HomeMy WebLinkAbout2011-01289 - mechanical CITY OF ORONO PERMIT NO.: 2011-01289
� ' 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEu: 10/2U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1205 DICKENSON ST
PIN : 02-117-23-31-0040
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 016
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,500.00
NOTE: (1)CARRIER HEATING SYSTEM
MODEL-�SMXt3040-NATURAL GAS-2" PVC FLUE-40,000 INPUT,37,200 OUTPUT, 1200 CFM
(1)CARRIER COOLING SYSTEM
MODEL-24ALL318- 1/1/2 TONS
GASL[NL FOR ADDf'f[ON
APPLICANT MECHANICAL 118J5
DITTER INC. STATE SURCHARGE MECH (VALUATION) 4.75
820 TOWER DRIVE TOTAL 123.50
MEDINA, MN 55340
(763)478-9558 PA[D WITH CC# 7149
OWNER
WOTIPKA, LINDA A& LEE A
9908 NW 20TH ST
PEMBROKE PINES, FL 33024-
AGREEMENT AND SWORN STATEMENT
The�vork for which this permit is issued shall be performed according to
the approved plans and speciftcations,applicable City approvals,and thc
State[3uilding Code. This permit is for only die work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinanccs govcrning this type of work
shall be compied with whether or not specitied herein.This permit will
eapire and become null and void if construction authorized is not
commenced���ithin I80 days of the datc of issuance,or if construction is
suspended for a pe iod of 180 days at any time after work has commenced.
Che applicant is ponsible for �suring all rcquircd inspections are
requested in c f rmance wi � 'tate Building Code.This permit may be
revoked at a � me(br d cau
` , � �U � .�? 1 � Cf �i /I � �/ l //
App � t Permitee. ' nature Date Issu � }3y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
10/20/20:1 06:37 DITTER INC � 9522494616 N0.714 D02
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� Ciry of Orono '`:... :::.....:..: ��g a
�� �� 27050 Kol cy Pflrkwpy '���q9eivod;`� I''Permit q �/�f`L �
y, �' Cryscal Day,MN 55327 ;aPFl�qd`B�:; _�;;,�;�n�roun�8; � '
`?����yt� (952)249�600 ,
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CITY OF 0�20N0-MECT�Al+JICAL P�RMTT
(All C�mmcrcinl permits musf ba approvcd by�hd puilding Ol�ic�dl or Ins�eclor�ndlor r�rc Morshnll)
. , , ,., ,
G�NERA�:'S��ORMATIOI*� '
1. You m�y apply for m�cha��ical permits by ma.il or in peraon���lhe City of�ices. Applic�[ions will
be reviewed flnd a permic will be issued within t�o working d.sys.
2. 1'ermit cards will be sent by return mail af�er a review is complctad. PLRlv11TS AR.G N01'
VAC�rll�UNTIL YOU REC�1V�A PERMIT. WU�YC MUS'�NOT��GYN UNT1L fi1i�
PERMIT CARD T&rOST�,p QN THC�O�SITE�
3, MechflniG�l Design�—Complete calculatlaos,detAils and spaeif c�►tious�e required for eaeh
ha�cing,ventilation,bumidificacion-dahumidit�cation,and air conditioning ins�allation including
l�eat lasslheat ga.in calculacion, design tempe�tures,equipment ratings�nd identification�s to
tyrye,manuf�ctuter and model. Data sh.all be presented on fo�m providecl.
4. Wl�en a��y new constructivn or ramodeling is involved,a separate building permit rnust be
obtaincd.
5. All worlc inust be done in acco�d.ance with�lie Uni:form MBcl�a��i.cal CoQe/State Building Cod�
reyuirements_
6. �U work must be inspccted(rough-in and final), Gall(952)249-4600.
(2q-4B hour notice required)
7. House Heating Tese Record must be subiniri'ed before fi»al.
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' �heck t�ll��'h�i.,A � 1 .
�esidei�[ial ❑Commercial(Approval Aoquir�d)
❑ New [�dditionftl ❑Repaies ❑Replace
7ob Sita/�Owiier In,fnrinat�o'n:�, � .,� + . :�'. ., ., ;,
Sil'e J�ddress: _��.�� ���C+'�.5�^ S�'
Owi�er; ���wfL�� �e�'i �� Mailinghddress: 1Z�S �%�k ��°"� '
City: �`�ru� Zip: sS39�
� 7L`!- �3�'S'y'z.o
17ome Pl�one: 'N � Altern�te Pho��e:
Coia�raciQr��nfa�m�tion;� � �
. 1�ik�f�v� , ���<�%�,�'f/:
Contr�ctor; ��fi k2 _or/��, �ontact Person:
Address: ��'� �"f'�'Q '0"''� State Bond �t:
City: J � Zi�: M+� Expiration l�ate:
1'hone: ��s'`��P'Sss� Alterna,tePhone:
❑ Insurance-Current:
l
10i20i20�1 06:37 DITTER INC � 9522494616 N0.714 D03
�
iIEATING SYSTEM.S
Q►►antity: �
Make_ �a.•r�1/Z-
Ivlodel_ ��If"?�/��Sf0
Fuel: Na� �,c�a
Flue Size: Z�� �J G
lnput�TUs: �4� o�U
Oucpui�TUs: 3 7, zv o
C�M: I 2mU
CQ4LrNG&�'STEMS
Qu�ntity: �
Make; c��r�'�
Madel: 02�{f1'�� I�
Tons:
1 '
rl.Power
C'LR�pr.AC��
❑ Gas Factory�'ireploce
��� ❑ Wvod�tirning rireplace
� ❑ 1�Vooc1 Stove
❑ Wood Scove With rlae
Brand Name: Moctel No.:
V���NT1T�A�TaN
❑ No. KiCchen Exhausc duct recirculating cfm
�J n Q No. DAth Exheuse(must hove duct oucsida) cfm
(�`1 No. 4thar.��ns: l.ocationa cfm
FUFL ST�RA.G�(MC�ST D�APPi�OVED��`��MARSHA�L)
❑ TnstAllation ❑ Removal
� f � Fuel�Oil: gallons �] Underground ❑lnside ❑Outside
LP Qas: gallons
Other:
GAS LI1V�ONLY
❑ O��tdoor Grill � Other!�.is�t Wh�t&Where: �, Zr+c� ���
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p�fv� u
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10{2�i2F�i1 15:30 DITTER INC � 9522494616 N0.719 D01
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❑ Yes,tl�is section applics
'Che replacement of a R id.an ial fixcure or�► lia ce that meets all three of the follow;ng raquiremeou:
1, �oes not.require mocli�cation to electrical or gRs service.
2. 1-�as a rotal cost of$500.00 or Ices;exc�u ' tha cost of tl�e fiixtu�e or appliance: �nd
3, ls improved,installed o�repl�ced b�the homeowner or licensed eontractor.
Skip next secCion,iTthis flpplies; Cost of Permic � 15.40
State Surchargc $ .50
M:►il-In Fae(Yf Applicable) $ 1.50
Totnl Permit Fce $
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lf above does not ap��ly; follow guidelines below:
1. CONTRACT p�t�CT� • is 1,25%af conuact price with a(Minimum �'ee of$35.04)
�'Lsm°•d� x.o�2ss ��8. 7
(aontraot price) (minimum S35 00�
2. STAT�SURCHARG� '�'"Ad.d the State Bldg Code Div.Su�charge(Minimum Fee ofS.50)
✓ 5 �� x.U005 $ 7
(aonUect price) (minimum .50)
3. POSTAa�6c 1lANb�,ING(aoly on Mail-Cn Applications) � 1.50 �
�. TOTA�p�RMiT FE�{Add Lines 1-3 Above) S �2�'�
■ ' CONTRE4CT AR10E or 1Qb COST means the actual or estimated dollar �rnount charged for the
permiCted work includiog mo�erials, labor, profi, ��d other$xed cosTs. .Ct is the amount to be cl�arged
to the customar for tl�e work do��e. If any material, e9uipment, lab�or o.r installations a�•e furnished by
the owner�tensnt or any other parry, the reasonablo mftrket value of suclt iterns must be adtled eo tl�e
estiroaTed cost or eontraet �rice 1'or permit fee pur�oses. in tha event that there is a dispute on tlu
amount of the job cas�,rJ�e City may request the su.bmission of a signad copy of the accual contract.
• '�°' The STATE SU.RCCTAR��is .0005 of tlte 6uilding�epartntent at(952)2h9-4600 for the price.
The u.ndusigned hereby appl.ies ta tl�e City �'or issuance o�a Mechanical Permit, agrees to do all
wvork in strict accordance with th.e ardinances of tlie Ciry an.d the regulations nf the State of
Minnesota, and cer�ifies that all statements .made on t11is applicatian a�e coinplete, true and
correc�,
,, �� "" �� /o t,o /�
Applicam s Si�nature: Datie: � �
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