The URL can be used to link to this page

Home My WebLink About2015-00036 - mechanical ,� .. CITY OF ORONO * Z 0 1 5 - 0 0 0 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: OU13/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3350 FOX ST PIN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE- WOOD VALUATION : $ 8,500.00 NOTG: WOOD I3URNING FIREPLACt: APPLICANT MECHANICAL 106.25 CHATEAU BRICK STATE SURCHARGE MECH (VALUATION) 4.25 2450 150TH STREET TOTAL 110.50 SHAKOPEE, MN 55379- Payment(s) (612)860-0621 CHECK 17164 1 10.50 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMEIVT �fhe�cork for�chich this permit is issued shall be perfonned according to the approved plans and spccitications,applicable City approvals,and thc State Buildine Code. This permit is}or onl��ihe work describcd and docs not grant permission for additional or rclated H�ork which requires separate permits. All provisions of la��s and ordinances governing this typc of work shall be compied��ith��hether or not specified herein.'I�his permit will expire and become null and void if construction authorized is not commenced within 180 davs of the date of issuance_or if construction is suspended for a period of 180 da��s at any time alter work I�as commenced. The applicant is responsible for assuring all required inspections are requested in conformance��ith the State Building Code.This pennit may be revoked at am°time for due cause. jY �� --- ; --� � -� -� � � ,i� �� Applicant Permitee Signature Date Issu }�Signature Date � � � „ FOR CITY USE ONLY �O , ` City of Orono 1V P.O.Box 66 Date Received: Permit# 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � � y � F � �qK�sHo��.�' 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 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 Designs—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 pertnit 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: .-, Site Address: � 3 � � �� f Owner: /��v�c y /.7��5�5 Mailing Address: 5 r�-'- City: ��^'� Zip: Home Phone: Alternate Phone: Contractar Information: Contractor: ��2�-��... (��f�C-� Contact Person: ��2�� -� �Q- Address: �� l' � �� State Bond#: City: �Z�'`��`�� Zip:�z��)Expiration Date: Phone: ��2�� U ' C?G Z � Alternate Phone: /��/!�' ❑ Insurance– Current: k;�S 1 � �. 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: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Firep(ace Brand Name: � Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fi�e Marshall ijproposing to abandon tank in place.) ❑ Installation ❑ Removal 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 appliance that meets all three of the following requirements: 1. Does not require modification to electricai or gas service. 2. Has a total cost of$500.00 or less; excluding 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 OVER$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) f� L�� SC�� X .�I25 $ ��v (contract price) (minimum$50.00) 2. STATE SURCHARGE �, � (� 2� � �7�� x.0005 $ ( (conVact price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 .;v -� 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 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 regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �` ` ( Date: [ � � 3r� `� 3