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Home My WebLink About2011-01330 - mechanical � CITY OF ORONO PERM�T�vo.: 2o11-oi33o 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 10/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1540 FOX ST PIN : 02-117-23-32-0003 LEGAL DESC : UNPLATTED 02 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHAN[CAL-MULTIPLE VALUATION : $ 8,500.00 NOTE: 1 LENNOX NAT GAS FURNACE 1 LENNOX 4"I'ON AC ✓ APPLICANT MECHANICAL 106.25 SELECT MECHAN[CAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 4.25 6219 CAMBRIDGE ST TOTAL 110.50 ST. LOUIS PARK, MN 55416- (952)926-4488 OWNER WEYERHAEUSER, DAVID&ELIZABETH 30 EAST 7TH ST#2000 ST. PAUL, MN 55101- AGREEMENT AND SWORN STATEMENT The work for which this perrnit is issued shall be performed according[o the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permi[is for only the work describcd 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 a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in co�,formance,,�vith�tie Stat/�3�1 g Code.This permit may be revoked at�an�hime fov�uk c�tise. f � (_!,�.ti„ �"�`--,~.�-�'.�' /,�� 11 � � A plicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . . �, . Z� `�� FOR CITY USE ONLY ` City of Orono ;��-�=:`;� l�¢ `�` � P.O.Box 66 Date Received: Permit# � ,f �, ,: '�`I 2750 Kelley Parkway � r;''• � Crystal Bay,MN 55323 Approved By: Amount$: /� :�'' ''�:;yo��-� Phone(952)244-4600 Fax(952)249-4616 �t�co 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 afrer a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 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 final). 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 1 ❑■ Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑■ Replace Job Site/Owner Information: s►te Aaaress: 1540 FOX STREET DAVID&BETSY WEYERHAUSER 1540 FOX STREET Owner: Mailing Address: c,�,: ORONO Z;p: 55391 Home Phone: Alternate Phone: �952� 836-5338 Contractor Information: SELECTMECHANICA�SERVICES CHRIS HAVELAK Contractor: Contact Person: 6219 CAMBRIDGE STREET Address: State Bond #: ST. LOUIS PARK 55416 City: Zip: Expiration Date: Phone: (g52) 926-4488 Alternate Phone: (952) 452-4525 ❑ Insurance—Current: YES 1 . � � MECHANICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �❑ No HEATING SYSTEMS Quantity: 1 Make: L E N N�X SLP98UH110V60C Model: NATURALGAS Fuel: Flue Size: 3�� PVC' �nput sTus: 110,000 oUtpUt BTUS: 107,250 cFM: 1 ,725 COOLING SYSTEMS Quantity: 1 Make: LENNOX Mode�: XC 16-048 Tons: 4 Ei. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Mode]No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) ��n ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Remova] Fuel OiL• gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other!List What&Where: 2 , . � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;excludine 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS 4VER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 8,500.00 X .o,2s $ 106.25 (contract price) (minimum$50.00) 2. STATE SURCHARGE 8�500.0� 4.25 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ � ��.�� ■ * CONTRACT PR(CE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It 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 City may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT 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 re�ulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. . Applicant's Signature: ' Date: ��/26/� � Reset Form 3