HomeMy WebLinkAbout2012-00316 - cooling systems CITY OF ORONO * Z 0 1 2 — 0 PJ 3 1 6 *
` 2750 KELLEY PARKWAY ppT� �ssv�u: 04/23/2012
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1937 FAGERNESS POINT RD
PIN : 17-117-23-23-0012
LEGAL DESC : FAGERNESS
: LOT 020 BLOCK 000
PERMIT TYPE : MECHAN[CAL(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 2,287.00
NOTE: 1 BRYANT 2.5 TON AC
APPLICANT
MECHANICAL 50.00
STANDARD HEATING& AIR CONDITIONING STATE SURCHARGE MECH (VALUATION) 1.14
130 PLYMOUTH AVENUEN.
M[NNEAPOLIS, MN 55411- MAIL-IN FEE 2.00
612-824-2656 TOTAL 53.14
OWNER
ROBERTS, RICHARD
1937 FAGERNESS PT RD
WAYZATA, MN 55391
AGREEMEIYT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
�the approved plans and specifications,applicable City approvals,and the
State Building Code. This pemiit is for only the work described and does
no[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 whe[her 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 l80 days a[any time atter work has commenced.
The applicant is responsible Yor assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�,Lr� �'�� l l
� / /
Applicant Permitee Signature Date lssued B ignature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
FOR CITl"I?SE ONLI'
� Qp Cih of Orono
� P.�).Bos�6 Datz Racaiti�ed: Yeriiut=
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t i �� � �' 2750 Kelley Parkway —�—
a x. ' *'!� Crystal RaY>MN 55323 Appro�ecl B}: _�uuunt$:
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CITY OF ORONO–MECHANICAL PERMIT
(ALI Commercial pertnils must be approved by the Building Offieial or[nspector and/or Fire Marshall)
� GENERAL 1NFORMATION
1. You may apply for mechanical permits by mail or in person at the City offiees. Applications will
be reviewed and a permit will be issued within two working days.
2, Permit cards will be sent by retum mail after a review is completed. PERMITS AR�NOT
VALIll UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain caiculation,design temperatures,equipme�t ratings and identification as to
type,manufacturer and modei. Dala shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building pennit 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 fmal.
T'YPE OF PERMIT
_ _ (Check All That A 1��)
�Residential �Commercial(Approval Requued)
❑ Ne�� �Ad�litional ❑kepairs �Replace
Job Site/ O��ner Infoi-mation:
Site Address: � � C� P<✓�SS •
Owner:�( C 1/(G f V` �� Mailing Address: SC�•ytlz,e�
City: � r c9">'l0 Zip: �� � �
Home Phone: — �l �A�¢rnate Phone:
Contractor Informatiou:
Contrac�r�ndar � ' ning Contact Person:
130 Plymouth Avenue North
Address: Minneapolis, MN 55411-3445 State Bond#:
612-
City: Zip: Expiration Date:
Phone: Alternate Phone:
� Insurance- Current:
1
• � � � � PERMIT FEE CALCULATION(S) � � � � �� � ��
BASED OFF -2l}(12 STATE STATUE_
� Yes,Lhis section applies
The replacement of a Residential fixture or appliance that mccts all three of Uie following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludina the cost of the fiature or appliance: and
3. Is improved,installed or replaced by the homeo���ner or licensed contractor.
Skip next section,if this applies; Cost of Yermit $ I5.00
State Surcharge $ 50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATI.ON(S)-JOBS QVER�5(?0.�0
If above does not apply;tollow guidelines below:
1. CON'TRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
ZZ�`_7 Y .oizs $ ��S`� Sp� Do
(contract price) _(��inimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� �"� � x .0005 $ _�_�
(contractprice) (minimum$ .50�
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ � !
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other tixed costs. lt is the amount to be chazged
to the customer for the work done. If any material, equipment, labor or installations are fumished 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 pennit fee puiposes. In the event ihat 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 STATB SiJRCHARGE is.0005 of the Building Department at(952)249-4C00 for the price.
MECHANICAL PERIVIIT APPLICATION AGREEMENT '
The undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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 state s de on this application are complete, true and
correct. ,
Applicant's Signat . _ Date: L ���
Reset Form
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, MECHANICAL SYSTEMS BEING INSTALLED �� �
� Note: All Geothennal Systems will now require a Site Plan�i Review by our Building Official.
r IS THIS GEOTAERMAL? ❑Yes�No
HEATING SYSTEMS
Quantity:
Make:
Model:
FueL
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: �y��
Model: j
Tons: � ( ��
H. Power
�� 1�
FIREPLACES
� Uas Factory Fueplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
� No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FiTEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
[� Installation a Removal
Fuel Oii: gallons ❑ iJndergrouncl �Insi�e �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Urill � Uther/List What�Wliere:
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