HomeMy WebLinkAbout2010-00440 - cooling system �
CITY OF ORONO PERMIT NO.: 2010-00440
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 06/08/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3286 NAVARRE LA
PIN : 17-117-23-44-0109
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 1,500.00
NOTE: 1 RUUD 2 TON AC
APPLICANT MECHANICAL 50.00
SHARP HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 0.75
7221 UNIVERSITY AVE NE - . .
FRIDLEY,MN 55432 MAIL-IN FEE 2.00
(763)572-0459 . - ---. .-.. --__. ..._. ... .. MISC FEE 0.00
TOTAL 52.75
OWNER
DAHL,GRACE MARIE
3286 NAVARRE LA
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
1'he 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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit wiil
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if conswction 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.
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Applicant Permitee Signature Date Issued By S' ature D
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
FOR CITY USE ONLY
;,;¢0�� City of Orono
t,, P.O.Box 66 Date Received: Permit#
�._ �`','', 2750 Kelley Parkway
`� �i"''• !�j! Crystal Bay,MN 55323 Approved By: Amount$:
�t '������:G�- (952)249-4600
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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. 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 Desi�a►s—Compiete 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.
(2448 6our notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
Q Residential [�Commercial(Approval Required)
❑New ❑Additional ❑Repairs 0 Replace
Job Site/Owner Information:
Site Address: 3286 Navarre Lane
Owner: Grace Dahl Mailing Address: 3286 Navarre Lane
City: Wayzata Zl 55391
P�
Home Phone: �612�998-9989 Alternate Phone:
Contractor Information:
Contractor: Sharp Heating &A.C. Contact Person: Floyd Joswick
Address: 7221 University Ave. N.E. State Bond#: 3904119
City: Fridley Zip: 55432 Expiration Date: 07l20/10
Phone: (�63)572-0459 Alternate Phone:
❑ Insurance—Current: 12�29��0
1
�,+tEC;��C `3Y�'1'Fi���S H�Il�#��'����� � _ ;, . '
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes 0 No
HEATING SYSTEMS
QuantitY:
Make:
Model:
FueL•
Flue Size:
Input BT[Js:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiri: �
Make: RUUD
Model: UAPM024
Tons: �
H.Power
FIREPI.�CES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Eachaust(must have duct outside) cfm
� No. Other Fans: Locations cfm
FUEL STORAGE (Must be appmved by�re Marshall ijproposing to aba�don tank in p1acG)
a Installation � Removal
Fuel Oil: gallons ❑ Underground �Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill [� Other/List What&Where:
2
,
.
PER.�iT FEE�ALCU'L�.�C}�T��} '
HASED flFF-2t�:STA'T���i'�3�
❑ Yes,this section applies
T'he replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Dces not require modification to eleetrical or gas service.
2. Has a total cost of$500.00 or less;excludin¢the cost of the fixtare 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 Swcharge $ .50
Mail-In Fee(If Applicable) � 2.00
Total Permit Fee $
, ' PERMIT F�E CAI�UL,A'I'ttyN S --,�t3B��l►YE`I�:�QQ:Ua
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
1,500.00 x.0125$ �•00
(contract price) (minimum 550.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of 5.50)
1,500.00 x.0005 $ 0.75
(contract price) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 52.75
■ * 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 reasonabie 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 reyuest the submissian of a signed copy of the actual contract.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
R►IF�HANICAi.P�RMt'i'APPi.IC.�A,TTfl►N AGRFEh�N"�'
The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agees 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: O6/04/10
Reaet Fam
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