HomeMy WebLinkAbout2010-00589 (mechanical- gas heating) CITY OF ORONO PERMIT NO.: 2010-00589
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 07/15/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2408 CASCO POINT RD
PIN : 20-117-23-12-0023
LEGAL DESC : NAVARRE
: LOT 000 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTTON TYPE : HEATING SYSTEMS
VALUATION : $ 100.00
NOTE: 1 WHIRLPOOL GAS HEATING SYSTEM MODEL WFG361LVD
APPLICANT MECHANICAL 50.00
APPLIANCE CONNECTIONS STATE SURCHARGE MECH(VALUATION) 5.00
1313 DANITA CR.
SHAKOPEE, MN 55379 MAIL-IN FEE 2.00
(952)445-4803 MISC FEE 0.00
Minnesota State License#: 057209PM TOTAL 57.00
OWNER
GASCH,JAMES
2408 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which[his permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permi[is for only the work described and does
not grant permission for addi[ional 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 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 at any time for due cause.
`�'xdu-�. �-�-- i l i i
Applicant Permitee Signature Date Issued B ignature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
� FOR CTTY USE ONLY
/¢p� City'ofOrono •
' ��O . O P.O.Box 66 Date Received: Permit#
. � 2750 Kelley Parkway
� �. Crystal Bay,MN 55323 Approved By: Amount$:
��� '�{�;!��� (952)249-4600 �
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CITY OF ORONO PERMIT
(All Commercial permits must be approved by the Building OfFicial or Inspector)
GENERAL INFORMATION
I. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards wi►1 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. P(umbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
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 State Code requirements. ,
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1 �
i� Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
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Site Address: , , ;��''� i i,l`�t'..�t�' �. ��` r�� �, (�
Owner: -���-���� L,.��� �� 6 �) Mailing Address: ��I��', ��t,� � ��j�J ��
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City: �;G'� ��� �{.. Zip: ��. ���
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i�ome Phone: �` '� .�� il �������1 Alternate Phone:
Contractor Information: �
Contractor: Contact Person:
Addre�s�:���a���` �'��neC�Oflt1S �tiC State Bond #:
1 ani a �°
City: Shako�ee, M� ��7�.... Expiration Date:
952-445-4803
Phone: ' Alternate Phone:
" ❑ � Insurance—Current: �
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'MECHATIICAL SYSTEMS BE1NG INSTALLED . •
' ' Nate: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS TH1S GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: ( .
i�+ , i
Make: v�J��( �Z I
Model: �'/�� ��L�+ �
F�el: �"�,���n �
Flue Size:
Input BTUs: �
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 cfm
No. Bath Exhaust(must have duct outside) cfin
No. Other Fan�: Locations ' cfin
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:
�
2
, � , ; . ; : PERMIT EEE 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 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, install�d or replaced by the homeowner or licensed contractor.
I
Skip next section, if this applies; Cost of Permit $ ]5.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee . $
�:.';.� _" 'PERMIT FEE CALCUT�ATION(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)
� i��� .._ .�-
�' � � x.01�5 $ l���; .
( �_ �, . �
—(contract price) (minimum$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00)
x .0005 $ � ' A
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In App(ications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines ]-3 Above) $ � � f
■ * 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 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. [n 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 times the Contract Price or a minimum of$5.00.
MECHANICAL P RMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with th� ordinances of the City and the regulations of the State of
Minnesota, and certifies that all stytements made on this application are complete, true and
correct.
I ' ' � � ,s
n (
Applicant's Signature: �,��, �,'� ���,� l �;"� Date: � ��' � ` 1�
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