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Home My WebLink About2010-01049 - mechanical CITY OF ORONO PERMIT NO.: 2010-01049 ' 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSi1ED: 10/26/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 670 BIG ISLAND PIN : 22-117-23-24-0011 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULT[PLE VALUATION : $ 8,200.00 NOTE: 1 RHEEM GLECTRIC HGATING SYSTEM 1 RHEEM 2.�TON AC APPLICANT MECHANICAL 102.50 C&C HVAC INC. STATE SURCHARGE MECH (VALUATION) 5.00 16730 242ND AVE. NW BIG LAKE, MN 55309- TOTAL 107.50 (320)963-2071 OWNER BRYSON II &THELMA, WILLIAM 3082 WILLOW DRNE MEDINA, MN 55340- AGREEMENT AND SWORN STATEMENT The work for 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 not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this typc 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 l80 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 � revoke t yme f�or�d�e�cause. � y�I��!�--� �o � �� l� �� Applicant Permitee Signature Date � � Issued By i ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . FOR CITY USE ONLY ' � O,¢��O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Pazkway � r` '• t Crystal Bay,MN 55323 Approved By: Amount S: e,4'-4',,'' ;yo� Phone(952)249-4600 Faz(952)249-4616 �ov 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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 modei. 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 Q�Residential ❑Commercial(Approval Required) � �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ' � 1�" ` d` Owner. �J� I � f�Q� Mailing Address: �� City: Zip: Home Phone: Alternate Phone: Contractor Information: � p _� /p , / � � Contractor. �� %��.,L,C'�� - Contact Person: �r�r,,�� r'�� ,;�tr ,�f , Q Address: ��(J �`��'-l�'�'r�l'�''`''` State Bond#: � ��— �'�[-� Ciry: � � Zip: �� Expiration Date: �/ �� L��1I Phone: ,�,�f��-�� ;,�C>>� Alternate Phone: �/��5''C1�j'"� � ❑ Insurance—Current: �;,�P J�.3��Q �,,t�il��(� �2�"i �('a �_ ��e �� 1 t��P 2�—��l—�i o 1?y —r� �, I OrK �-�� f � � " � 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: �n�L —�{�l�,�j�� ,� �j� Fuel: G�%Cfs�.-ti Flue Size: ,��:i?� Input BTUs: �7�I.�.� Output BTUs: J�j(�Lt� CFM: �„2�i'c:� COOLING SYSTEMS Quantity: / Make: i/��ec'r�? I f U.U�'S��)��`-�� Model: /.7/t��3�/�Dr ��3 �1 Tons: �� H.Power �,pc;v {�� FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fueplace Wood Stove Model No.: Wood Stove With Flue VENTII.ATION No. Kitchen E�chaust duct recirculating cfin No. Bath E�chaust(must have duct outside) cfin No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gailons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: 2 L � Specifications-Outdoor Unit(Heat Pump)Tonnage 2.5 Ton SEER/EER 13 Seer/11.40 Voltage-HZ/Phase 208/230 601 Phase Max Breaker Size 30 Amps Refrigerant Type R410 A Suction line Size 3/4" Liquid Line Size 3/8" Unit Dimensions 27 S/8"W x 27 5/8"L x 261/4"H Shipping Weight 208 Lbs Specifications- Indoor Unit(Multi Position)Tonnage 2.5 Ton Electric Heat Capacity 5,7,10, Kw Voltage-HZ/ Phase 208/240/1 Phase Max Breaker Size 15 amps(No Electric Weat) CFM High/Medium/Low 1000/1200 Unit Dimensions 17 1/2"W x 21 11/16" D x 421/2" H Suction Line Size 3/4" Liquid Line Size 3/8" Blower Motor Speed Multi Speed Shipping Weight 106 Lbs -------------------------------------------------------------------------------- , �� r , � PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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 Pernut $ 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 PWCE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��Z�� X.oi2s$ �L�.;��7 � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div_Surcharge(Minimum Fee of 55.00) ,�r�J�,,� x.0005 $ �`�.tl C.' (wniract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ j(��(,.� ■ # CONTRACT PRICE or JOB COST means We actual or estimated dollar amount charged for the pennitted work including materials,labor,pmfit,and other fixed costs. It is the amount to be chazged 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 ar 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 times the Contract Price or a minimum of$5.00. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and conect. Applicant's Signature: ��y��c.� ;,"�.��r u-c��' Date: � Reset Form 3 t f 11/01/2010 07:44 3209632081 CC HVAC INC PAGE 01161 C�.�'X O.F Q.l�ONO �a��zz��vo.: 201�-01Q49 2750 ��,L�X�A.�.�WAX ORaN4, kV��i SS356- ��zssu�n: 10/26/2010 „ (952) 249-4�00 FAX: (952) 249-4616 ADDRESS : 670 BTG ISLAND PERMIT APPI,ICANT: PZ�T : 22-117-23-24-0011 C&C HVAC 1NC. LEGAL,r?ESC : N/A 16730 242Np AVE.NW � : �QT 000 BLOCK 000 BIG LAKE,MN 55309- ,, �ERMZT"I'Y�E . MECH,A,NiCA.�,(>$soo) ! + . �� / t.T \! ��tO�ERTY TYP� : it�S�DENTIAL J�' � � ' CONSTI�uC�UN�`)i'PE : MECHANICAL-MULTIP�� r x�H��M ELECT121C HEATING SYSTEM , � � y ,� Z �tH�EM 2.5 TON AC � ' _-. � � / � �� ;L '1 J g� � �,,7� � f I �� SUI�.�►ING INSPEC'�ION RECQRD u,�- � � �'' 48�QUR N0�'ZCE��QUIRED k'OR ALL INS��GTIONS. ''� � � �� CA.LLFOR;�TS�'ECTIOI�TSW��KDAYS: � �� IlVSPEC'�'.tUN TYPE DATE X�iS��CTOR ��VSPECTIQ�i'�'XPE DATE � �ECTOi� � � MECI�.ANICAL-A]R 7'EST � �'�� _ MECHAN�c,AL-�'INAL � I(�-�`I �" �,� MECi-IAMCAL-ROUGH IN �� `'' f ,,�y1� I � `� When a k'oundation Survey is Required: A�'owadaYion swvey shall be subzinitted to ttae city#'or review and approval,upon complctio�o� tlie fouzl,da,t�on work aud before proceediszg with fra�ix►g or fiuther coz�stxuction. The suirvey,prepared by a RegisteXd.Land SarveypX,shall ce�ta�y the 1ot dixxaensions;froz�t,side,rear,lakes�pXe and wetland setbacks;aqd�oundation elevation. In lieu of a survey a lettez prepared by a Reg�ste�rd Land Swrveyor contnining tkzc sax�e infont�at�an as a foundatao�n survey may be sub�tted. When an As-Bu�lt Survey is Required: An as-bu��t survey,pz�epared by a Reg�istered Lamd Surveyor,naust be subr�aitted ta the city for rcview and appxova]before ctte�,ssuance of a ee�rtAficate of pecupany, The survey shall cet�ify the ft�al topograpk��p�the site,veXi�y drainage pattems,a�,d�'or lots in the Shoreland Ove�r�ay District pzovide hardcovex calculativn,s- ll�i ACCp�DA1VCE W�CITY p�,TjINANGE,NE�r p�SU$ST�4NTTALLX I�tEMppELED�U�.DINGS SHALL 1VOT BE OCCI]PTF.D UN�'�,ALL WORK�iAS B�1E�t APPROvED,AI�b A CERTIk�ICAT�Uk OCCUPA,NCY H,q,S BEEN ZSSUEb BX THE�UiL,DCNG DEPAIt�'MEN�'. 'I'HIS CARD�L1S'�'$E PQST�D AND VLSIBL�AT ALT..TIM�S UNT'�Z.WORK x5 C4NLPx.ETE.