HomeMy WebLinkAbout2012-01138 - natural gas furnace ' CITY OF ORONO * z 0 1 z - 0 1 1 3 s *
2750 KELLEY PARKWAY DATE ISSUED: 1U08/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 BRACKETTS POINT RD
PIN : 11-117-23-32-0018
LEGAL DESC : RGT ORONO POINT
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEAT[NG SYSTEMS
VALUATION : $ 4,666.00
NOTE: 1 BRYANT NAT GAS FURNACG
APPLICANT
MECHANICAL 58.33
UPTOWN HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 2.33
31 10 WASHINGTON AVE.N.
MINNEAPOLIS, MN 5541 l- MAIL-IN FEE 2.00
(612)827-4674 TOTAL 62.66
PAID WITH CC# 8115
OWNER
HANNAFORD,JULE& ELIZABETH
1220 BRACKETTS PT RD
WAYZATA, MN 55391-
AGREEMEIVT 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 E3uilding Code. 'I�his 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 type of work
shall be compied with whether or not spccified 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
revoked at any time for due cauSE.
`%��-C�'� � / / / /
Applicant Permitee Signature Date Issued y S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E.
11/06/2012 16:24 612827B292 W.F. RIDLER HEATING 6 COOLING #4161 P.001 /003
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City of Orono
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� P.O.Box 6b b�re'1?�co��d Pecmtt it,
r,��,"..w �s; ?750 Kelley ParkWay , .
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��� �"� � ��� Crystsil k1ay,MN 55323 appr�.%e�s� Amonm;� �_
��,Wy,'�y,o Phone(952)249-4600 Fax(952)2a9.G616
CITY OF ORUNO-�Y[ECHANICAL PERN[IT
(All Commercial permits must bc approvcd by nc�Building O�ciai or InsFa;�or and/or Fire Marshall)
• ; �
GEN:��ZA�:T�T�4�"��b�3
1. You may apply for mcchanical permits by mail or in person at the Ciry offices_ Applicaiions wlll
be reviewed and a pertnit will be issued within two working days_
2_ Permit cards will be sent by return mail after a rcview is completed_ PERMITS ARE NO'1�
V�i,ID UNTiL YOU RECEiVL•A P�RMTT_ WORK MUST NOT BEGIN IJNTIL THE
PERMIT CAYtD IS POSTED ON THE JOB SYTE.
3. Mechanical Desi2ns—Complece calculations>details and specificativns are required for each
heating,ventilation,humidifiiealion-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures>equipmcnl ratings and identification as to
rype,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or rem�deling is involved,a sepaTate building permit must be
obtained_ �
5. All work must bc done in accotdance wiTh the Uniform Mcchanical Code/State Building Code
requirements_
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(2448 hour notice required)
7. House l�leating Test Record must be submittcd before final.
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'P���F�'EF�IU.�Z'�
C��eGT��F��l T'hat;�i �
Residential ❑Commercia{(Approval Required)
❑Ncw ❑Additional ❑Repairs eplace
:�ob'SiteL;�ner:;InF�ttriatt��,
Site Address: '�Z 20 �rk�kt�S /��^fi 1?�! •
Owner: Ju ���i ��inn� r�.-� Mailine Address:
Ciry: O`o� o Z�p: .rs3y t
Home Phone: ��Z- `»3. G�T7 Alternatc Phone: � ��- 7��' �o��
Cpn�gc�or:I�a�a�Cicsr�:: .
Contractor� Ll �1-'h «ar% :' �a�� Contact person: ��,��Q���`�"'
Address: 3�t0 w�s��� �ch Ari �tJ . State Bond #: L a yp� Sa z�,fG
City: IY1 ran���i 3 Zip:s��l�� F..xpiration Date: I� �f Z�/
Phone: ��z� �?- ���S` A,Iternate Ph�ne:
❑ lnsurance -Current: ����-�'1 �h 7�fl��t
t
11/06/2012 16:24 6128278292 W.F. RIDLER HEATING 6 COOLING #4161 P.002 /003
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u� ,�@��w r z�'"�"� �na��a.r.. ,�'���" C, .t�i�aw" rr.� slr.'-
� Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
� IS THiS GEOTHERMAL? ❑Yes +�No
FIEATING SYSTEMS
Quantiry: � . -- --._... _
Make: � k n� _^ ._
� ModeL- 92Sr'A '�'D�DE/ 7 . — . �--
I
IFuel: /l�a�a'-e� G�.,s __ ,_,
� Flue Si��:
lnput BTUs: _ 0 O�adO . _ .... _ .
Output BNs: ���a6Q
CFM. �� �...-- —.., - ---
COOC.ING SYSTEMS
Quantiry: ... . .___ _. ..
Make: „- -.-
Model:
Tons: --- —_.......—
H.Power _.„
FiREPLACES
❑ Gas Factory Fircplacc Brand Name:
❑ Wood Burn�ng Fireplace
❑ Wood Stovc Model No.:
❑ Wood Stovc with Flue/Mbsonry
V�NTILATION
❑ No. Kitchcn Exhaust duct .,recirculatina „ __cfm
❑ No. Sath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORA(:E (Must be approved by Fire Murshal[ijproposing�o abandon.lank in,plae�)
❑ installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Insid� ❑Outsidc
�,P G�a' �,allons
(hher:
GAS LINE OIvLY
❑ Outdoor Grill ❑ O�her/List What&Where:
2
11/06/2012 16:24 6128278292 W.F. RIDLER HEATING 6 COOLING #4161 P.003 /003
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If"Mx�YPwr��d�r_�'��'��.G� ��ui i �a h'�yy . . . . �
r�y, ,, � � � �$�1��Q��; �'� t�',#�,�'����l�`�3-�: ,�,
. ❑ Ycs,this section applies
The replaccmcnt of a Resideniial f�,ture ar applianc�th&t meets all zhree of thc following requir'ements:
1. Does not require modificalion to electcical or sas servicc.
2. I las a Lotal c�st of$500_00 or lcss;�xcludin�the cost of th�fix�ure or app{iance:and
3. ts impmved,installed or rcplaced by �be homeowner or licenszd contractor.
Skip next section,if this applits; Cost of Permit $ I S_00
State Surcharge $ 5_00
Mail-ln Fee(If ApplicablG) $ 2.00
I Total Pcrmit Fee S
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Lf above does not apply;follow guidelincs bclow:
'�, 1. CONTRAGT PRICE *is 1.25%of conLraet price with a(Minimum Fee of$50.00)
� �f� G G 4 x.O I25$ 5�- 3 Z
(contraCt p�ice) (minimum S54.00)
� ; 2. STATE SURCHARGE y/� � G Z 3 Y
x.0005 $
i (conuact pricc)
I
' 3_ POSTAGE&HANDLING(Only on Mail-ln Applications) $ 2_00
4. TOTAL PERMIT��E(Add Lines 1-3 Above) $ ��� � �'
• ; C:ONTRACT PRICE or JOB COST mc2ns the actual or estimated dollar amount charged for the
permitted work including materials,labor, profit, and other fixed costs. !t is the amount to be chatged
to the customer for the work done. 1f any matcrial, cquipment, labor or installations are furnished by
thc owner,tenant or any othcr party,the rcasonablc markct value of such items must be added to the
estimazed cost or contract price for permit fee purposes. In the event that therc is a dispute on the
amount of the}ob cost, the City may request the submission of a signcd oopy of the sCtuBl cont�act.
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The undersigned hereby applies to the Ciry for issuance of a Mechanical Permi�, a�rees to do all
work in suict accordancc with thc ordinanccs of thc City and the regulations of the Stace of
Minnesota, and certifies that all statements made on this application are complete, vue and
correct.
I Applicant's Signature: ------- ...._.._____.....,. ... Date: I/ G z. ��z-
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