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Home My WebLink About2011-00719 - mechanical ' CITY OF ORONO PERMIT NO.: 2011-00719 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2685 COPPER VIEW DR PIN : 33-118-23-43-0018 LEGAL DESC : ROSCH ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 1,996.00 NOTE: 1 BRYANT'NA"I'.GAS FURNACE 2 BRYANT AC APPLICANT MECHAN[CAL 50.00 HALEY COMFORT SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.00 122 W. 3RD ST HAST[NGS, MN 55033- MAIL-IN FEE 2.00 (651)437-0338 MISC FEE 0.00 TOTAL 53.00 OWI�ER TURKBAS, MR. & MRS. JAY 2685 COPPER V[EW DR LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is Yor 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 no[specified herein.This permit will expire and become null and void if construction authorized is no[ 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 eause.� � �i� l�v�� i i i i Applicant Permitee Signature Date Issued By Si ture te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A - � ~ � FOR CITY USE ONLY � ,�'�p'I��`:, City of Orono "O¢ `rO\1 P'O.Box 66 Date Received: Permit# 2750 Kelley Parkway � p" R• �� Crystal Bay,MN 55323 Approved By: Amount�: �\�� J4y� Phone(952)249-4600 Fax(952)249-4616 _�°i CITY OF ORONO-MECHANICAL PERMIT (All Commerciai permits must be approved by the Building Official or Inspector ancUor Fire Marshali) GENERAL 1NFORMATION 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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 Heating Test Record must be submitted before final. I TYPE OF PERMIT � (Check All That Apply) � Residential ❑ Commercial(Approval Required) ❑ New ❑ Additiona] ❑ Repairs �J Replace /► Job Site/ Owner Information: Site Address: ��'S� ��,T N� !/c-�uS /�r � C/��nZ� � ��( S{S ��' Owner: ✓ t"a �� S Mailing Address: S'�i�te � s ��o�� City: Zip: ^ Home Phone: �/Z-7'.n -`�Z�C� Alternate Phone: �(Z '��b y" �Z 3 l� �:. � ��-t-; c�(� � Contractor Informatton: Contractor: _�� v�. �1 Contact Person: ' S or— . � � / S� St�w�5 Address: %2 Z Lc� 3`� S� � State Bond#: /lf/�� z0 y� City: Zip: SS"o3jExpiration Date: Phone: l�S�-y37-��3�' Alternate Phone: ❑ Insurance-Current: l . - i i Ai!n f�t 6 Y Z +�` .. . .yky, y C µy "��.tt�4'!b�: Note: Al] Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: ' Make: � r Model: 3SS�/�/�'//Ol0/UC) Fuel: �(� Flue Size: Iuput BTlis: ,�DD, UUU � Output BTUs: C F:�1: ��Q COOLING SYSTEMS Quantiry: I � Make; �c�Cc.z � _ / Model: %�� Iv�Uy� ��/V�/�`��/ Tons: � H. Power FIREPLACES � Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove with Flue!Masonry VENTILATION No. Kitchen Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) cfm No. Otl�er Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground Q Inside❑Outside LP Gas: gallons Other: GAS LI?�'E ONLY � Outdoor Grill ❑ Other/List What&Where: 2 . : - . i .>--,,�':Y " PERMIT FEE CAT,CULATI(7I�(S)��' � }��`:�` ��` ''��_; '", � BASED OFF - 2002 STATE STATUE ❑ Ycs, this section applies The rcplacement 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;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 Permi[ $ 15,00 State Surcharge $ ,50 Mail-In Fee(If Applicable) $ 2.00 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$50.00) � %�9�. �� x .0�25 $ S�. ��; (contract price) (minimum$50.00) 2. STATE SURCHARGE � ��I`t� •Ot7 x .0005 $ �, O C� (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ S3 D v • * 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 estiinated 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. >� '��R:�IIT".5. *�� .�� ,.��.` � ; . The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all ��ork 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. a Applicant's Signature: �/G'C�o��—�--- Date: J��l� � '�h"''' Reset Form� : .��;, 3 �� //a636