HomeMy WebLinkAbout2009-00356 - mechanical � CITY OF ORONO PERMIT NO.: 2009-00356
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 06/25/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1509 LONG LAKE BLVD
PIN : 35-118-23-22-0003
LEGAL DESC : ALBEES LONG LAKE ADDN
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 1,200.00
APPLICANT MECHANICAL 50.00
TONKA PLUMBING HEATING&COOL INC. STATE SURCHARGE MECH(VALUATION) 0.60
265 CTY RD 110 NORTH
MOUND, MN 55364 TOTAL 50.60
(952)472-9200
Minnesota State License#: 060524-PM
OWNER
CASHMAN, THOMAS
1509 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 the State Building Code.This permit may be
rev ked at any time for due ca se. 9 r---
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(�il Z- l �7�� � �c �C_ ��--� �'�'�'� ��� l l
Applicant Per i e Si n ure Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
,,._ .
FOR GITY USE ONLY
- ' Ogp�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
�: 'r � Crystal Bay,MN 55323 Approved By:, Amount$:
����o (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or[nspector and/or Fire Marshall)
GENERAL INFORMATION
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 woridng days.
2. Pemvt 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 Desi�ns—Complete calculations,details and specifications aze required for each
heating,ventilarion,humidificarion-dehumidificarion,and air condirioning installation including
heat loss/heat gain calculation,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 sepazate 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.
TYPE OF PERMIT '
Check Al1 That A 1
�Residential ❑Commercial(Approvai Required)
❑New ❑Addirional �Repairs �,Replace
Job Site/Owner Information:
Site Address: � �U � �"ltist ���J�CSZ �(,: �`�
Owner:_�D�C�h�.�Y�-�. Mailing Address: � S�� L� „ ��p'�
City: �Ycs�� Zip: ,C�-S�5�
Home Phone: -�— Alternate Phone: ��a'"�� r 3�
Contractor Information:
Contractor: �'�'6����.,_�� Contact Person: � �cT���-e.��
Address: ��v5 C.�•1?�,�(,D State Bond#: C(� z ) L-� �07�,.��
City: Zip:�`�Expiration Date: ��!��q
Phone: °ISZ°�-l(-��-�1 Z�l Aiternate Phone: �S Z- �o—�L�S
�, Insurance—Current:
1
• �;�.�MECHAi�fiI�AT:,''SYSTEMS BEIl�TG II�iSTATLLED '.
HEATING SYSTEMS
Quantity: �
Make: �-QQi►�Y�
Model: ---
Fuel:
Flue Size:
Input BTUs: �s;Q�'Q
Output BTLTs: �S�OO�
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locarions cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
,- .. .
.
� 'PER11iII��EE::+�A.LCTJI;ATION(S} ,� ,
� °; BASED OFF =240�STATE STATUE�
� 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 hoxneowner or licensed contractor.
Skip next sectioq if this applies; Cost of Pemut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
� PERMIT FEE;CAI:,CUI.ATIt)N S) y JOBS OVE�$500:00 ," ': '
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
i"�o°° X.o�25$
(contract price} (minimum 535.00)
2. STATE SURCHA,RGE **Add the State Bidg Code Div.Surcharge(Minimum Fee of$.50)
���� x.0005 �
(contract price) (minimum$ .50}
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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 custo�r 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 putposes. 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.
� ' MECHANIGAi.PERRjIIT APPLICATION AGREEMENT '
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: �ZS/�
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