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HomeMy WebLinkAbout2010-00041 - mechanical CITY OF ORONO PERMIT NO.: 2010-00041 ' � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ss[1En: OU28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1470 CHERRY PL PIN : 08-117-23-33-0017 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,800.00 NOTE: 1 ELECTRO IND. ELECTRIC HEATING SYSTEM APPLICANT MECHANICAL 60.00 LAKESIDE PLUMBING STATE SURCHARGE MECH (VALUATION) 2.40 12469 ZINRAN AVE. SAVAGE, MN 55378 MAIL-IN FEE 2.00 (952)894-7600 MISC FEE 0.00 TOTAL 64.40 OWNER Commercial Mortgage Fund COMMERC[AL MORTGAGE FUND 8300 NORMAN CENTER DR.#720 BLOOMINGTON, MN 55437- AGREEMENT AND SWORN STATEMENT Thc work for which this permil is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buiiding Code. This pennit is for only the work described and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whefher 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 confonnance with the State Building Code.This permit may be revoked at any time for due cause.. ��/ ��^�"`.'�-_ C�Y`� l l ��j�,,,� � ,, / / Applicant Permitee Signature Date � r����r� Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO , • FOR CITY USE ONLY ��''�`'`�� City of Orono �¢ ��`' P.O.Box 66 Date Received: Permit# ��/�:�,;,, � �� 2750 Kelley Parkway `�, G,'x. :_ ) Crystal Bay,MN 55323 Approved By: Amount$: \�'?��fiy��Gi��`a�� (952)249-4600 ,�iwt�;oa,: 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 Designs—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 l ❑ Residential � Commercial(Approval Required) ❑New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: ly�p C�12Ry p�qC�. Owner: CoMlh 21rG�c.�. or�4saL Mailing Address: g30o �orMay�_'(.�� D� � �na,� c�ty: z�p: �_ �i3� Home Phone: Alternate Phone: Contractor Information: Contractor: �`3;��. ��uMbr� Contact Person: ��1�''.� Address: �a�(p9 ZTnt'a. � State Bond#: OleO�(�- Tn'1 City: Jc Zip: �/� Expiration Date: �et _ �� o'�r,j� Phone: �a-��-�(oc�� Alternate Phone: ❑ Insurance—Current: `��5 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothennal Syste�ns will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes Q�No / HEATING SYSTEMS ' Quantity: � Make: ��QC��o Znd• Model: ��•MA• 1'.� Fuel: ���G*h C.� Flue Size: Input BTUs: �Zt) -.7.�V �/c���' 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 Eachaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground a Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor 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 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) '�I oo X.oi2s $�po (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) 'y,8od X .000s $ a.�(o (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines ]-3 Above) $ �Q��� ■ * 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 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: '- �•(t� Reset Form 3