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Home My WebLink About2011-00069 - mechanical CITY OF ORONO PERMIT NO.: 2011-00069 2750 KELLEY PARKWAV , ORONO, MN 55356- �A7'F ►ssuE�: 02/03/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 1925 CONCORDIA ST PIN : 18-117-23-14-0014 LEGAL DESC : FAGERNESS : LOT 013 BLOCK 000 PERMIT TYPE : MECHANICAL(>�500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 7,000.00 NO l'I;: 1 RI IN,EM NA"1'GAS APPLICANT STATG SURCHARGE MECH (VALUATION) 5.00 TONKA PLUMBING HEATING &: COOL INC. MAIL-IN FEE 0.00 265 CTY RD 1 10 NORTH MOUND, MN 55364 MISC FEE 0.00 (952)472-9200 MECHANICAL 87.50 Minnesota State License#: 060524-PM TOTAL 92.50 OWNER KONAT, THOMAS 1925 CONCORDIA ST WAYZA"I'A, MN �5391 AGREEMENT ANll SWORN STATEMENT The��°ork for�vhich this pennit is issued shall be perfornicd accordim�to the approved plans and spccifications,applic�ble City approvals,and the State Building Code. "This permit is for only lhe work described and does not arant permission for additional or relatcd��ork which requires separatc permits. nll provisions of laws and ordinances governinb this t��pe of�cork shall be compicd��ith��hether or not specitied herein.'I�his permit will expire and become null and void if construction authurizcd is not conunenced��ithin 180 da��s of the date of issuance,or if construction is suspended li�r a period of 180 days at an��time after��ork has commenced. I�he applicant is respunsible for assurinc all required inspections are rcquested in conlbrmtmce with the State Building Code.This permit may be revoked at an�•time I�x duc cause. / / / / Applicant I'e mi ""n e � Da �� Issued 13��S� nature Datc SEPA � PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO E. � • FOR CITY USE ONLY City of Orono O¢��O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � ,r''g• � Crystal Bay,MN 55323 Approved By: Amount$: ' ' ' �. c` Phone(952)249-4600 Fax(952)249-4616 �'tcexo�'� CITY OF ORONO—MECHANICAL PERMIT (All Commercial pertnits 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 RECEIVE A PERMIT. WORK MUST NOT BEGIIY 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 model. 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 I Ieating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑ Additional [�Repairs �.Replace Job Site/Owner Information: Site Address: �� a� �-�'�C�YC�i � �'�� Owner:�� IC1�Yi�i7� Mailing Address: �-� � ��J�'z`�-�-�%� r�- City: �" XC-Q�tS�� Zip: �� Home Phone: ��5a�a�" i �Z� Alternate Phone: Contractor Information: ,�1 s�. Contractor: �1/�IC�1�4�;)-��'�v��ontact Person: �(;U��'�-VL��'�p � Address: ��W�-1-�1�Qf'� State Bond#: �� v��5�?� City: �lt?�-,�� Zip:�'-(�� Expiration Date: ��3 I � �� Phone: ��-'��'�� Alternate Phone: �ji.-�'�i' ��S Z'}Ofl-c��y" ❑ [nsurance—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 HEATING SYSTEMS Quantity: � Make: ��-�""' ModeL• Fuel: �' Flue Size: Input BTUs: �D�If��V Output BTUs: i a�11 CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power _ __ _ FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Ftue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm � No. = Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (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 LINE ONLY ❑ Outdoar Grill ❑ Other/List What& Where: 2 PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ 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 Permit $ 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%of contract price with a(Minimum Fee of$50.00) ��}, E��.� x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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 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 correct. Applicant's Signature: � Date: ` Reset Form 3