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Home My WebLink About2012-01124 - mechanical CITY OF ORONO * 2 0 1 z - 0 1 1 z 4 * � w 2750 KELLEY PARKWAY DATE ISSUED: 11/03/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1240 GARDEN CT PIN : 07-117-23-32-0046 LEGAL DESC : TONKAVIEW GARDENS : LOT 071 BLOCK 000 PERMIT TYPE ; MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 5,195.00 NO"�E: 1 CARRIER NAT GAS FURNACG 1 CARRIER 3 TON AC APPLICANT MECHANICAL 64.94 BONFE'S PLUMBING, HEATING & AIR STATE SURCHARGE MECH (VALUATION) 2.60 505 RANDOLPH AVE ST PAUC,, MN 55109- MAIL-IN FEE 2.00 (65 I)228-9071 TOTAL 69.54 Minnesota State License#: 058395 PM OWNER HORGAN, BARBARA 1240 GARDEN CT MOUND, MN 55364- AGREEMEIVT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordin�to the approved plans and specifications,applicable City approvals,and the S[ate E3uilding 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 of work shall be compied with�chether or not specified hereia This permit will expire and become null and void if construction authorized is not conunenced within 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. "I�he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code."1'his permit may be rcvokcd at any time for due caUse. � `�v�-��C �`- i i d7'jt�-rC l i Applicant Permitee Signature Dale Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED E. � � FOR CITY USE ONLY �¢0�.� City of Orono � P.O.Box 66 Date Received: Permit# �:�, �`, 2750 Kelley Parkway � y �j � Crystal Bay,MN 55323 Approved By: Amount$: ��J.�o� Pno�e(9s2�za9-a600 FaX(9sz�za9-ab�b �_ � 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 UesiQns—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 [�esidential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs [�Replace Jo� Site/Owner Infonnation: Site Address: ��; C-�1GfC��i'1 �.} � Owner:��U�� V��lf' Mailing Address: I Z�-I O YZ��11'? e'}" �{ c�Ty: ��O�o z�p: 5S3�vy Home Phone: 2(�O'GlC(CI ' 2.�� Alternate Phone: Contractor Information: Contractor: . I Y(�.' � Contact Person: L_X�►UYIG ��c�f11 CL�I }-�'hn� `� �r S�rV�Ce �1nC ban� Address: ,��(�pYl �(�State Bond #: L(,��fp�3 -C�� ) �. 5S►o2 City: Jfi �U� Zip:� Expiration Date: ��5�� Phone: �1 �2� QC��{ Alternate Phone: lt�'�1 2�,'1 22?��7_ ❑ Insurance-Current: 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: C��'�'1 C',r ModeL• Gj�{TP�I�;(��►-�b Fuel: ��„� Flue Size: �{�j a�U InputBTUs: ��c(��j Output BTUs:h�i�t �c�-- �I, to2. CFM: COOLING SYSTEMS Quantity: � Make: Model: Tons: '�j' "�Y1 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ 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 ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERM[T FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap�liance 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;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. S'r.i�ne�:t secticn, iffh:s applies; Cns+.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 belo�u: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �51ciS�UL1 X .o�2s $ b4-I .�l�-I (contract pricc) (minimum 550.00) 2. ST.ATE SURCH�RGE ��j� q�j,� x .0005 $ Z .�C� (contract price) 3. POSTACE& HANDLING(Only on Mail-In Applications) $ 2.00 4. 7'O�1'AL NERMIT FEE(Add Lines i-� Above) � �Q �� ■ * 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 tlle City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulatioi�s of the State of Minnesota, aild certifies that all statements made on this application are complete, true and correct. Applicai�t's Signature: _� � ate:�� Reset Form 3