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Home My WebLink About2009-00707 - mechanical • CITY OF ORONO PERMIT NO.: 2009-00�0� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/14/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1100 KNOLL MANOR RD PIN : 26-118-23-31-0012 LEGAL DESC : KNOLL MANOR : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,000.00 NOTE: (1)LENNOX HEATING SYSTEM--MODEL NO.-G61MPV-60C-091-NATURAL GAS-3"FLUE-91,000 INPUT BTU'S 84,000 OUTPUT BTU'S -CFM-1450 (1)LENNOX COOLING SYSTEM-MODEL NO.-XC14042-3.5 TONS-1/3 H.POWER APPLICANT MECHANICAL 100.00 HOLLYWOOD HEATING&A/C,LLC STATE SURCHARGE MECH(VALUATION) 4.00 3390 COUNTY RD 123 TOTAL 104.00 WATERTOWN,MN 5538& OWNER KINGMAN,MR.&MRS. 1100 KNOLL MANOR RD LONG LAKE,MN 55356 AGREEMENT 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 additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced 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. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revo t y time for due c � /� � � � pplicant Permitee Signature ate Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �-----. FOI�CIT SE ONLY ��`\ Cit,y of Orono � ''�/9�Q D�/ ¢ `�' Y.O.E3ox 6G Date Received � ��ermit ti �''�"7 � � ��,;, � 2750 Kelley Parkway � �� Crystal Bay,MN 55323 Approved By: Amoun[$:� 6+��;�..yc,` (952)249-4600 rexo�' CITY OF ORONO — MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial or lnspector and/or Fire Marshalll GENERAL 1NFORMATION ; 1. You may apply for mechanical pernuts 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 revie�� 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. �. Mechanical Desi�ns—Comp}ete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditionin� 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 consttuction or remodeling is involved, a separate building permit must be obtained. 5. Al] work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and finai). Call (952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be subnutted befbre final. TYPE OF PERMIT (Check All That Apply) I ,� Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ,� Replace Job Site / Owner Information: Site Address: ��4 /�n/p1( h'!An o� �e�. Owner:�/PUCk �✓lo�r,�s�� MailingAddress: LD/Z�" Lr4kC City: Zip: ss3,s� Home Phone:,�v�v? �`Yb �`��G Alternate Phone: �0�� c� I� oZ r p S� Contractor Information: , r� �� Contractor: ��6��L�JOU� ��Rf�r►�`W�ontact Person: � Address: �� 2� State Bond #: ��d �f-( O� City: ��'��`'� Zip• S.3 Expiration Date: � �7 v�0/Q Phone: %S� �s.� g�U4� Alternate Phone: 9soZ—iZq,2 ` �3(o a-- ❑ Insurance—Current: ES 1 atl s t 4.. .. � _ � � ._ ._. , r Y'l +��J\ : ..: ...- . z a � � . .. t �C.. �tA�]I ��,=��.�f� . ... ;.-.. .�_.. .�. .. .._,, ::,...:. '.. ..,, e:, .'�... . . ��.. ,.. r..;.. �_3-rS1� Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes .� No HEATING Sl'STEMS Quantity: � Make: �c"n�t p� Model: �lyl�p�/"��"` �� Fuel: /V: � � Flue Size: ,�� Input BTUs: � 6 0� Output BTUs: � Q� CFM: �y,s� COOLING SYSTEMS Quantity: � Make: �EI'!/I p� Model: /��/�` O�oZ- � Tons: �i`) H. Power �_ FIREPLACES ❑ Gas Factory Fireplace Brand Name: �//� ❑ Wood Burning Fireplace A� ❑ Wood Stove Model No.: ❑ Wood Stove With Flue 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 b>>Fire Mars/1a1!if proposing to abandon tank in place.) ❑ Installation ❑ Removal N f� Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside � LP Gas: gallons ' Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: Y _ Nf R 2 ." , ,• r ,� . . . u ,. > , , ��, ��r � � � �� w ...� ��. ,a.,.r� � ,�' .,�- �; � ��, ,,aE� a3� *�,� ❑ Yes,this section applies The replacement of a Residential fixture or ap lip 'ance 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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �.� � � ,. . � .. . J . �: . . ., r � ° If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� p. � x.0125$ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) DDO. '/ x.0005 $ Ti �O (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ --��9- qs O 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �6� �"— ■ * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the pernutted 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 installarions 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. ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. � .,� � ,� �<�� ,�� ::'�� , , . , , .� , .� � . , ,-_.. . . ,. �... � �,,, *. � . �� 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: 3 �- l S�t' ✓ � a TIME CITY OF ORONO �irv � INSPECTION NOTICE SCHEDULED �� PERMIT N �� COMPLEfED ADDRESS OWNER CONT TELEPHONE N - ��°'� �" � � � � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING �IAECHANICAL FINAL ❑ LAKESHORENVEfLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL p FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a o �� ,�T` �;��-- � �� 0 � W � Q � Z W � W � � d /� W� ❑WORKSATISFACTORY:PROCEED L�PROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED •❑13SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector. �� . White Copyllnspector's File Canary Copy/Site Notice