HomeMy WebLinkAbout2012-01079 - mechanical r •. CITY OF ORONO * 2 0 1 z - 0 1 0 7 9 *
2750 KELLEY PARKWAY DATE ISSUED: 10/25/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2280 FOX ST
PIN : 03-117-23-32-0014
LEGAL DESC : B[LL KELLEYS LAND 1ST DIV
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 2,100.00
NOTE: (1)KITCI�EN EXHAUST-300 CFM
(4)E3ATH EXHAUST-80 CFM
APPLICANT MECHANICAL 50.00
ASPEN VENTILAT[ON & HEATING CO. STATE SURCHARGE MECH (VALUATION) 1.05
9815 PIONEER TRAIL
LORETTO, MN 55357 MAIL-IN FEE 2.00
(763)498-7053 TOTAL 53.05
PAID WITH CC# 3758
OWNER
MYHRAN,ANDERS& LYNN
2280 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 specitications,applicable City approvals,and the
State E3uilding Code. This permit is Yor only the work described and does
not grant permission for addi[ional or related work which requires separate
permi[s. All provisions of Iaws and ordinances governing this type of work
shall be compied wi[h whether or not speciYied herein.This permit will
expire and become null and void if construction authorized is no[
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days a[any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.'1'his permit may be
revoked at any time for due cause.
�`y1�Il1�%.�.2� /D/ a�5/ l�— /l�l o�5/ /�
Applicant Permitee Signature Date Issucd y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE.
Oct 24 12 10:34a Mark 763-498-7299 p.1
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FOR CiTY USE OIVLY
p� City of Orono G�
�"�`r P.Q.Box 66 Datc Received:�a/���emtit# �U�a - �� 7/
Q' � 2750 Kelley Parkway C z D
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� �r' , Crystal Bay,MN 55323 PP Y�
��t��a�' Phone(952)249�4600 Fax(952)249-4616
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CITY OF ORON�-MECHA�T�CAL PERMIT
(All Commeccial permiu must be approved by rhe Building Otficial or inspeclor andlor Fire Marshall)
GENER.AL INFORMATION
l. You ma}�apply for mechanical pernvts by u33ai1 or in person at the City ofi"ices. Applications will
be reviewed a�d a penmit will be issued within two working days.
2, Permi#cards will be sent by retum mail af�er a review is completed. PERMITS ARE NO'I'
VALID UN'CIl.YOU RECE[VE A PER�vIIT. WORK MUST NOT BEGi�I i1NTiL THE
PERMIT CARD IS POST�.D ON THE JOB SITE.
3. Mecl3anical Desiens—CompEete catcalations,details and specifiqEions are required for each
heating,ventilat�on,humidifica�on-dehumidification,and air conditioning installaEion including
�eat ioss/heat gain calculation,design temperatures,equipment ratings and identification as to
type;manufacturer and model. Data shall be presented on form provided.
4. Whet3 any new construction or remodelina is involved,a separate building permit must be
obrained.
5. Al]work must be done in accordance with t�e Uniform Mechanical Code/Shate Building Code
requiremenls.
6. All work must be inspected(rough-i�►and final). Call(952}249-4600,
(24-48 hour notice required)
7. House Heating"Test Record must be sub�nitted before Fnal.
TYPE OF PERII�FIT
Check All That A ( '
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑ Repairs ❑Replace
Job Site /Owner Information:
; -�.- ,-. ;
Site Address: ��-�`5 t � �-�iX ��
Owner: ��Y�'�t�'r�`� i^l� I.l�i i'�l r ���_ Mailing Address:
City: ��'�,^,�; � Zip:
Home Phone: i��i:�- i�.��� Alternate Phone:
Contraetor Information:
�^�,G'i t,•'�.,^� l C:,ti c''L_ ;� , , _
Contracto�: w �• , Contact Perso�: I� .�,�.�`��.:1'� `��'�- �'Yl�,;�''
Address: Ci� L`� �1 f�(il:�_;�' t{�!i,i.� State Bond #: �`;'��,�:� �.. i
City: �f~�. '��i ' :�('' Zip:���J�Expirat�on Date: ��'��:�C�r �
�
Phone: �� ��� ��r��- %�;���� Alternate Phone: iE j �-��.� � -J��� �
❑ Insurance-Current: .���t:;� �'-_1rt'#� �.� ' ��C.`.�
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Oct 24 12 10:34a Mark 763-498-7299 p.2
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MECHANICAL SYSTEMS BEING INSTALLED
' Note: All Geothermal Systems will now require a Site Plan&Re�iew by our Building Of�icial.
IS THIS GEOTHERMAL? ❑Yes �No
HEA'�'L1�EG SYSTEi�iS
; Quantity:
hlake:
Mode�:
Fuet:
Flue Size:
Input$TGs:
Output BTUs:
CFM:
COOLING SYSTEMS
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' Quantity:
, Make:
�i
Model:
Tons:
H.Pawer
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ R'ood Burr�Eng�'ireptace
❑ u'ood Stove Model No.:
❑ Wood 5tove with Flue i Masoary
VENTILATIO�t
� No. i Kitchen Exhaust duct recircu(ating . ' ��� cfm
Q No. �_ Bath E�chaust(must have duct outside) �_cfm
❑ No. Other Fans, Locations cfm
FUEL STORAGE (�l�ust be approved by Fire Marshall if proposi►�g to a6andan eank in plac�)
� Installation ❑ Removal
Fue]Qil; gallons ❑ Underground [] [nside �] Outside
LP Gas: gallons
Otk►er:
GAS LINE ONLY
❑ Ootdoor Grilt ❑ Other/List What&Where:
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Oct 24 12 10:35a Mark 763-498-7299 p.3
PERMIT FEE CALCULATION�S)
BA5ED OFF -2002 STATE STATUE
0 Yes,this section applies
The replacement of a Residential fixture or appl iance that meets al] three of tl�e following requirements:
3. o s not require modification to electrical or gas service.
Z. Has a total cost of$SQ�.00 or less;excludine the cost of the fixture ar appliance:and
3, [s improved,installed or replaced�y the homeowner or licensed contzactor.
Skip ne�et section, ifthis applies; Cost of Permit $ 15.�0
Sta.te Surcharge $ 5.{}Q
Mail-Ir�Fee(If Applicable) $ 2.00
iTotal Permit Fee S
" PER�rIIT FEE CALCULA�'ION S -JOBS OVER $500.00
[f above does not apply;f�llow guidelines below:
i
' 1. CONTRACT PWCE * is 1.25%of contrect price with a(Minimum Fee of$50.001
,i^� �j i !.i .% x.0125$ ��1. C'Cf�
(contract price) (mioia�um 550.04)
2. STATE SL'RCHARGE .
I x .0005 $ l , ���
(con�act pricc)
3. POSTAGE&HANDLING(Only on Mail-In Applicat3ons) $ 2.00
4. TOTAL PERMTI'FEE(Add Lines 1-3 Above) � c��l- ����
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amaunt charged for the
permitted wark including materials, labor,profit,and other fixed costs. It is the amourrt to be charged
to the customer Eor the work done. ]f any material, equipment, labor or installadons are fumished by
the owner,tenant or any other party, the reasonable market value of such items must be added to the
j estienated cost or contract price for permit fee purposes. In the event that there is a dispute on t�e
arnount of the j ob cost, the City may request the submission of a signed copy of the act�ial contract,
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MECHAMCAL PERMIT APPLICATION AGREEMENT
�
II The undersigned hereby applies to the City for issuance of a\/Iechanical Permit, agrees to do atl
'�' work in strict accordance with the ordinances of the City and the regulations o f t he State of
Minnesota, and certifies that al3 statements made on this application are complete, true and
� correct.
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Applicant's Signature: Date:
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