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Home My WebLink About2008-00146 - mechanical . � CITY OF ORONO PERMIT NO.: 2008-00146 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 08/19/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 575 FERNDALE RD N PIN : 36-118-23-14-0001 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DUCT WORK VALUATION : $ 3,350.00 NOTE: (2)BATH FANS- 100 CFM DUCTWORK ONLY APPLICANT MECHAN[CAL 41.88 HOLLYWOOD HEATING&A/C,LLC STATE SURCHARGE MECH(VALUATION) 1.68 3390 COLINTY RD 123 TOTAL 43.56 WATERTOWN, MN 55388- OWNER DAYTON,JAMES&MEGAN 575 FERNDALE RD N WAYZATA,MN 55391 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 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 eriod of 180 days at any time after work has commenced. The appli � is responsible for assuring all required inspections are reques i conformance with e State Building Code.This permit may be rev ed any time for due e. / _ / / / / � ' ant mitee Sign ure Dat Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � FOR CITY USE ONLY ��% "�`�'� City of Orono � '�"�� DateReceived: Permit# � P.O.Box 66 �� , ��i� 2750 Kelley Parkway� �� !�� ,� � �ir� Crystal Bay,MN 55323 Approved By: Amount$: ��`�s��t,y�.�o�' (952)249-4600 �`!�a��..� 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 S17'E. 3. Mechanical Desiens—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 finap. 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 ) �-- �� ,�-Resid"ential ❑Commercial(Approval Required) �X,_`�� V �✓ ❑ New �Additional ❑ Repairs � �Replace v � Job Site/Owner Information: Site Address: .��l`� /�rK J�Z�� Owner: � � �iling Address: �� L��'�� c►ty: G�1-l��i� z�p: -S�5�1'l Home Phone: Alternate Phone: Contractor Information: � � Contractor: (-t�,ll�.:.9.�,•�r:� ��1-�r�1�� ' Contact Person: c�� i( J �T A�u��I�i (..�"L C c Address: 3'�9� C� I Z3 State Bond #: �� (�. 7 City: � • � Zip:�� Expiration Date: Phone: �/,SZ��5�-3�'Lf� Alternate Phone: � 2 �2-�_��p� �surance—Current: S�� —�"iv 1 . � � �'ERMIT FEE�ALCULATI(�N(S) �� BASED O�'� - 24{�2 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;excludin�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) $ 1.50 Total Permit Fee $ T k �.� ��° 3`� : .� ,... y��j �Cs'�i9 \\\ ._:-`; , ... <: , ._.<. .,. , ...,� ., - `.,:.. , .., � ,:..°�3l'T��4?"�. � , [f above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ��/x.0125$ (contract price) (minimum$35.00) � 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT 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 fixed costs. [t 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 Ciry 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. ��., `�'�t�. ,k�:, '�; 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 tatements made on this application are complete, true and correct. Applicant's Signature• Date: � , .. Reset Form i�'� � d 3 � y � \� HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: � Input BTUs: Output BTUs: CFM: COOWNG SYSTEMS Quantity: � Make: V' Model: v� � Tons: � H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm No. �� Bath Exhaust(must have duct outside) �OO cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: \ GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2