HomeMy WebLinkAbout2010-01165 - mechanical . � • CITY OF ORONO PERMIT NO.: 20�0-o��6s
2750 KELLEY PARKWAY
ORONO, MN 55356- �A7'E �SsuED: 12/02/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1385 CHERRY PL
PIN : 08-117-23-32-0001
LEGAL DESC : REG. LAND SURVEY NO. 0615
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,768.00
NOTG: I BRYANT 3SSI3AV042080 GAS}IF,A"I'ING SYSTEM
APPLICANT
MECHANICAL 72.10
PRONTO HEATING& AC STATE SURCHARGE MECH (VALUATION) 5.00
7588 WASHINGTON AVE S
EDEN PRAIRIE, MN 55346- MAIL-IN FEE 2.00
(952)835-7777 MISC FEE 0.00
TOTAL 79.10
OWNER PAID WITH CC# 2284
GREELEY, ROBERT
1385 CHERRY PLACE
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for���hich this permit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvals,and U�e
State I3uilding Codc. This permit is lor only Uie work described and docs
not�rant permission for additional or related work which requires separale
permits. All provisions of la�vs and ordinances goveming this type of work
shall be compied with whethcr or not specified herein.This permil will
ezpire and become null and void if construction authorized is not
commenced widiin 180 days oC die 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 N�ith the State Building Code.This permit may be
revoked at any time for d e cause.
�y `�'���� /o� oZ.a' /D
Applicant Permitee ignature Date
Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
, .
FOR CITY USE ONLY
�.%'"p`A'� City of Orono ��
;� � `�` � P.O.Box 66 Date Received: Permit# ������ �
� ��;;. � ; 2750 Kelley Parkway
tt'�'� �.+ Crystal Bay,MN 55323 Approved By: Amount$:�
`�E��a� �4,0`�` Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector arid/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 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 DesiQns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidifieation,and air conditioning installation including
heat loss/heat gain calculation;design temperatures,eqaipment 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 )
g]Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Replace
Job Site/Owner Information:
Site Address: 13`oS ��y�� ��0.�
Owner: L��j�V�� Mailing Address: C��
City: �ov�' Zip: �3 ��
Home Phone���`"��'Z`t l�7 Alternate Phone:
Contractor Information:
Contractor: ►'U✓l1� 2A� �`t l�- Contact Person: IJUGtG� S�c��{Nl��
Address: �S�'& w��� ^ �1"�S State Bond#: � 3��S� 3
Ciry: � Zip�3�� Expiration Date: � ��' � �
Phone: aS2" F53S"?�'�7� Alternate Phone:
❑ Insurance-Current: ��p(,Q,vu,�
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �] No
HEATING SYSTEMS
Quantity: �
Make: � ��
Model: 3 SS�Vp�-(Z6�j 0
Fuel: ��
Flue Size:
InputBTUs: g�� 0�
Output BTUs: �7�� OD(�
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) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposi�tg to abando�:tank in place.)
� Installation � Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoar Grill � Other/List What&Where:
2
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
� Yes,this section applies
The replacement of a Residential fixture or ap lip ance 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 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)
�J� ��S.oU x .0125 $r�2 - 10
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00)
`�57 b� . aa x .000s $ 2• 8 �
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $� �-� �
■ * CONTRACf 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 dispu?e 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 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.
��� r �
Applicant's Signature: GV�+e �— Date: �� 2� ��
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