HomeMy WebLinkAbout2010-00972 - mechanical CITY OF ORONO PERMIT NO.: 2010-00972
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �SSUE�: 10/1U2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 248 CYGNET PL
PIN : 04-117-23-23-0017
LEGAL DESC : SWAN LAKE ADDN
: LOT 008 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 2,000.00
NO`fl?: (I)I 11?A�I�ING SYS"I�F.M-RUDD-MODEL RGRM-07GMAES-NATURAL GAS-70,000 INPUT.�6.000 OUTPU"C
APPLICANT MECHANICAL 50.00
PRACT[CAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 5.00
4342 B SHADY OAK RD
HOPKINS, MN 55343 TOTAL 55.00
(952)933-1868
OWNER
MOLIN, DEAN
248 CYGNET PL
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvals,and the
State l�uilding Code. This permit is for only the work described and does
not grant pennission for additional or related work which requires separate
pcnnits. All provisions of laws and ordinances governing this type of work
shall be compicd with whether or not specified herein.This permit will
expire and become null and void ifconstruction authorized is not
commenced wilhin I 80 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
re �ed i c nformance with the State Building Code.This permit may be
evoked t n ti c t due cause.
�— - / / /D/ /// /�
Appl cant Pern tee. ignature Date Issu y Signaturc Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. � �� �
, FOR CI'CY USE ONLY'
' p City of Orono �� b� �� s� ,
�� � � �' P.O.Box 66 Da[c Rc�civcd:�� � Permit#� �� /`�
__ .
� �1.. ', 27�0 Kcllcy Parkwuy �
,� i �• +�'r C'ry,tal Bay,MN i 5323 Appro�cd Bv= --- Amount$:�.J r�
� 4s�";;Yio�';! Phonc(952)249-4600 h'�x(�ii�}'_49-4616
:��xoF.;>
CITY OF ORONO— MECHANICAL PERMIT
(All Commcrcial permits must hc a��pnivcd hy thc Buildin�Of�icial or Inspcctor amL"ur Firc M�rshall)
GENERAL INFORMATiON
I. You may a�ply for mechanical permits by mail or in person at the City offices. Applieations will
be reviewed and a permit will be issued within two working days.
'?. Pern�it cards will be sent by return inail after a review is completed. PERMITS ARE NOT
VAL[D UNTIL YOU RECGIVFs ;�PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED fJN THE JOB SITE.
3. Mechanical Desi;,=ns—Complete calculations,details and specifications are required Yor each
heating,ventilation,humidification-dehumidification,and air conditioning installation ineludinb
heat loss/heat gain calculation,de�si�n 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 buildin�permit must be
obtained.
5. All work must bc done in accord<ini�e with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspecte,d(ro�E;;h-in and tinal). Call(952)249-4600.
(24-48 hour notice required)
7. House I leating Test Record must be submitted before Yinal.
'1 Y PE OF PERMIT
(Che.ck All That Apply)
Q Residential ❑Commercial�,�pE�roval Required)
❑ New ❑.Additional ❑ Repairs ■❑ Replace
Job Site /Owner Infonnation:
s�te adareSs: 248 Cygnet Place
oWne,-: Dean Molin Mailing Address: Same
Long Lake Zi : 55356
City: p
Home Phone: �952� 473-74�6 Alternat�Phone:
Contractor Information:
Contractor: Practical Systems Contact Person: `�Oann
4342B Shady Oak Rd 558516
Address: State Bond�:
H� ki n s 55343
City: p Zip:_ Expiration Date:
Phone: (952� 933-1868 Alternate Phone:
❑ Insurance—Current: ����� �
1
� MECHANIGAL SYSTEMS BEING INSTALLED
l�ote: i111 Geothermal Systeins will r�o��-i-equire a Site Plan & Review by our Building O1�ficial.
IS THIS GEOTHERMAL? ❑ Yes �■ No
IIEATING SYSTEMS
Quantity: 1
M�ke: Ruud
RGRM-07EMAES
Model:
Fucl:
N at.
Flue Size:
Input F3TUs: 1� l�J __- ---__ -------
- - -
Output F3TUs: " _
�-- -- --
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Gas Factory Fireplace Brand Name:
Wood Burnin`�Fireplarc
Wood Stove Model No.:
Wood Stove With Flue
VENTII.ATION
Na Kitchen Cxhaust duct reeirculating cfm
___ . --__
No. Bath 6xhau,t(must have duct outside) cftti
No. Other Fans: Locations cfm
FUEL STORACE (Must be approved h�•Fire Marshall ifproposing to abandon tank in place.)
� Installation � Removal
Fuel OiL �aalluns ❑ Underground ❑ Inside ❑Outside
_--- _ ..
LP Gas ���illt�ns
Other:
GAS LINE ONLY
� Outdoor Grill � Other/List What&Where:
2
� PF,I�M�"(� F�EE CALCULATION(S)
BASEi� Oi,i�-2002 STATE STATUE
� Yes,this section applies
The replacement of a Residential tixture or ap I�p 'ance that meets all three of the following requirements:
I. Does not require modiliration tc�electrieal or gas service.
2. I las a tota) cost of S�OU.00 or less;excludina the cost of the fixture or appliance:and
3. Is improved, installed�>r replaced by the homeowner or licensed contractor.
Skip next section,if t}us applies; Cost of Pern�it � I5.�0
5tate Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE C'A[.C`LJLATION(S)-JOBS OVER �500.00 �
If above does not apply; f�ollow guid�lines bclow:
I. CONTRACT PRICE * i� I_"_'�'%o of contract price with a(Minimum Fee of$50.00)
2000 � �,,,; � 50.00
(contract pricc) (inmimum$�0.00)
2. STATE SURCHARC:F; **Add the State Bldg Code Div. Surchar�e(Minimum Fcc oC$5.00)
2,000.00 Y ��,�; �5.00
___ --- -- - _ ___
(contract pricc) (minimum$>.00)
3. POSTAGE& IIANDLIN(; (Only on Mail-In Applications) S_ 2A0
4. TOTAL PF,RNIIT FEF,(neld Lines 1-3 Above) $5,��0
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pern�itted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the work dc>ne. If any material, equipment, labor or installatiuns 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 pricc; tor pcnnit tee purposes. In the event that there is a dispute on the
amoimt of the job cost, the City may reyuest the submission oY a signed copy of the actual contract.
■ **The STATE SURCHARGE is.000�times the Contract Price or a minimum of$5.00.
MECHANICAI. PER�TIT APPLICATION AGREEMENT
The undersigned hereby applies to the C'ity for issuance of a Mechanical Perrnit, agrees to do all
work in strict accocdance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are �omplete, true and
correct.
Applicant's Signature' / Date: ���8���
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