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Home My WebLink About2016-00901 - mechanical » a CITY OF ORONO * z 0 1 s — 0 0 9 0 1 * 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3635 LYRIC AVE PIN : 1'7-117-23-34-0044 LEGAL DESC : NAVARRO : LOT 008 BLOCK 003 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,000.00 - NOTE: REAPLCE A/C APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 TOTAL COMFORT MAIL-IN FEE 2.00 4000 WINNETKA AVE N SUITE 10 TOTAL 53.50 NEW HOPE,MN 55427- Payment(s) �� CHECK 3774 53.50 OWNER ' RODRIQUEZ,GABRIEL J 3635 LYRIC AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buiiding Code. This permit is for only the work described and dces 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 wnstruction 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. , t 7 ��7�/C� Applicant Permitee Signature Date Issued B gnature Date FOR TI'I'U3E OI�iLY � �a w T City af Oron.��E�V� � � G�� <yO P.O.Box 66 Date Rec e/.r�- Perntit#�� 2750 Kelley Parkway Crystal Bay,MN 5� ��r�� Appro�ed By; Amount$: �� Phone(9S2)249-4600 Fax(952)249-4616 � � ��. . �y F ORONf� �,� C�Y SF ORONO-MECHANICAL PERMIT t�kES H�� (All Commercial permits nrust be approved by the Building Official or Inspector and/or Fire Mazshall) G��E�, rn�o�T�o�v 1. You may apply for mechanical permits by mail or in person at the City o�ces. Applications will be reviewed and a permit will be issued within two working days. 2. Permit 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-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 constructian 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) - �`;--�--e r--, ,-., 7. House Heating Test Record must be submitted before final. - ' ` �� ` ,_�� TYPE OF PERMiT Check All That A 1 ) �]Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] � � � ❑New ❑Additional ❑Repairs �Replace � 3�b Site/ Qwner Information: Site Address: �' �7 ��'�I G �%� � Owner: �;��7?.�1�L c��g��L�{.��:�Mailing Address: ��1�'2� c��y: ir.►�� z�p: .��„��3� Home Phone: �(.�-�-��i U ��J Alternate Phone: Contractor Informat�on; Contractor: .) �° �.,�'1/��'�;Contact�erson: ��'�`�� i� Address: �� t�� ``=�'�`Sta.e o d#: `��1� . �.�,�, � City: /��}'� ��:��Zip��piration Date: .-_-- � ,�� y Phone: ��7�''�=�� `" Alternate Phone: �"—` ❑ Insurance-Current: �e-, 1 (� �br��.� �"��``�' �/! b � IC I�,� � 9��, . . . .�sy�` t;, �'�� Note:All Geothermal Systems will now require a Site Plan 8t Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS QuantitY_ � Make: -----„-�c Model: A r`" --- , — Fuel: �" Flue Size: ,�- Ix►put BTUs: Output BTUs;. '� C�: __ - COOLING SYSTEMS Quantity: ] ---� Make: j Model: Tons: �i H.Power FIREPLACES ❑ Gas FactQry Fireplace Brand Narne: ❑ Wood`$uming Fireplace ❑ ,.- "�Vood Stove Model No.: �]" Wood Stove with Flue/Masonry .�' VENTII.ATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ l�io. Bath Eachaust(must have duct outside) �� [�-' No. Other Fans: Locations �� i' FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Inst�l��on' I' ❑ Removal �� Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside � LP Gas: gallons Other: GAS LINE ONLY `.�.. y,,.,.[] Outdoor Grill ❑ Other/List What&Where: 2 . ' ' , _ , ,, � ;��§ �?�F �� 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimam Fee of$50.00) ��. `� x.0125$ ��'r (con�act price) (minimum 550.00) 2. STATESURCHARGE x.0005 $ J• (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S �� ■ "` CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and ather 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 pennit 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 actuai contract. � ,�.�:: �, � � _ � . The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all work in strict accordance with ordinances of the City and the regulations of the State of Minnesota,and certifies tements made on this application are complete,true and correct. � ' �''� ��7 Applicant's Signa j� Date: 3