HomeMy WebLinkAbout2012-00399 - mechanical • � CITY OF ORONO * 2 0 1 2 - 0 0 3 9 9 *
2750 KELLEY PARKWAY DATE ISSUED: 05/14/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2865 LITTLE ORCHARD WAY
PIN : 09-117-23-21-0010
LEGAL DESC : LITTLE ORCHARD
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 1,064.00
NOTE: RELOCATE 2-TRANSITE FLOOR SUPPLIES AND REHOOK/REROUTE 2-FRESHAIR TO FIREPLACE
APPLICANT MECHANICAL 50.00
HORIZON CONTRACTORS,INC. STATE SURCHARGE MECH(VALUATION) 0.53
8197 HORIZON DR TOTAL 50.53
SHAKOPEE,MN 55379
(612)50&9226
OWNER
HOLMES,MARY
2865 LITTLE ORCHARD WAY
WAYZATA,MN 55391-
AGREEMENT AND SWORPi 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 dces
not grant permission for additionai or related work which requires separate
pertnits. All provisions of laws and ordinances governing this type of work
shall be compied with wh e not specified herein.This permit will
expire and become nul 'f construction authorized is not
commenced within 0 f the date of issuance,or if construction is
suspended for a p io f Q days at any time after work has commenced.
The applicant is e s' I for assuring all required inspections are
requested in c i tate Building Code.This permit may be
revoked at tim e cause.
l i /� � �i � i /2.
App icant rmite Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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,l. Ci of Orono �J�
O¢�`rO P:Box 66 DaYeRecd .�� � t#����'"i' � ' J
2750 Kelley Parkway ��
a� � ���� Crystal Bay,MN 55323 �PP�"oved�By: � �A�unt$:
?� Phone(952)249-4600 Fax(952)249-4616
CITY OF ORONO-MECHANICAL PERMIT
(All Commerciai permits must be approved by the Building Official or Inspector and/or Fire Marshall)
G��Ra�,nv�a��zo�r
1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will
be reviewed and a permit 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Cornplete calculations,details and specificarions are required for each
heating,ventilation,humidificarion-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 pernrit 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 fmal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before finaL
'T�"E� ,�E'R�IT �:
s�e.�k Al1�T'�iat� 1 '`� ' ; �� ;:`
�Residential ❑ Commercial(Approval Required)
❑ New �Additional ❑ Repairs ❑Replace
���Q'Si�e J:C�F�rter':�rif�i�riat�on �=
Site Address: J� L. ����C
Owner: �'1a r u f �n e s . Mailing Address: �-✓�2•
City: Zip:
Home Phone: Alternate Phone:
Co��ractor"��matum ,� .. � - '
Contractor: i2o�r� 'T,�1-�Contact Person: S�
Address: �l9'� l-�N�Zvv� ��• State Bond#:
City: �N Zip:�,,53/�,'Expiration Date: I.S� � ,
Phone: �lo�-.��- q�o�-E, Alternate Phone: ���"��' 9�a�
❑ Insurance-Current:
1
�r n
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
�e: �� �- �-c-0.,���z, F(o� s�.mt�.es
�1: F�►�.d�o��LO� o�— ���(3��r —t'o -�i�o��c.ce
Fuel:
Flue Size:
Input BTUs:
Output BTLTs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Eachaust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FLTEL 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:
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 Pernrit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��i�7 � x.0125$
(contract price) (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) $
■ * 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.
The undersigned hereby applies to the ,ity for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ' � ces of the City and the regulations of the State of
Minnesota, and certifies that all � ts made on this application are complete, true and
correct.
ApplicanYs Signature: Date: ����
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