HomeMy WebLinkAbout2016-01385 - mechanical , , CITY OF ORONO * 2 0 1 6 - 0 1 3 8�
2750 KELLEY PARKWAY DATE ISSUED: 10/3U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1695 FOX ST
PIN : 03-117-23-44-0003
LEGAL DESC : HANSER ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 29,600.00
NOTE: ALL TGSTING REPORTS SHALL BE ON SITE A7'FINAL INSPECTION.
(2)TRINITY FURNACES
(1)aRYANT A/C-2 TON
APPLICAIYT MECHANICAL 370.00
STATE SURCHARGE MECH(VALUATION) 14.80
ANGELL AIRE INC. MAIL-IN FEE 2.00
12253 NICOLLET AVE
BURNSVILLE, MN 55337 TOTAL 386.80
(952)746-5200 Payment(s)
Minnesota State License#: mech-MB003386 CHECK I 1341 386.80
OWNER
CATHCART, MR.RICHARD
1290 WAGGLE WAY
NAPLES, FL 34108-
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 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 ofwork
shall be compied with�vhether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construetion is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requcsted in conformance with the State Building Code.This permit may bc
revoked at any time Yor due cause.
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Applicant Permitee Signature Date Issued y Signature Date
�� FO CITY USE ONLY
, ('� Ci of Orono �,{ ,/J� / �Q�
�►-`—'�� P.Box 66 ��� �te Rec rved' Permit#�Lr(r/�1r/�� n`�
0 2750 Kelley Parkway �� ,�`/�
Crystal Bay,MN 55323 � Approved By: Amount$:�•u v
� Phone(952)249-4600 Fax(95���9-�6�r�
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�F1 ti
.�k f s H����` CITY OF ORONO�—�CHANICAL PERMIT
�__�% (All Commercial pennits mu�Q'��Cc�D}�ti'S�Siilding Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new constraction ar rer..cdeling is in:�olved,a separate���i?dinb permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and fmal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
��� � ��� � � � (Check All That A 1 ) � �
�esidential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB]
❑ New ❑Additional ❑ Repairs �Replace
Job Site/Owner Information:
Site Address: �lv 9� ,�j�' —��.
Owner:�G�/d2� C_..��iC�rL�' Mailing Address: �Z9� G�� e (.cl�
City: �l/���� Zip: .� y� o$
Home Phone: Alternate Phone:
Contractor Information:
Contractor: / �n�• Contact Person: /
f
Address: ��Z�3 �ea/� ��State Bond#: �/y�,� po ,3,�d'L
City: �-re„�rv�/le Zip: /yi�/ Expiration Date: 9 �i�i �
Phone: �S—��/G- �, ?N� Alternate Phone:
Insurance—Current: ,�
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, � MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑ No
HEATING SYSTEMS
Quantity: / �
/ �/ -
Make: J i�►/�' ,/ ����
�
Model: ���T L r� �-T`f�
Fuel: /��o,t•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: ��y,i,..f"
Model: �V yC��U o j�u,�
Tons: �
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VE�TTILATION
❑ Na Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoar Grill ❑ Other/List What&Where:
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PERMIT FEE CALCULATIUNS . ''�''�"��'
,���
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
..Z9. ��� — x .oi2s � .3�� ._
(contract price) (minimum$50.00)
2. STATE SURCHARGE
2 y G V'� — x .000s $ �y ��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,�� 6_ d��
■ * CONTRACT FRICE or 3�B C�ST meails the actual or estimateu doilar amount chargeu for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the wark 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.
�rIE��[ANI�AL PERMIT APPLI��`T���.�".�r����` ._
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ardinances 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: Date: �� Z7 /ro
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