HomeMy WebLinkAbout2010-00594 - mechanical CITY OF ORONO PERMIT NO.: 2010-00594
2750 KELLEY PARKWAY
' ORONO, MN 55356- �ATE ISSUEn: 07/20/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2875 DEER RUN TR
PIN : 04-117-23-24-0009
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 002 BLOCK 004
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 6,350.00
NOTE: (1)HRV300-LENNOX AIR TO AIR EXCHANGER
(1)CARRIER APA5048-4-TON COOLING SYTEM
APPLICANT
MECHANICAL 79.38
SABRE HEATING& AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00
3062 RANCHV[EW LN N
PLYMOUTH, MN 55447 MAIL-IN FEE 2.00
(763)473-2267 TOTAL 8638
PAID WITH CC# 1207
OWNER
ROBBINS, MARK&CHRISTINE
2875 DEER RUN TR
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permi[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.
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Applicant Permitee Signature Date Issued By i nature
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOV
07/19/2010 MON 8: 47 FAX 763 a73 8565 Sabre Plumbing & Heating �001/003
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O,�Q�� City of Orono �:�� �� �//
1'.O.f3oa GG Daie Reccned���(�zrmri� �+���' �� ��7"
�.,. 2750 Kellcy Parkway
��� Crystal Bay,MN 55323 qpprov�.d I3y. : Amflunt�'1�
�������yc� Phonc(952)249-4G00 Fax(952)249-A6!6
CTTY OF ORONO—M�CHANICAL P�RMIT
(All Commercia!permits must be approved by the 13ui(ding O(Ticial or lnspector and/or Pira Marshall)
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1. You may apply for ntechanical permits by mail or in person at the City offices_ Applications will
bc reviewcd and a pern�it will be issued within two�vorking days.
2. Permit cards will lie sent by return mail afier a review is completed. PERMITS ARE NOT
VAL1D UNTIL YOU RECEIV�A P�RMIT. �VORK MUST NOT BF,GIN UNTIL TIiE
PGRMTT CARD IS POSTED pN Tk�F JOB SITE
3. Mechanical Desi�ns—Complete calculations,deiails and specifications are required for each
heating,ventilation,humidificalion-dehumidification,and air conditioning inslallation including
heat loss/heat gain calculation,desi�n temperalures,equi��ment ratings and identification as to
type,manufaciurer and modeL Data shall be presented on fonn provided.
4. When any new construction or remodeling is involved,a separatc buildin�pennit must be
obtained.
5. AEI work must be done in accordance with the Uniform Mechanical Code/Stete Building Code
requirements.
G. All work musl be inspected(rough-in and final). Ca11(952)249-4G00.
(24-48 hour notice reQuired)
7. Housc Heating Test Record must be submitted before final_
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,�esidential ❑Commerciaf(Approval Required)
❑New ❑ Additiona! ❑Repairs 1�°I Replace
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Jo:b 5�te J!'flwnei�lril'orinat�ar�, .,.,;`3 '
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e Address: �-f.� ��� ��-�� ��1 �� I�G{=l ( ; (�,� '�����
Owner:� �,��� ���.�JCJI V��
� } Mailing Address: �{-�1�.�,,..-
Cl f}�: l J� ���/"..�/, Zi �� �c�.�J
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I-�ome Phone: t,� I�-��'� 1 Q "����� A(ternate Phone:
Gontr�etor�rifor"matio�: r� ' �
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Contractor: �.�(�� 'LG �f�} � Contact Person: l �.�.�,��� '�--`
Address: ,�jt�U�- �\�.r l'�1Ul��U�.�`-`" Scate 13ond #: ����c� �.�J` �
C1ty- (�l`��D��� Zip:���`� Cxpiration Date: f � l� 1 ��� _
YI�one: %�0�7 �'-���"'v���� Alternate Pl�one:
Q'� ~ Insurance—Currcnt:
1
07/19/2010 MON 8: 47 FAX 763 G73 8565 Sabre Plumbing & Heatinq �002/003
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Note: All Geother►na(Systetns will now require a Site Plan &Review by our f3uilding Officiel,
IS THiS G�OT'I��RMAL? ❑ Yes `[-�].,rlo
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HCA7'tl\'G S1'STEM1'IS
Quantity: f � �
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Make: �� �1 �/t,i(� �'��:
J � d ('��� '
Model: l.J-'��I�}��C� v
Fi el:
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Flu� �r_e:
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It�puc B T'i1\
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ifOutput IITUs:``---
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COOLING SYSTFMS
Quantity:
Make: �(,r Vj�{��
Model: �'���!- ,�'_}�L,�.,�}
'T'ons:
H.Power
FIREPLACI:S
Gas Factory Fireplace Brand Name;
Wood Burning Fireplace
Wood Stovc Model No.:
Wood Stove Witti Pluc � —
VENTTLATION '
No. � Kitchen Exhaus[ duct recirculating cfnt
No. � Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfin
FUEI,STORAGL (Must be ppproved b��Ffre Marshn/1 if proposinb�fo nba�rdon la�rk i�:place.)
� lnstallation � Removal
Fuel Oil: ._gallons ❑ Underground ❑ Inside ❑Outsidc
LP Gas: _�gallons
Other:
(GAS LIPIE ON1�Y
� Outdoor Grill � Other/List What&Where: _�_ __
2
07/19/2010 MON 8: 48 FAx 763 473 8565 Sabre Plumbing & Heating �003/003
1't;RI��I I;�Ll G�1�C`C,7I ATICJN{S) : F
�A�3��D�3I'I;-�002��'�'�"I'I' �`I'r1T�' ;
-- — �.
� Yes,this sectio�i applies
The replacement of a$esidential fixturc or annliance that meets al!three of the foltowin�requirements:
1. poes not require modification to electrical or gas service.
2. l�as a total cost of$500.00 or{ess; ud'n 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.Op
State Surchar�e $ 5�
Mail-In Fee(IfApplicable) $ 2.00
Tota! Permit Fcc $
��� � - �.. �.
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fce of$50.00)
i
_ (�������.�� X.oizs s r���.��
(contract pricc) (minimum 550.00)
2. S7'ATE SURC1iAKGE **Add the State IIldg Code Div.Surcharge(Minimum Fcc of 55.00)
_ Cp��. U%� X.000s $-- ���G Z�
(convact pricc) (minimum S 5.00)
3. POS"TAGE&I-IANDLING(Only on Mail-Tn Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Abovc) $ �L�J �
■ * CONTRACT PKICC or JOB COST means the actual or estimated dollar amount charged for the
pennitted work including materials, labor, pro6t,and other fixed costs. It is tl�e amount to be charged
to the customer 1'or the work done. lf any material, equipment, labor or installatiot�s are funtislied by
the owner, tenant or any other party, the reTsonable market value of such itcros ntust be added to the
estimatcd cost or contract price for pennit fee purposes. In the event that there is � dispute on the
amount of'the job cost, the City may rec�uest the submissioii of a signed copy of the aetual contraet.
■ **The STATF_SCJRCHARGE is.0005 times the Contraet Price or a minimum of$5.00.
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The undcrsi�ned hereby applies to the City for issuance of a Mechanical Per►nit, agrees to do all
work in strict accordance witl� the ordiiiances of the City a�ld tlie regu[ations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Si�nafure: �.-(�..� : Date; `(�
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