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Home My WebLink About2014-00529 - cooling systems , ` � ' CITY OF ORONO * z PJ 1 4 — 0 0 5 2 9 * 2750 KELLEY PARKWAY nATE [SSUEn: OS/30/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1406 BOHNS POINT RD P[N : 09-117-23-33-0015 LEGAL DESC : REG. LAND SURVEY NO. 0269 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 10,000.00 NOTr;: � sP�cr:PaR�c. 1 LENNOX 3 "I'ON AC APPLICANT MECHANICAL 125.00 STATE SURCHARGE MECH (VALUATION) 5.00 SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 6219 CAMBRIDGE ST ST. LOUIS PARK, MN 55416- TOTAL 132.00 (952)926-4488 Payment(s) CHECK 3615 132.00 OWNER STEWART, LARA 1406 BOHNS PT RD WAYZATA, MN 55391- .AGREEMENT AND SWORN STATEMENT "l�he 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 onl��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 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 conformanee with the State F3uilding Codc.This permit may be revoked at any time for due cau�e. / / Applicant Permitee Signaturc Date Issued By S'g ature Date FOR CITY USE ONLY �O A'O City of Orono <y P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fa�c(952)249-4616 .� > S � F �,�' CITY OF ORONO—MECHANICAL PERMIT l�kf 5 H�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts 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 Desiens—Complete calcularions,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 constr�ction 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 fmal. TYPE OF PERMIT Check All That A 1 �`Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs Replace Job Site/Owner Information: Site Address: �� O}�/�IS �O/.�'l� �0�9� Owner: R�'A � � LRRA �EuJ�O�{,`f Mailing Address: �yD� B��/l�'S �0��QD�4D City: �7 l�o N p Zip: ��`� l Home Phone: Alternate Phone: �/Z, $�3. Z��o Contractor Information: Contractor: S��C ��CNA�11 C AL Contact Person: C'�fRl� f f�4 U�L�X Address: �oZI`� CAMB�!Q(�� T State Bond#: City: 5'T �-Ov1S �R� Zip:SS 1(� Expiration Date: Phone: �SZ.`�Z�. �1`-�$$ Alternate Phone: ❑ Insurance—Current: 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 HEAT SYSTEMS Quanrity: Make: Model: Fuel: Flue Size: Input BTLTs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � l Ma�e: S PA�F- p�8x. GF,I✓r/Ok Mode�: ,E'S'P-36�21� ?G�IG`0310 Tons: — � H.Power "� FIRE ACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENT ATION ❑ No. Kitchen E�chaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FiJEL ORAGE (Must be approved by Fire Marshall iJproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS L E ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , � � -. PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATITE ❑ 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 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 PRICE *is 1.25°/a of contract price with a(Minimum Fee of$50.00) �� , � x.0125$ �Z�. � ( ontract price) (minimum$50.00) 2. STATE SURCHARGE � � I D� O O O. `� x.0005 $ �. � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �JZ - r • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the pernvtted work including materials,labor,profit, and other fixed costs. It is the amount to be charged to the customer far 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. MECHANICAL PERMIT APPLIGATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accardance 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: � �� f! 3