HomeMy WebLinkAbout2010-00180 - mechanical • CITY OF ORONO PERMIT NO.: 2010-00180
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 03/30/2010
952 249-4600 FAX: 952 249-4616
ADDRF�SS : 2195 FRENCH LAKE RD
PIN : 10-117-23-21-0006
LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,400.00
NOTE: 1 LENNOX NATURAL GAS}iEATING SYSTEM
APPLICANT MECHANICAL 55.00
ABEL B&C INC. STATE SURCHARGE MECH (VALUATION) 2.20
8750 HIGHWAY 7
ST BONIFACIUS, MN 55375- MAIL-IN FEE 2.00
(952)446-9545 TOTAL 59.20
OWNER
GOTTSCHALK,ANDREW& ERIN
2195 FRENCH LAKE RD
WAYZATA, MN 55391-
AGREEMEIVT 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 additiona]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 specilied herein.This permit will
expire and become null and void if construction authorized is not
commenced wi[hin 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all reyuired inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
\ii�"C-G.-LY `�i"` l l C/;//�y� l l
Applicant Permitee Signature Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
.-
' FOR CITY USE ONLY
, � 'o,y� City of Orono
� � � `�"` '''� P.O.Box 66 Date Received: Pennit#
��� ��1,; '750 Kcllcy Parkway
' r� �'�� ('iystal Bay,MN 55323 Approved By: Amount$:
;�+N��;�+�b"/J i')52)249-460(1
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approvcd by thc Building Ofticial 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 RECE[VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. '�Iechanical DesiQns—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:
Site Address: 2195 French Lake Rd
Owner: Gottschalk Mailing Address: Same
Orono
City: Zip:
Home Phone: �612)770-3978 Alternate Phone:
Contractor Information:
Contractor: Abel Onsite Contact Person: Paul Gerold
Address: 8�50 Hwy 7 State Bond#: 69600070
St. Bonifacius 55375 10/14/10
City: Zip: Expiration Date:
Phone: (952)446-9545 Alternate Phone:
✓Q Insurance—Current: 09/28/10
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� MECHANICAL SYSTEMS B��G 1NSTALLED
1
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑✓ No
HEATING SYSTEMS
Quantiry: �
Make: Lennox
G71-MPP-110
ModeL•
Fuel: NG
Flue Size: 3
Input BTUs: 110MBTUH
Output BTUs: 103MBTUH
CFM: 2000
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stovc With Flue
1'ENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Othcr 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:
2
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t '
PERMIT FEE CAL�U�LATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yc�,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 5500.00 or less;excludin�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 S .50
Mail-In Fec(If Applicable) � 2.00
Total Permit Fee $
� ���- '��'� PERMIT FEE CALCULATION(S)-3C1�S OVE� $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)
4,400.00 x .0125 S 55.00
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
4,400.00 x .0005 S 2'2�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 59.20
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted 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 ma_y request the submission of a signed copy of the actual contract.
■ ** The STATE SURCHARGE is .0005 ofi the Building Department at(952)249-4600 for the price.
MECHANICAL PEI2MIT AP�LICATIQN 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: �� � �� ��
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