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Home My WebLink About2010-01190 - mechanical � < � CITY OF ORONO PERMIT NO.: 2oiaoii90 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3630 LIVINGSTON AVE PIN : 17-117-23-34-0027 LEGAL DESC : NAVARRO : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,735.00 NOTE: (1)LENNOX HEATING SYSTEM-NATURAL GAS-MODEL SLP98U-2"FLUE-66,000 INPUT BTU'S, 64,000 OUTPUT BTU'S, 1,000 CFM (1)COOLING SYSTEM-LENNOX-XC14-2 TONS APPLICANT MECHANICAL 96.69 ABEL B&C INC. 8750 HIGHWAY 7 STATE SURCHARGE MECH(VALUATION) 5.00 PO BOX 97 MAIL-IN FEE 0.87 ST BONIFACIUS,MN 55375- TOTAL 102.56 (952)446-9545 OWNER PROCK,JASON 3630 LIVINGSTON AVE WAYZATA, MN 55391 „ i AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for du cause. � i ��`S � �v / l /J`�l /D App icant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . FOR C TY USE ONLY ' ,, "g� City of Orono Q7� •' ,�� P.O.Box 66 Date Received� ��permit# ��"� �/ " � ,`'��. _, � �f� 2750 Kelley Parkway t�� '�� R Crystal Bay,MN 55323 Approved By: Amount$: `�� y� ,,c��'�� Phone(952)249-4600 Fax(952)249-4616 � ��ra�r CITY OF ORONO—MECHANICAL PERMIT (All C<�mmercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) �G��/�� G Y GENERAL 1NFORMATION 5 201U 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. Ci��OF QRQN� 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOli RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations,details and specifications are required for each heating,ventilation,humidifieation-dehumidification,and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and idenrification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction ar 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 notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) � �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �eplace Job Site/Owner Information: Site Address: 3 (o�j� L I V ; Vl,q S�'Ol�1 �V� � Owner: c.�Ct.S4Y1 �I�O C�� Mailing Address: ��0�3 C7 � �� 5�� e, City: W A.y��— Zip: S rJ 3� ' Home Phone: q'�j Z— �3� ��lternate Phone: Contractor Information: Contractor: ��" S�-�- Contact Person: �A-u- � ��✓'a. l� � 8"7 O 1-�w�y -7 (')v � V1�1,g Address: (�O Q 07� q�] State Bond #: 3� City: s�� QOh.�C�kSZip: S537jExpiration Date: 1� �y �� Phone: 9�J.2'��16� �J�(.� Alternate Phone: ❑ Insurance—Current: ,/}(,��(�1�,)h�t� �v15u�`u`�c-'� 1 . � MEGHANICAL SYST��BETNG�NSTA.LL��; :.. Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes�o HEATING SYSTEMS Quantity: � Make: Model: S L i !� Fuel: /`� � Flue Size: � Input BTUs: �P Output BTUs: �Q CFM: � COOLING SYSTEMS Quantiry: Make: Model: v � Tons: � H. Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recircularing cfm 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 place.) � Installation � Removal F�ucl Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: 2 � . � • , PERMiT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Yes,this section applies The replacement of a Residential fixture ar 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; 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 CALCUL�TI(Jl�T S -JOBS OVER$54(�.tl� ' lf above does not apply; follow guidclines below: 1. CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$50.00) �`)�3 5: c.�C� X .oi2s $ � �O � � � (contract price) (minimum$50.00) 2. STATE SLIRCHARGE ** Add the State Bldg Code Div. Surcharge(Mioimum Fee of�5.00) ��3 S, c�C� X .000s � � � � � (contract price) (minimum$5.00) 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, labar 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 STATE SURCHARGE is .0005 ti�nes the Contract Price or a minimum of�5.00. MECHANICAL PERMIT APPLIC;ATION 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. � - - t� �3 �o�C� Applicant's Signature: Date: Reset Form 3