HomeMy WebLinkAbout2011-00130 - mechanical ,
� � � CITY OF ORONO PERMIT NO.: 2011-00130
2750 KELLEV PARKWAY
ORONO, MN 55356- �ATE �SSUED: 02/25/20ll
952 249-4600 FAX: 952 249-4616
ADDRESS : 735 FERNDALE RD N
PIN : 36-118-23-12-0008
LEGAL DESC : JANET ACRES
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYNE : VENTILATION
VALUATION : $ 2,365.00
NO"1'l:: 2 13ATH �XHAUST. RCLOCATG 3 SUPLY&3 RE"1'URNS
APPLICANT MECHANICAL 50.00
HORILON CONTRACTORS, INC. STATE SURCHARGE MECH (VALUATION) 5.00
8197 HORIZON DR
SHAKOPEE, MN ��379 TOTAL 55.00
(6l2)508-9226
OWNER
FISH & MARY SNYDER, IRVING
73� FERNDALE RD N
WAYZATA, MN 55391-
ACREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfonncd according to
the approved plans and specifications,applicable Ciry approvals,and the
State 13uilding Code. 'I�his permit is for only the work described and does
not grant pennission for additional or related�vork�vhich requires scparate
permits. All provisions oY la���s and ordinances governing this type of work
shall be compied widi�fh�ther or not specitied hercin.'1'his permit�vill
e�pire and become,,niilf.tii�'void if construction authorired is not
commcnccd within 180�ays of thc date of issuancc,or if construction is
suspcnded lor a period`of I 80 da��s at any time at�ter�vork has commenced.
"fhe ap�licant is responsiblc for assuring all requircd inspections are
requested in confornrance���ith the State f3uilding Codc.']�his permit may be
revoked af any��+fii�e for due cause.
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Appli Perm tee Signature Date Issucd By Signature Datc
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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FOR CITY USE ONLY
� �,0 City of Orono
iO ` \ P.O.Box 66 Date Received: Permit#
� `�� 2750 Kelley Parkway
a ,���`'1�;,--- �.� Crystal Bay,MN 55323 Approved By: Amount$:
����y�� ;�$�o�� Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO -MECHANICAL PERMIT
(All Commercial permits must bc 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. Pernut cards will be sent by return mai] after a review is completed. PERMITS ARE NOT
VALID iII�TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIl�DNTIL 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 installa�ion including
heat loss/heat gain calculation, design temperatw-es, 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 �vork must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work nlust be inspected(rough-in and final). Call(952)249-4600.
(24-48 bour notice required)
7. House Heating Test Record must be submitted befare final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Commercial (Approval Required)
❑ New �-Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: ��j� �e;� �, . �
Owner: ��S� Mailing Address: '�3� C��r��ce�_ ��..) ,
City: �- Zip: 5S�9/
Hoine Phone: -- Alternate Phone: �S�jY�'"��5 v
Contractor Information:
Contractor: ��I Z2�, �7��ic�:-ti`t�-; �►^� Coutact Persoil: f "1��('( S'��
Address: ��`7 �-(�Z,�:r� � f � State Bond#: ,'��)�� --�-� �J�� � ������
City: S� Zip:� Expiration Date: g�l��l(
Phone: ���-5�'�����v�� Alternate Phone:
❑ Insurance- Current:
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MECHANICAL SYSTEMS BEING 1NSTALLED ' �
Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes � No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry ,
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(�P y
vEn�Tr�.aTioN � 3 ���� ,�
❑ No. Kitchen Exhaust duct recirculating cfm
� No. � Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must he approved by Fire Marshall if p��oposing to ahandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Under�round ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&;,Where:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes, this section applies
The replacemeut of a Residential fixtw-e or a�liance that meets all tllree of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or]ess; excludin�� the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed cont��actor.
Skip next section, if this applies; Cost of Pern7it $ 15.00
State Surcharge $ 5.00
Mail-In Fee(lf Applicable) $ 2.00
Total Permit Fee $
� PERMIT FEE CALCULATION(S)-JOBS OVER�500.00
If above does not a�ply; follo���guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
,^���S C.J� x.0125 $
(contract price) (minimum$50.00)
2. STATE SLiRCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00)
x .0005 $
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING (Only on Mail-In Applicatioi7s) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar anlount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer far the work done. If any material, equipment, labar 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 pernut fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request tl�e subnussion of a signed copy of the actual contract.
■ ** The STATE SURCHARGE is .0005 times the Contract Price or a miirimum of$5.00.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
wark in strict accordance with the o�dina�ces of the City and the reoulations of the State of
Minnesota, and certifies that all stater�e�s made on this application are complete, true and
correct.
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Applicant's Signature: � �� Date: , �� �
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