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Home My WebLink About2011-00066 - mechanical CITY OF ORONO PERMIT NO.: 2011-00066 ` 2750 KELLEY PARKWAY ` ORONO, MN 55356- DATE IssuEn: 02/02/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1485 LONG LAKE BLVD PIN : 35-118-23-22-0001 LEGAL DESC : UNPLATTED 35 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,890.00 NOTE: 1 LENNOX NAT GAS FURNACE 1 LENNOX 3 TON AC � APPLICANT MECHANICAL 98.63 GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 5.00 5182 WEST BROADWAY CRYSTAL,MN 55429- MAIL-IN FEE 2.00 (612)535-2000 MISC FEE 0.00 TOTAL 105.63 OWNER GREENLEY, KURTIS 1485 LONG LAKE BLVD 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 governing 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 th�State Building Code.This permit may be revoked at any time for d�e cause. - �� i i i i Applicant Permitee Signature Date Issue y S'g ature ate t SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A � °. �ri�c��r us�c�rr�x O��O City of Orano P.O.Box 66 �i�RCF�"t'�t,E:_ �� Pertn�N�� 2750 Kelley Pazkway �� Crystal Bay,MN 55323 �j1�YCd�3y. _' �S' Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) k,1��lrr��,`��k��l`i �'��. 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. 2. Permit cazds 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 aze required for each heating,ventilation,humidification-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 sepazate 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. , '�"�PE�.?�PER.��'`, ' G�k.�l�:��.\'� ,�:.. ❑Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace v�Tt�x,'��/tJWne�`Ii�£oTn'1atiUri: Site Address: � 6�� h �� yU Owner: �U�f� r.�Q.�1.Y1 Mailing Address: � e J �v �+��V� c�ri: ��1,$'vlb z�p: �`3 3�J�o Home Phone: ,V H��h��NC. ' � ; S'' BROADWAY Ca��I��`��s�:;' , ..:� L� M N 55429 763-535-2000 Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS � Quantity: Make: YI � Model: �iVV �� Fuel: Flue Size: Input BTUs: �/ �dV Output BTUs: CFM: COOLING SYSTEMS Quantity: 1 Make: !�1 Model: �` ^D Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall ijproposing 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: 2 ❑ Yes,this section applies The replacement of a Residential 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;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ 22.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%ontr�t��e with a(Minimum�f$50.00) �� x.0125$ � ��,../ (contract price) (minimum 550.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$5.00) ZZ.00 X.000s $5.00 5, oa (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � VV ■ * CONTRACT PRICE or JOB CQST means the actual or estimated dollaz 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 aze furnished by the owner,tenant or any other pazty,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 times the Contract Price or a minimum of$5.00. 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. ' � �' l ' ll - Applicant s Signature: Date: IIp,A��,��, f 3