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Home My WebLink About2008-00221 - mechanical � CITY OF ORONO PERMIT NO.: 2008-00221 ' 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISsuEn: 09/15/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 720 BIG ISLAND PIN : 22-117-23-24-0001 LEGAL DESC : KITCHELS SUBD GOVT LOTS 22-117 : LOT 004 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 14,700.00 NOTE: 1 CARRIER HEATING SYSTEM 1 CARRIER COOLING SYSTEM APPLICANT MECHANICAL 183.75 YALE MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 7.35 9649 GIRARD AVE S. BLOOMINGTON, MN 55431 MAIL-IN FEE 1.50 (952)844-I 661 TOTAL 192.60 OWNER ERICKSON, GERALD 4567 AMERICAN BLVD W MINNEAPOLIS,MN 55437 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 pennission for additional or related work which requires sepazate 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 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 conformance with the State Building Code.This permit may be revokad at any time for due cause. l l [9`y��'L l/ �S/ D� Applicant Permitee Signature Date Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED BOVE. FQR'-CITY i1SE ONLY � �0� CityofOrono P.O.Box 66 Date Reccived: Perniit# Q F � 2750 Kelley Parkway F ��'� C stal Ba MN 55323 A roved B Amomrt$: 4 "�'"� rY Y, PP Y� ��%��y� (952)249-4600 � sstto CITY OF ORONO—MECHANICAL PERMIT J`Z-� N �_- 1 1 (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) j�S GENERAL INFORMATI ON � ��"�'�� 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 retum 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 far 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 ar remodeling is involved,a separate buildin�*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 ly ❑� Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/�Owner Information: Slte AC1C1T'eSS: ERICKSON RESIDENCE-CABIN Owner: MR ERICKSON Mailing Address: �2o Bi�isLaND Clt}': ORONO —�-- 7i��: 55323 Home Phone: Alternate Phone: Contractor Information:�' —� Contractor: Y�LE I`'IEcxatvicAL Contact Person: TODD JELLE Address: 9�9�I��v Av�so State Bond#: 9314845 BLOOMINGTON MN 03/26/09 City: Zip: Expiration Date: Phone: (952)884-1661 Alternate Phone: ❑ Insurance—Current: 1 , �, �� i� �' += u--° �,� '� ° HEATING SYSTEMS Gn,}� A�e� C �N tI C�2 Y S� C'— Quantity: ; � s(�l..s T' �'�ST� Irl i� r4 �'" N-�Pr'� ip�.,�m S , s r m• �� ` . '.�`" ;.?S1-ICA336�c�� t�Cr ;�t��' �-�'�--�r "-� �� -r' i-� �-�.,� �k R-2 r9-C��. -�b4ec�e�: ��Q�.�G Z Fuel: I�+J,� Flue Size: �� ,J� _ Input BTUs: Output BTUs: � CFM: (✓�� COOLING SYSTEMS Quantity: � Make: �y��Z iZ.G E L'- Model: �-�'NL'�j�Gf��3 Tons: � H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen E�aust 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) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � � � � PERMIT�FEE CAI�CtJI�;A�"ION(S) � -- BASEU OF.F' � 20Q2 �'I'�1'I'F, ST�TUE ❑ Yes,this section applies The replacement of a Residential fixture or ap I�p �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;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) $ 1.50 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ��, 7GC'� X .oi2s $ 't�'� . �S (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ofS.50) �� I�'( , (��J x.0005 $ /. � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 ��,�: 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � L� ��.- ■ * 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 Deparhnent at(952)249-4600 for the price. 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: %'G-' Date: �—'�� '�C� Reset Form 3