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Home My WebLink About2011-01516 - mechanical • CITY OF ORONO PERMIT NO.: 2011-01516 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUED: 12/OS/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 141 CHEVY CHASE DR PI IV : 36-118-23-41-0026 LEGAL DESC : HILL O'WAY MANOR : LOT 021 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHAN[CAL-MULTIPLE VALUATION : $ 7,800.00 NOTE: 1 PAYNE NAT GAS FURNACE 1 PAYNE 2 TON AC APPLICANT MECHAN[CAL 97.50 EASCO PLUMBING& HEATING INC. STATE SURCHARGE MECH(VALUATION) 3.90 7965 PIONEER TR LORETTO, MN 55357 TOTAL 101.40 (612)369-5486 OWNER REMARK, ROGER& MEGAN 141 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work tbr 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[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 specitied 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. "I�he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked�t any time for due cause,.-- - � ;. ;�'-.� _ �,,�'=-,�_ � lZ l �. � /� i i Applicant�'ermitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . � ' ' FOR CITY GSF,ONLY � ��" ,�0� City of Orono O O P.O.Box 66 Date Received: Permit# �b,,,,� 2750 Kelley Parkway ,(� � i a � �1Rs�� e. Crystal Bay,MN 55323 Approved By: Amount$:�D j� '�, da��$�o� Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFO.RMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will be reviewed and a permit will be issued within two working days. 2. Pernut 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 ne��construction or remodeling is involved, a separate building pernut must be obtained. 5. All work must be done in accardance 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 Apply) �]Residential ❑ Commercial(Approval Required) ❑ New [`�r'�dditional ❑ Repairs ❑ Replace /� Job Site/ Owner Information: Site Address: i�� e v�� 1�� Sc U �'�' Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: , Contractor: �C�t C �' �' � � Contact Person: �i'� ` Address: � �� S (�l�n�E��.- � �'' State Bond#: City: � v r�-�<: Zip: �S 3 S7 Expiration Date: Phone: ��3�� %�t�.'�-� �`/ � � Alternate Phone: (;��Z- .��:`� 5�-%�,(o ❑ Insurance—Current: 1 � - � �.� � �. �� "��..,. �� '� �:�� .� �� a � �� ,,�,�� F , Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS Quantity: � Make: � Gy � Model: �(a � �/Ll�, fj Fuel: �' `i �- � � I Flue Size: Input BTUs: � L� b ��'= � Output BTUs: � �� = ��<� CFM: COOLING SYSTEMS Quantity: � Make: (�Gy y�;Z Model: 191t/.� �j Tons: � H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(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 ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ' 1 ❑ Outdoor Grill �" Other/List What&Where: ( �� ) U�'y� ✓ , ��t S �,r c�f; �(�C;�' 2 �;,� ) �L,�., s� �,,ti�{r i � � �� PERMIT FEE GALCULATION(S) � BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of a Residentiai fixture or ap�liance 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; excluding 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 $ PEEZMIT 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) 6 ��• d a x.0125 $ (contract pnce) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted 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 pnce 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. �� '' 4 � �� 1��ANICAZ-�:� ° " �� ";: �, .. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in stnct accordance with the ardinances 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: �� PP � _ f��Z /� ; ✓ 3