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Home My WebLink About2011-00078 mechanical � - CITY OF ORONO PERMIT NO.: 2011-000�s 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/04/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1190 LYMAN AVE PIN : 35-118-23-43-0034 LEGAL DESC : REG. LAND SURVEY NO. 1067 : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL(>$500) �ROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 10,000.00 NOTE: RADIANT FLOOR HEAT FOR BASEMENT AND 2ND FLOOR BATHROOMS TRIANGLETUPC-MODEL SOLOI 10 NATURAL GAS-3"FLUE- 110,000 INPUT BTU'S ]04,500 OUTPUT APPLICANT MECHANICAL 125.00 TEAM MECHANICAL STATE SURCHARGE MECH(VALUATION) 5.00 3508 SNELLING AVENUE MINNEAPOLIS,MN 55406- TOTAL 130.00 , (612)729-5646 Minnesota State License#: 066835 OWNER PALMER, BRIAN&JULIA 1190 LYMAN 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 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 revoked at any time for due cause. i i ��Y��., o�r i // Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I . � ' �OR TY USE ONLY � � O�� City of Orono "' ��,/ 7 �� P.O.Box 66 Date Receiv d: � Permit�v��r `�� 2750 Kelley Parkway � ,�� Crystal Bay,MN 55323 Approved By: Amount$i ��' �` Phone(952)249-4600 Fax(952)249-4616 e CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by retum 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-dehumidificarion,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 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. TI'PE`OF PERMIT (Check All That A 1 ) ' �esidential ❑Commercial(Approval Required) ew ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: �� 9v ��/r►1 � ,� f��T Owner: ��/J�7 r�- ��S, �� Mailing Address: I�4d �j�r. c.� �� . City: Zip: Home Phone: Alternate Phone: Contractor Information: " .�- Contractor: �t�w� /�r��,� h,'l�/ Contact Person: ��k Z Address: 3s6� Sh��li�5 1�-! State Bond#: �7�'1� �� City: h��S Zip:SSYoI Expiration Date: ��_G I `�� Phone: 6/)- 7j-�!-S�y` Alternate Phone: ��- ,�L 9/d� ❑ Insurance-Current: 1 �. , Note: All Geothermal Systems will now require Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes To HEATING SYSTEMS Quanrity: ! Make: �ri t� ^S/t?�/�[ Model: �/p ��D Fuel: �� Flue Size: 3'' InputBTUs: ��bj��'U ou�ut B•rLrs: �d yJroo CFM: COOLING SYSTEMS Quantity: Make: Model: 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 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 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 next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ . �. �� u,; ��. ,. P .� �'" x �.L: .. ...i*.... .. �,,, ',v.<'v� u �m v� , i .�......A u . . , ' ,.. If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �G,bov x.o12s$ 11.5',o u (contractprice) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ ��G (contractprice) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /,3O• a o ■ * 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 installarions 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 pernut 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. y#� ;y,. h ..I �+"�� Sf � # 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: �_ � // 3