HomeMy WebLinkAbout2008-00149 - mechanical . �
CITY OF ORONO PERMIT NO.: 200&00149
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/19/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2120 FOX ST
PIN : 03-117-23-31-0004
LEGAL DESC : UNPLATTED 03 1]7 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 1,700.00
NOTE:
INSTALL SUPPLY AND RETURN AIR RUNS OFF EXISTING DUCTWORK.
EXHAUST VENT(I)BATH FAN
APPLICANT
SOUTH METRO PLUMBING& HEATING INC. MECHANICAL 35.00
612 N. BROADWAY STATE SURCHARGE MECH(VALUATION) 0.85
JORDAN, MN 55352 TOTAL 35.85
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Minnesota State License#: 65625
OWNER
MCGRANN, CHRISTOPHER& SHARON
2120 FOX ST
LONG LAKE, MN 55356
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
permi[s. AII provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expice 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 a[any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance ith the State Building Code.This permit may be
revokec�any tim for d cause.
�U r� � �i /9 � oZ�O $�
Applicant ermitee Signature Date Iss�Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE.
F
FOR CITY USE ONLY
• �,�` City of Orono ��� �n �/
O4 `YO P.O.Box 66 Date Received. � � Permit# d[/
( � : 2750 Kelley Parkway p�
� ���'��-'- � Crystal Bay,MN 55323 Approved By: Amount$:�S� o S
a��y����o� (952)249-4600 �
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial perniits must be approved by the Building Official or]nspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permiCs by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two warking days.
2. Pernut 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 SITE.
3. Mechanical DesiQns—Complete calculations, detaiis and specifications are required for each
heating, ventilation, humidification-dehumidification, and air conditioning installarion including
heat loss/heat gain calculation, design temperatures, equipment rarings 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 mu5t 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 Recard must be submitted before fmal.
TYPE OF PERMIT
(Check All That Apply) � �
Residential ❑ Commercial(Approval Required)
❑ New [j�Additional �/�� /'�� ❑ Repairs ❑Replace
�in��i
Job Site/ Owner Inforn7ation:
Site Address: ���� �,C �i�'�
Owner: /�/li ��'/.�'�`j� Mailing Address:
c�ty: �lOn D z�p:
Home Phone: Alternate Phone:
Contractor I�lformation:
Contractor: �t' , ��� �� � Contact Person: �!�� �I�%�
Address: ��0�' �� 1�G1�l�� State Bond#: �''JCII��/Cj'3
City: ���dGU7 Zip:��{`�1 Expiration Date: �������
Phone: � Alternate Phone: `l/�' v�c�'v�' C����
❑ Insurance—Current: �
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. �
MECHANICAL SYSTEMS BEING INSTALLED '`
HEATING SYSTEMS
Quantiry: �/��'l""` � /��%�G!/Y� �Cl/� __-��%��'���
Make: _.�c J I� ' � ' ��-
Model:
Fuel: �������'��'.�" l/ U�'�( _f.
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTI�.ATION
❑ No. Kitchen Exhaust duct recirculating cfm
,� No. C Bath Exhaust(must have duct outside) �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:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 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;excludine the cost of the fixture or appliance: and
3. Is irriproved, installed or replaced by the hon7eowner 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 $
PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 -j
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$35.00)
/70d / X.oi2s $
(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. It is tbe 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 puiposes. 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.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanica] Permit, agrees to do all
wark in strict accardance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: ---�--���_�'�' I Date: b`���UQ
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