City of Orono R� ����;�}�
� 4O`r\\, P.O.Box 66 Date Received: Permit#
%//�,. �", 2750 Kelley Parkway
� p` *�• �,',� Crystal Bay,MN 55323 Approved By: Amount$:�� � r r'�r d�
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t�� � �. o � (952)249-4600 • D O
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� CITY OF�OROIVO
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or[nspector and/or Fire Marshall) / �� ,�(�
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GENERAL INFORMATION ���'C�f
f�r�
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wil
be reviewed and a permit will be issued within two working days. � ��.Cu��
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN LTNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications aze 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. (�"�; � �i r � i ';' 'f;, ''
5. All work must be done in accordance with the Uniform Mechanical Code/State ` �
requirements. - ���
6. All work must be inspected(rough-in and final). Call(952)249-4600. / ; �=� �
(2448 hour nofice required) �(/I� `
7. House Heating Test Record must be submitted before final. � � �
TYPE OF PERMIT '� e�
(Check All That Apply) ������ '�'' N � '
�✓ Residential �Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
Job Site/Owner Information:
Site Address: 3750 Casco Ave.
Owner: Marti Lynn Mailing Address: 3750 Casco Ave.
City: Orono Zip. 55391
Home Phone: �952)471-8583 Alternate Phone:
Contractor Information:
Contractor: Sharp Heating &A.C. Contact Person: Floyd C. Joswick
Address: 7221 University Ave. N.E. State Bond#: 3904119
C�Ty; Fridley Zip: 55432 Expiration Date: 07/20/09
Phone: (763)572-0459 Alternate Phone:
✓� Insurance—Current:
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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 Q No
HEATING SYSTEMS
Quantity: �
Make: Ruud
UGRL04
Model:
Fuel: Nat. Gas
Flue Size:
Input BTUs: 40,000
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 E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marsha/l if proposing to abandon tank in plac�)
[� Installation � Removal
Fuel Oil: gallons ❑ Underground a 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 STATUE
❑ Yes,this section applies
The replacement of a Residential fi�cture or anpliance 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 appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip ne�ct 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$50.00)
2,000.00 x.0125$ 35.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
2,000.00 x .0005 $ �•00
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ 38.00
• * 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 aze 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 STA"I'E 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.
A licant's Si ature: . Date: � � -O
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