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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