HomeMy WebLinkAbout2012-00703 - mechanical . CITY OF ORONO * z � 1 z - � 0 7 0 3 �
,, 2750 KELLEY PARKWAY DATE 1SSUEv: 07/24/2012
ORONO, MN 5�356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3925 CHERKY AVE
P1N . 08-117-23-33-0086
LECAL DESC : HICKORY HILL
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,900.00
NOTE: 1 BRYANT NAT GAS FURNACE
1 BRYANT 3.5 TON AC
APPLICANT MECHANICAL 148.75
AIR MECHANICAL,INC. STATE SURCHARGE MECH (VALUATION) 5.95
16411 ABERDEEN ST NE
HAM LAKE. M1�' �5304 MAIL-IN FEE 2.00
(763)434-7747 TOTAL 156.70
OWNER
Real Assets LLC
550 25TH AVE N
ST CLOUD, MN 56301-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be pertbrmed accordin�to
the approved plans and specifications,applicable City approvals.and the
State Buildine Code. This permit is for only the work described and does
not grant permission for additionai 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 withm 180 davs 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�ate Building Code.This permit mav be
revoked at anv time for due cause.
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Applicant Permitee Signature Date Issued B�� � ignature �ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
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' FOR CITY USE ONLY
" ,�'` City of Orono
` ��O`r`\�� P.O.Box 66 Date Received: Permit#
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+��.� �'� 2750 Kelley Parkway
��;�'�� n�`'x. �� Crystal Bay,MN 55323 Approved By: Amount$:
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'���.�,�������'� Phone(952)249-4600 Fax(9�2)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
1. You may apply for mechanical 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 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 Desi�—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation includin�
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 fmal.
TYPE OF PERMIT
Check All That A 1 )
0 Residential ❑ Commercial(Approval Required)
�■ New ❑Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
s1teAddress: 3925 CHERRY AVENUE
OwnePE�v JoxNsoN CONSTRUCTION Mailing Address: 4�o o COUNTY Ro� i 9
city: M E D I NA Zlp: �53�7
Home Phone: �763� 47g-482O Alternate Phone:
Contractor Information:
Contractor: AIR MECHANICAL Contact Person: BETTY
16411 ABERDEEN ST NE MB005122
Address: State Bond #:
City: HAM LAKE zip:55304 Expiration Date: O 'rJ/Z 'rJ��4
Phone: (763) 746-3752 Alternate Phone: (763) 746-3752
� WCP7490311
Insurance—Current:
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geotherma] Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ■❑No
HEATING SYSTEMS
Quantity: �
Make: B RYA N T
Model: 912SA42100S21
Fuel: NAT
Flue Size:
2"
Input BTUs: 1��,���
Output BTUs: 92����
CFM:
COOLING SYSTEMS
Quantity: �
Make: B RYA N T
Model: 113ANA042
Tons: 3.5
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 cfin
� No. 5 Bath E�chaust(must have duct outside) 3s3 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 LI1�TE 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 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 $ 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)
11 ,900.00 X .o12s $ 148.75
(contract price) (minimum$50.00)
2. STATE SURCHARGE 11 ,9��.�0 5.95
x.0005 $
(contract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �56.70
■ * 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 permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submissior, 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.
Applicant's Signat e: - Date: 07��H��2
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Reset Form
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CITY OF ORONO CALLED IN �¢ ��
INSPECTION NOTICE ��� SCHEDULED �a��v"/a /%30
PERMIT N0. a�Ic2 -D��COMPLETED
ADDRESS �% 2 S ���2��
OWNER TELEPHONE NO. 7�3 � � � �7`7Z.._
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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❑ IHSPECTION REQUIRED.CALL TO ARRANGE ACCESS. „��
Cali for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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CITY OF ORONO .� 3 CALLED IN 7 �� l�
INSPECTION NOTICE SCHEDULED / � �
P�RMIT NO. L� -� connP�ETE�
ADDRESS
OWNER TELEP ONE N . �1 � �- .3�
CONTRACTOR
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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INSPECTOR WIIL RETURN
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O INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice