HomeMy WebLinkAbout2015-00225 - mechanical CITY OF ORONO * 2 0 1 5 - 0 0 2 2 5 *
2750 KELLEY PARKWAY DATE ISSUED: 02/23/2015
ORONO, MN 55356-
, � 952 249-4600 FAX: 952 249-4616
ADDRESS : 60 MYRTLEWOOD RD
PIN : 36-118-23-33-0020
LEGAL DESC : REG.LAND SURVEY NO.0446
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 7,717.00
NOTE: 1 BRYANT HEATING SYSTEM
APPLICANT MECHANICAL 96.46
STATE SURCHARGE MECH(VALUATION) 3.86
PRONTO HEATING&AC MAIL-IN FEE 2.00
7588 WASHINGTON AVE S
EDEN PRAIRIE,MN 55346- TOTAL 102.32
(952)835-7777 Payment(s)
CHECK 10099 10232
OWNER
HARTMAN,TODD&AMY
60 MYRTLEWOOD RD
WAYZATA,MN 55391-
AGREEMENT A1vD SWORN STATEMENT
The work for which this permit is issued shal►be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. Al!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 applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �
�
�. � � l
Applicant Permitee Signature Date Issued By Signature Date
FOR CITY USE ONLY
�O�rO City of Orono . :� �
�y P.O.Box 66 Date Received: Permit# ��_
2750 Kelley Parkway H.� _
' Crystal Bay,MN 55323 Approved By: Amount S:�
Phone(952)249-4600 Fax(952)249-4616
y`�9 �.�'� CITY OF ORONO—MECHANICAL PERMIT
kESH�� (All Commercial permits must be ved b the Buildin Official or
appro y g Inspector and/or Fire Marshall)
GENERAL INFORMATION _ ., ,
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. PERMTTS 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 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.
� . ._ . ..'I�PE t7F P -= _ . . ,
�hec�k�il,'Thaf'A,.,..� :��
,�Residential ❑Commercial(Approval Required)
❑New ❑Addirional ❑Repairs ❑Replace
Site Address:
Owner: Mailing Address: �� Uu�l'.L% ����
��Ty: �r��� Z�p: 65�� l
Home Phone: ���l 1� � Alternate Phone:
..
Contractor Information: � �
Contractor.�4N�`�� ���-- Contact Person: LC�C,� �n:F%
Address: �f'.�8 ' � State Bond#:
City: � Zip55�7�Expiration Date:
Phone: � � 3S7`�TT� Alternate Phone:
❑ Insurance—Current:
1
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.�� 9�' ��'°�� � `�
. Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity: �
Make: —1C)�`4`
Model:
Fuel: .'
Flue Size:
Input BTCTs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Elchaust(must have duct outside) cfin
❑ No. Other Fans: Locations ��
FUEL STORAGE (Must be approved by Fire Marshall if proposing 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:
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❑ 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 fixtwe 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 $ 5.00
Mail-In 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$50.00)
��,� �'��' x A 125$ "1�ll .�—
(contract pnce) (minimum 550.00)
2. STATE SURCHARGE ��\� �� Q r,�
� x.0005 $ v �v
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S l 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 installations are furnished by
the owner, tenant or any other party,the reasonable mazket 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.
�P�> •� + _ � �:
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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: �' Dat�� '
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