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Home My WebLink About2013-01319 - mechanical � - CITY OF ORONO * 2 0 1 3 - 0 1 3 1 9 * � 2750 KELLEY PARKWAY DATE ISSUED: 12/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3048 NORTH SHORE DR PIN : 09-117-23-32-0004 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 28,271.00 NOTE: 1 BRYANT NAT GAS FURNACE 1 BRYAN"I�5 TON AC I KITCHEN EXHAUST 7 BA"I�H F,XHnUST GAS LINGS TO DRYF,R, RANG[;,AND PIREPLACE APPLICANT MECHANICAL 353.39 STATE SURCHARGE MECH (VALUATION) 14.14 HORIZON CONTRACTORS, INC. TOTAL 367.53 8197 HORIZON DR SHAKOPEE, MN 55379 Payment(s) (612) 508-9226 CHECK 6532 367.53 OWNER KALLAS, KATHRYN D 11653 CEDAR PASS HOPKINS, MN 55343- AGREEMENT AIYD SWORN STATEMEIYT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 rype of work shall be compied with whether or not specitied hercin.This permit will expire and become n�ll and void if construc[ion authorized is not commenced within 188 days of the date oY issuance,or if construction is suspended f'or a pet od f 1 AO days at any time after work has commenced. The applicant is r,sp nsible for assuring all required inspections are requested in con;t'ot ance�the State Building Code.This permit may be revoked at apy,fim for ue cause. / f, % ! � � � Ap ica 'tee Signature ate Issued By ' ture , ,4 . ^ FOR CITY USE ONLY �O�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN�5323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 a y y � F ` �qksSHo��'G CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 DNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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 modei. 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 wark 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. TYPE OF PERMIT (Check All That Apply) `��-Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ,�G'%� �itt�'(�t��c�,r�� f,� . Owner: K4(�c�� Mailing Address: ��"��M�- City: Zip: Home Phone: `15.�- �`�"�"55`�U Alternate Phone: `��5 ``1��5� Contractor Information: � � Contractor: ��!��r'1�y,��<<c�c.,(��wr� Contact Person: �1,�5� Address: �Sl�ln f�c:�„t;,:� ��- State Bond #: City: S � Zip: 53'i5 Expiration Date: ! Phone: G/,��5�"5-`j.l-1E; Alternate Phone: �/.�-�1��-`��.��. ❑ Insurance—Current: I � � -! � � 1 MECHANICAL SYSTEMS BEING INSTALLED ' � � Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: j � 1 �� Make: _ ("� f��l � f Model: `?��Tr��61,�:� �' I�c�L�' Fuel: ��/-� Flue Size: ,3'��:e,�.�� Input BTUs: �,�c:J�(;Y'�D Output BTUs: Jl'�,�c,�� 5 u�o CFM: ��j C?U ,�/ � C7 COOLING SYSTEMS Quantity: � Make: (i Model: /�'1��'�L o Tons: j H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION .� No. � Kitchen Exhaust�X duct recirculatina C�� cfrn � No. �_ Bath E�aust(must have duct outside) �cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: CAS LINE ONLY f� Outdoor Grill � Other/List What&Where: �� °��.�,�r��'F-�ti�A��4., 2 . . � . PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appiiance 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; excludin�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 $ 5.00 Mail-In Fee (If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500:00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��'�� , c!✓J x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE ��`� �,�;�� x .0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines l-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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to th� City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with� r,�nances of the City and the regulations of the State of Minnesota, and certifies that a ments mad �-on this application are complete, true and correct. f�;'� Applicant's Signature: Date: � � 3