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HomeMy WebLinkAbout2007-P11508 - heating systems PERMIT riTY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11508 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 Date Issued: 9/28/2007 SITE ADDRESS: 2750 Kelley Pkwy(Admin Offices) Unit# Long Lake,MN 55356 P��� 33-118-23-12-0007 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Pernut Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernvt Fee: $ 167.25 Valuation: $ 13,380.00 State Surcharge Fee: $ 6.69 Misc.Fee: $ 1.50 TOTAL FEE: $ 175.44 APPLICANT: Wencl Services,Inc. OWNER: City of Orono 8148 Pillsbury Ave. S. 2750 Kelley Parkway Bloomington,MN 55420 P.O.Box 66 Crystal Bay,MN 55323 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �,�'�(�Gt.� �� C��YK.�'-rl� APPLICANT PERMITEE SIGNATURE S D BY SIGNATURE 6�'� Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, i-Assessing,(If Septic, 1-Septic) Page 1 FOR C[TY USE ONI,Y r�„����� City of Orono P.O.Box 66 Date Received: Pcrmit# „� 2750 Kcllcy Parkway !� �r �' Crystal Bay,MN 55323 Approved By: Amvunt$: i�,, ���'�`�'� � �y��,�,. ,j� (952)249-4600 `+�,.�'ttjp�'��,,.�i`� CITY OF ORONO– 1�lECHANICAL PERMIT (All Commcrcial permits must bc:ippiv:cd by thc Buiiding Official or Inspcctor and/or Firc Marshail) GENERAL INFORMATION __ __ —� 1. You may apply for mechanical penuits by mail or in person at the City offices. Applications will be reviewed and a permit will bc is,ii��d witl3in two working days. 2. Permit cards will be sent by return m1i!after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECElVE A PERMIT. WORK MUST NOT BEGIN UNT7L THE PERMIT CARD IS POSTED ON THE.IOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humiditication-dchumidilication,and air conditioning installation including heat loss/heat gain calculation,design te�7;per,.itures,equipment ratings and identification as to type,manufacturer and modei. Dat���l�a�! be presented on form provided. 4. When any new constn�ction or reniud�Eir.��i:�ii�volved,a separate buildinb pennit must be obtained. 5. All work must be done in accordance��vith the Uniforni Mechanical Code/State Building Code requirements. 6. All work must be inspected(roi�gh-�n and linal). Call(952)249-4600. (24-48 hour notice required) �. House Heating Test Record must be si�b.nitted before final. �rv[�t-: o� PE�IT (Cbeck All That Apply) ❑Residential �✓ Commercial(Appr�ivai Required) ❑ New ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: ___ � 2�50 Slte f�ddTOSS: 2�30 Kelley Parkway Owner: Ciry ofOrono Mailing Address: 2�3o xe�iey Parkway Clty: Orono Zlp: 55323 Home Phone: Alternate Phone: Contractor Information: _ _� COritT'1CtOT': Wencl Services Inc. COrit1Ct P2Y'SOri: Steven Schu(tze AddY'OSS: 8148 Pillsbury Ave South State Bond#: q 3 I q 3 7� Bloomington »�=��G 6$ �� a0 0� City: Lip:_:__-_ Expiration Date: Phone: (9s2�ss�-�ss� 61a'y(1g-33o1 _ Alternate Phone: �; Insurance–Current: � CS 1 ' . ��HANICAL SYSTEMS BE�NCr i�STALLED' _ � HEATING SYSTEMS Quantity: � - -- Make: Carrier Model: SSmca 040 060 Fuel: NG Flue Size: 2"PVC Input BTUs: 40,000 Output BTUs: 37,000 CFM: 850 COOLING SYSTEMS Quantity: 1 Carrier Make: Model: 38esg-24 Tons: 2 2 H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Buming Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhausi duct recirculating __ cfm ❑ No. Bath Exhaust(rnust liave duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY F1RE MARSHALL) ❑ Installation ❑ Rcmoval Fuel OiL• gailons ❑ Underground ❑ [nside ❑Outside LP Gas: _gaL.>r, Other: GAS LINE ONLY ❑ Outdoor Grill ❑ ��th��•;List What&Where: � ' 3 � PERMIT FEE CALCULATrON(�) ': ' B��.SED OF'� - 20()2 STATE STATI..IE ❑ Yes,this section applies The replacement of a Residential fixture ar.��y�ii:ince that meets all three of the following reyuirements: I. Does not require modification to elcctrica(or gas service. 2. Has a total eost 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; C:ost of Permit � 15.00 State Surcharge � .50 Mail-In Fee(If Applicable) S l.50 Total Permit Fee $ PE�IT FEE CALCULA�[tON(S)—JQB����ER$500.04 If above does not apply;follow guideliiies belo�s: l. CONTRACT PR10E * is I.25°i�of contract price with a(Minimum Fee of$35.00) 13,380.OU x.0125$ 167.25 (cuntract pricc) (minimum$35.00) 2. STATE SURCHARGE **A�ld!hc State Bldg Code Div. Surcharge(Niinimum Fee oT$.50) �3,35400 x.0005 $ 6.69 -------- -- (con:ract pricc) (miuimum$ .50) 3. POSTAGE&HANDLING(Only oi� Mail-In Applications) $ ___ 1.50 175.44 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST i»rans ttie actual or estimated dollar amount charged for the permitted work including materials, labur, ;�rofit,and other fixed costs. It is the amoimt to be charged to the customer for the work done. lf any material, equipment, labor or installations are furnished by the owner, tenant or any other parly, chc reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. [n the event that there is a dispute on the amount of the job cost, the City may request N�e submission of a signed copy of the actual contract. • **The STATE SURCHARGE is.0(i0� uf it�e t3uiiding Department at(952)249-4600 f'or the price. �SECHANICAL PEIZ1�11T APFLI+CI�T'I��l'A.,�`.�REEMENT' —�.i . ----- � The undersigned hereby applies to the C.ity for issuance of a Mechanical Permit, agrees to do all wark in strict accordance with tne ordinan�es of the City and the regulations of the State of Minnesota, and certifies that all stateinents rnade on this application are coinplete, true and correct. Applicant's Signature: __ Date: Q Q"a�'"0 ��set Form ,,, � _� � 3 � � �`\Y� DATE TIME v CITY OF ORONO ca,LLED IN � � �l'4L Pi �(0.01 �_ INSPECTION N TI � SCHEDULED I l�i q U7 3��3t?�pf'l'1 PERMIT NO. d� COMPLETED ADDRESS � � V OWNER CO TR. ��C-I ��U! TELEPHONE NO. _- 1 �l�, -�y��� J /���� i/ � DESCRIPTION �1 �� �..{-1� 1�� — L-�`�l.f"�-{ Y� r�VL.�� � ❑ FOOTWG MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOO BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a O ` r C � � l.J � �, �,,�, `.J E. J '' 'TC'? �'x @ ��":�S � av.ti, � � �V ���l�d . W � Q � Z W � W � � a � ❑A_WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �GORRECT WORK&PROCEED l- ISSUE CERTIFICATE OF OCCUPANCY � ❑aORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. / ) � �S White Copyllnspector's File Canary CopylSite Notice