HomeMy WebLinkAbout2009-00647 - mechanical � CITY OF ORONO PERMIT NO.: 2009-00647
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 09/29/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3477 CRYSTAL PL
PIN : 17-117-23-43-0010
LEGAL DESC : NAVARRE HEIGHTS
: LOT 007 BLOCK 002
PERMIT TYPE : MECHAN[CAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 2,089.00
NOTE: LENNOX GAS}tEA"1'ING SYSTEM
APPLICANT MECHANICAL 50.00
ADVANCBD AIR& F[RE STATE SURCHARGE MECH(VALUATION) 1.04
67�4 KINGSTON DR.
EDEN PRAIRIE, MN 55346 MA[L-IN FEE 2.00
(952)448-4769 MISC FEE 0.00
TOTAL 53.04
OWNER
WILLIS, DAN[EL
3477 CRYSTAL PL
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This 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 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 applican[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.
�(QiC.` �'yt l l l l
Applicant Permitee Signature Date Issued By Si ture e
SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOV .
. FOR CITY USE ONLY
,�Q��,, City of Orono
O O� P.O.Box 66 �� Date Received: Permit#
�,� } 2750 Kelley Parkway (�
���1 �• '. t Crystal Bay,MN 55323 IJ�"��� Approved By: Amount$:
�+�s;y��fj (952)249-4600 �� ��
\.�XiKO r
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits 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 BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—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.
TYPE OF PERMIT
Check All That A I
❑✓ Residential �Commercial(Approval Required)
�New ❑Additional ❑ Repairs ❑ Replace
Job Site/Owner Information: �
Site Address: 3477 Crystal Place
Owner: Mosiah Willis Mailing Address: 3477 Crystal Place
C� ; Orono Zl 55391
h' P�
Home Phone: �612)708-0871 Alternate Phone: �952)843-8301
Contractor Information:
i�P���'r 1�a���c� �►�i r
Contractor: Advanced Air& Fire Inc. Contact Person: Patti
Address: 6724 Kingston Drive State Bond#: 3482-MB
c�Ty: Eden Prairie Z�p: 55346 Expiration Date: 09/02/10
Phone: (952)942-5748 Alternate Phone: �952)448-5748
✓Q Insurance—Current: 11/10/09
1
• . .
.. ��: . NIcaL s��'�,��Bi���misTa�,L��z ,:.; �. ....;.
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes Q✓ No
HEATING SYSTEMS
Quantity: �
Make:
Lennox
Merit Series
Model:
Fuel: 9as
Flue Size:
Input BTUs: 71000
Output BTUs: 90000
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
B Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
� No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fi�e Marshall if proposing to abandon tank in p[ace.)
❑ Installation � Removal
Fuel Oil: gallons ❑ Underground � [nside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:
2
.
PERMIT FEE CALCULATION(S) ��
� E3f1SED 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;excludinQ 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) $ 2.00
Total Permit Fee $
PERMIT FEE C�ILCULATION(S)—JOBS OVER$500.00 �
If above does not apply;fiollow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
2,089.00 x.0125 $ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of�.50)
2,089.00 x.0005 $ 1.04
(conhact price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.04
■ * CON"TRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted wark 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 Department at(952)249-4600 for the price.
MECHI�NIC�AL PERMIT�APPLICATI4N AGLZEEMENT �
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: Q 'f.7���G
Reset Form
3