HomeMy WebLinkAbout2012-00267 - mechanical , . CITY OF ORONO * 2 0 1 2 - 0 0 z 6 7 *
� 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3438 LIVINGSTON AVE
PIN : 17-117-23-43-0020
LEGAL DESC : NAVARRE HEIGHTS
: LOT 019 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 3,000.00
NOTE: (1)TRANE-MODEL NO.TUH060-NATURAL GAS-2"PVC-6Q000 INPUT,57,000 OUTPUT, 1,000 CFM
APPLICANT MECHANICAL 50.00
UNITED HEATING&AC STATE SURCHARGE MECH(VALUATION) 1.50
TOTAL 51.50
PAID WITH CC# 7452
OWNER
MESSETH/CAOLA,MARK& SUSAN
3438 LIVINGSTON AVE
WAYZATA,MN 55391
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 ' the State Building Code.This permit may be
revoked at any ti e for due ca e. -�
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Applicant Pe 'ee Si na re Date w� (� O� �
Iss By Signature Date
S PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
♦ �
� . ' �R°C1�`� IISE 4NI�� � � '��
�1�. City of Orono
O� `rO P.O.Box 66 �ate T�ecetu � ����Ernitf#k�� "1� ��
2750 Kelley Parkway � ` � � � � ����
a� 4� Crystal Bay,MN 55323 Appraucd By A�Qun�� ��� '
�#� Phone(952)249-4600 Fax(952)249-4616
a
CITY OF ORONO-MECHANICAL PERMIT
(All Commercia]permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GE�TEI�A=L T1�TFORMA.TION- ' �
1. You may apply for mechanical permits by mail or in person at the CiTy offices. Applicarions will
be reviewed and a pernut 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 Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calcularion,design temperatures,equipment ratings and identificarion 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 pemut 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.
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�'IIE:GIC ��lc"1.t t� �i �
�esidential ❑ Commercial(Approval Required)
❑ New ❑Addirional ❑ Repairs ❑Replace
`�'ob �i�e/ =�O�aer�iif��n�ion. , "�_"
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Site Address: ���c� �' �� Ut n y S/`�h J�"�-( ,
S�zli h� � C�o l.a , �3 y 3 1 L�v�K q s��� /t-� ,�
Owner: Mailing Address: u z� � �t.�• ,S-s 3 ��
City: ��h a zip: SS 3 � �
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Home Phone: _ _,�3 y l�l� 7 Alternate Phone:
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�Go�itractc�r I�ifo�mat�ari: . . �
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Contractor: /I�/�� ,�� Contact Person: �/
1a�.�
Address: ��-���K �• State Bond#:
City: ,/�����^ Zip�`� Expiration Date:
,Ss3yo
Phone: 2(�3 ��,� ��7�3 1 Alternate Phone: ��� � 7 � -�3 7 �
❑ Insurance-Current:
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
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HEATING SYSTEMS
Quantity: (
�
Make: G
Model: �l U G� �
FueL• ��J�--�"
�l
Flue Size: �� C
Input BTLJs: U U-vr/' .
Output BTUs: S ?� D� d
CFM: �i �� �-
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� COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIItEPLACES
❑ 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) cfrn
❑ No. Other Fans: Locations cfm
FLJEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plac�)
❑ 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 Residenrial 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 Pernut $ 15.00
State Surcharge $ 5.00 J
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$50.00)
�� G ..o-� x.0125$
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 chazged
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
esrimated cost or contract price for perxnit 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 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.
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ApplicanYs Signature: Date:
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