HomeMy WebLinkAbout2010-00434 - mechanical CITY OF ORONO PERMIT NO.: 2oiaooa3a
' 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 06/07/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2295 LONGVIEW CIR
PIN : 03-117-23-22-0025
LEGAL DESC : LONGVIEW 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 13,570.00
NOTE: 1 LENNOX NAT GAS FURNACE
1 LENNOX 3 TON AC
APPLICANT MECHANICAL 169.63
HOLLYWOOD HEATING&A/C,LLC STATE SURCHARGE MECH(VALUATION) 6.79
3390 COLJNTY RD 123 TOTAL 176.42
WATERTOWN,MN 5538&
OWNER
. . �ja,r► u
2295 LONGVIEW CIR
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
permiu. 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 appl' ant is responsible for assuring all required inspections are
reque in conformance with the State Building Code.This permit may be
rev at any time for due cause.
/ / / /
ure _ Date Issued B gnature
SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED AB
�Tfi CTTY 1TSE UNLY
p,�Q�O City of Orono
P.O.Box 66 t?ate Ct�ived: P�rmifi.#
2750 Kelley Parkway
�� �`�� Crystal Bay>MN 55323 Appi'U'v�+d By: ' ' Anwulit�:
`_ (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
G�NERAL Tt�i�'f�R.I�A'TTON
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 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 calculation,design temperatures,eyuipment 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 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.
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C�le�Gk A11`I'�tat�: i
�Residential �Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs �Replace
����1��`���'�t�i'�11&tlC}tl:
Site Address: z Z L ry '-�✓'���
,
Owner:����� �l�('-r�/l� Mailing Address: � � /�
c�ty: 1,� AS�Z�i� z�p: 5539/
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Home Phone: �� Alternate Phone: �(Z ^Z�J� --s�f y�
ContractQr�forrn�atian:
/I/�, � �,� '�/� �-�--
Contractor: ����lt//�D /Y��//'�ontact Person: �/f���
Address: .�90 �,Q I Z� State Bond#: ���o� 9��
City: !�/ / Zip;,,���OGxpiration Date:
Phone: /J�Z—�..�:��y Alternate Phone: , �Z��Z —'g.���
❑ Insurance—Current: �-
1
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
[S THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: r
Make: LrJiJ/C1�jx
Model: �77�/'h��,�c—�/�
Fuel:
Flue Size: Z t� �e v�
Input BTUs: 10�
Output BTUs: V l/ �
CFM: q /
COOLING SYSTEMS
Quantity: 1
Make: XC � �'���—`�
�L�u
Model: �x
Tons:
H.Power / �P ��
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
N�� � Wood Stove Model No.:
❑ Wood Stove With Flue
V ENTI LATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
N � ❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.)
� Installation B Removal
� Fuel Oil: gallons ❑ Underground �Inside �Outside
� LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:
u�r� 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;excludinQ 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 $ .50
Mail-[n 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$50.00)
x.0125$
(c act price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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
conect.
Applicant's Signature: Date: ���
3
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CITY OF ORONO CALLED IN "�
INSPECTION NOT CE SCHEDULED � � /�'�
PERMIT NO ^��� � COMPLETED
ADDRESS��� ' C./��
OWNER TELEP ONE NO. � 29Z (�(�,
CONTRACTOR �
� DESCRIPTION e�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F�LLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
= O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
tNSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �L���. �
White Copyllnspector's File Canary CopylSite Notice