HomeMy WebLinkAbout2010-00583 - mechanical . �
� CITY OF ORONO PERMIT NO.: 2oiaooss3
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/14/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3410 NORTH SHORE DR
PIN : 08-117-23-43-0017
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 4,000.00
NOTE:
HEATING SYSTEM-(1)CARRIER,58MVC080-14,NATURAL GAS,80,000 INPUT BTU'S
COOLING SYSTEM-(1)CARRIER-24APA7-36,3 TONS
APPLICANT MECHANICAL 50.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 5.00
4342 B SHADY OAK RD
HOPKINS,MN 55343 MAIL-IN FEE 2.00
(952)933-1868 TOTAL 57.00
PAID WITH CC# 7222
OWNER
REGAN,MR.&MRS.DANIEL
3410 NORTH SHORE DR
WAYZATA,MN 55391
AGREEMENT AND SWORI�i 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 dces
not grant permission for additional or related work which requires separate
pecmits. 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 aze
reques[ed in conformance with the State Building Code.This permit may be
revoked at any time for due caus
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App icant Permitee Signa re Date Is y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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P.O.Box 66 .,.
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CITY OF�ORONO—1V�C�CAL PERMIT
(AD Comrrneeciul pee�r�its tta+st be opproved by thm[iuilding Otlicis�t or Inspeetar und/ar Firc M�rshall)
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1. You may apply foz�chanical p�rmits by mail or in pc�srnoi at the City offices. Applications w11
be reviewed and a permit will be issued within two worl�ing cl�.ys.
2. Permit cards will be�se�nt by retuta mail aRer a review is compktrd. PERMTI'S ARE NOT
VALID i1NT11,YOU RSCBIVE A PERMIT. 'Vi►ORK 1V1UST NOT BEG1N UNTIL THF.
�RN1YT CARD iS POST1t;D nN T�JOB+S�'i'E.
3_ Meebanical Des��s—Co�oo�lete calculadons,detzuils and specifications are required for each
hcating,v�tiletion,humidification-d�humidificstioa,and air conditioning iasuilla�ion inciudinb
hcat loss/bieat gain calculation,desig�o�te�rrxpe�fiu�es,ec�uipment rarlags and idcnri�ication as to
. type,manufaci�uer and mo�del. Aata sbali be�resented on form,provided.
4. Whcn any new coastructian or Temodeling is involved,a sepacate buildiag pCrmit must be
obtained.
S. All work must be done in acccudancc wilh thc Ueifot�o Mechanlcal Code/State Duildiag Code
' TeQU1Se1Q11CriSS. i
6. All work must be fnspected(rough-in aad final). Cali(952)z49�600. •
(Z4-48 hour notice required)
7. House Heating Test Record must be submitted before final.
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�RCSidCnt181 ❑C01mA4CiCi81(ApproV�l ReQuiiCd)
❑New ❑Add�itional !' �Repairs ��iepla,ce
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Sitc Address: 3�110 . I'� a- S�--o� �
Ow�e�- C�f� � Mai�xngA.cidress: ��1
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city: �ono ziP: �53� !
Home Phone: aS�'�1, 13�� Alternate Pho�e;
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_ Contact Person: -���
Kline Corp. 1ZC IRSSg'S��
DBA: Practjcat Systems � _ State,Bond#:
43428 Shady Oak Road
Hopkins, MN 55343 Expiration Date: � I � /D
..952-933-1868 ._ _ .- .
Phone: . A1tErn.at�Phone: �
. � Tnsurance-Cuirent:
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Note: All C3eotheraial Syste�mms will now require a ''te Pl & vicw by our Building OfFicial.
��TH1S GEOT�IERMAL? ❑ Yes�No
HEATING SXSTEMS
QuaautY:
. , ,
Make: �G.�t1.Q.f , -- —
Model: �2�.�I►����L� „ •
Fuel: . 1,�,5
Flue Si2e:
I�ut BNs: � d�
Output 81'Us: '
C�M: � ,
COOLII�tG SYSTEMS
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Quanary:
�: C��r►� ,
Moae�: �lRPA7�3fo �
To�ns:
H.�ower
r�ru�rvr.er-�rc � '
❑ Gxs Fuctory Fircplacx Bt�td Name:
❑ Wood Burning Firtplace! '
❑ Wood Stovc Model No.:
❑ Wood Stove Wit}a k'�ue '
VENTILATION ; ,' � ;;
❑ No. Kitchen Lxliaust � duct recirculating cfm
❑ No. ;�' 8ath L�xhaust(must�avc duct oWtside) Cfm
❑ No. ~ Other�ans: Locations cfra
F[JEL STORAGE' (11�kst be a,p,�roved by FfTe 11�arsl�pll ff proposi��g to ahandon taKk in,plrres,)
❑ Inetallation ❑ Rcrr�oval `
Fucl oil: gallons . ❑ vndergrouad ❑]nsidc ❑Outsid�e
�LP Gas: � gallons
Othcr: �
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GAS L1NE QNi..X _ .
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❑ �utdaor Orill ❑ Ot�erl List What&WhCrc:
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❑ Yes,thi.s section app�ics I ,
'I�e=c�placernrnt of s�i rial fixture ar arroliance that mects all three of the fallowin,g requirements:
2. �ocs net rcqui='e moditicatiou to electrical Or g�a s�rvicc. .
2. Iias a tata c of$500.00 oX less;excl " the cost of tl�fixbute or appliance:snd
3. Is improved,iastAllEd or replaccd by the hoxn�;ownar�or Lic�nsad co�accor.
Skip next section,if this applias; iCost of P�mit S )5.00
State 3uscLarge $ .50
, Ma�i�-I�n�ee(If Applicablc} $ 2.00
Total Pennit Fee S
lf abovc doca not apply;follow guidelines be�ow: �
�
, 1. CON'TRACT PRICE '"is 1.2�%uf centracr pr�ce'with a(Miaimum Fee of SS0.00)
. t�Q Q�e'j > �D x_0125$ `ra�� V
(conov;ct price) (minimum S50.00)
2. STATE SVRCBARGE �'"'Add the State B1dg Code Div.Sureharge(Mintmum�of S.So)
x.0005 .$ �1� �
'�� � (contractprica) ' (mininlumS .50) .
3. POSTA(3fi&HANDLING(Only on Mai1-In Applications) � 2.00
4. TO�'A�L PERMT�'k'EE(Add Lincs 1-3 Above) S `s /� �
� * CON'T1tACT PRiCE or�OB COS'C rncxns thc actuai ar estin+xbcd dni]ar ernoun� cbargcd for �hC
�e�mithed work iucludimg tnatecials,labar;profit,arid nthcr fixed costs. It is the amount to be charged
to the customer for tl�e work done. If any materia�,.equapno�ent,labor or instaalatious are fiu�aisbed by
the owaer, teaaat or any other partyy'the reasonable msrket value of such items must be added to the
est�mated cost or co�ra�ct pric� for�permit fee purposes. `Ia,the event tha[ there is a dispute on the
ameuat of the job eosy the Ciry may request the siubm{ssion of a si�ned copy of the acmal contrack
■ '"'"The STAT'E SU1tCHARG�is.0005 of the Building Department at(952)249-4600 for the price.
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Thc undersigned hereby.ipplies tn the City fcn issu�nce of a Mechanical Permit, agrees to do a11
wo�rk i�n strict accor8ancc wi,th the ordinanc�s of t]�e City and th� regulaiions af the State of
Minnesota, and certifles that all statements made oc� this application are complete, true �nd
corrcct ' .
Applicant's 5igiature: ' � ' � 1
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Hopl6ns,MN 55343
. . � .. . . . . , (P)952.933.18G9
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. .� �,�"'• � � � . . � � �F)952.933.1869
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...A Comfor�table Choice!
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FACSTMILE TRANSMITTAL SHEET
TO: FROM:
__Ci�y of Orono Joann
COMPANY: ' CQMPANY: ° '
' � PRACTICAL SYSTEMS
FAX NUMBER: TOTAL;NO. OF PAGES INCLUDING COVER
�95Z-249-4616 � '
PMON� NUM6ER: � SENpER'S PAX NUMBER:
952-249-4600 952'-933-1869
�: � SEN�CRS PHONE NUMBER:
Permits ' � ' `952-933-1868 x �05
0 URGENT D FQR REVIEW ❑ PL.EASE COMMENI" p P�EASE REPLY O PLEASE RECYCLE
NO ES/ OMM� S:
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Please process the following appl�catio;n(s) and put on Visa:
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4327-3369-0004-722Z � � '
EXP: 07/11 '
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VIN; 479 '
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Thank You! ' ' � '
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