HomeMy WebLinkAbout2015-00559 - mechanical � .
CITY OF ORONO * 2 0 1 5 — 0 PJ 5 5 9 *
2750 KELLEY PARKWAY DATE ISS ED: 05/13/2015
, ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS � : 2670 KELLEY PKWY 215
PIN : 33-118-23-12-0063
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
I : LOT 000 BLOCK 000
PERMIT TYPE I�, : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TY�E : MECHANICAL-MULTIPLE
VALUATION : $ 6,000.00
NOTE: 1 FA LENNOX, 1 LENNOX AC 2.5
PLICANT MECHANICAL 75.00
STATE SURCHARGE MECH(VALUATION) 3.00
B&D PLUMBING&I�EATING INC. TOTAL 78.00
4145 MACKENZIE CT WE Payment(s)
ST MICHAEL,MN 55376- CHECK 550382 78.00
(763)497-2290
!OWNER
Citizens Independent Ba�hk
5000 36TH ST W 215
ST LOUIS PARK,MN 55416-
AGREEMENT A;ND SWORI�i STATEMENT
The work for which this perm t is issued shall be performed according to
the approved plans and speci cations,applicable City approvals,and the
State Building Code. 1'his pe it is for only the work described and dces
not gant permission for addit onal or related work which requires separate
permits, All provisions of la s and ordinances governing this type of work
shall be compied with whethe�or not specified herein.l'his permit will
expire and become null and vQid if construction authorized is not
commenced within 180 days di the date of issuance,or if construction is
suspended for a period of 180'Idays at any time after work has commenced.
The applicant is responsible fbr assuring all required inspections aze
reques in conformance with the State Building Code.This permit may be
rev ed t any time for due c8us .
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s /3 /5 O �, �3 , /S
ic e itee Signa re Date Issu By Signature Date
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FOR CITY USE ONL
City of Orono t � �l� ��I,�
�O�O P.O.Box 66 Date Received: �`�,� Permit�°'� 5 W
2750 Kelley Parkway (J�
Crystal Bay,MN 55323 Approved By: Amount$: ��-
Phone(952)249-4600 Fax(952)249-4616
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�.�' CITY OF ORONO-MECHANICAL PERMIT
��kFS H�� (pll Commcrcial pennits 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 pertnit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE 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 losslheat 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 nofice required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required)
/
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: Z�.Q?O K�«t... ��k w��r I�oann Z I S
Owner:�nL`�uu ( Swr�c 1 Mailing Address:
city: CUcon� zip:
Home Phone: (,e I'Z-��34-001Z Alternate Phone:
Contractor Information:
Contractor: �-��10,�„�,-1�,.�'��o Contact Person: �,�cxl�� l.J��iSc,n
�
Address: U1�15 YnucN�.ni,� c�t- Nr State Bond#: �13qo3c?�Co
City: S�• r'n'���nc�c,� Zip:S53?l� Expiration Date: �- l- lCsz
Phone: -1(.�3-�E`��?- 2Z9G Alternate Phone: �t2.-32�-T1185
❑ Insurance-Current: �tis
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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: �I�
Model: LC�rcX
Fuel: �.fi
Flue Size:
Input BTUs: �O k I�V
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: (�,Ut�
Model: l�Mc�C
Tons: 2< S
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. 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 p[ace.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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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 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.
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)
x .0125 $
(contractprice) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
� I * 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 far 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: ��f+�,�K ���.a Date: ��(s- � 5 �
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