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Home My WebLink About2009-00739 - mechanical � CITY OF ORONO PERMIT NO.: 2009-00739 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/20/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4205 NORTH SHORE DR PIN : 07-117-23-43-0004 LEGAL DESC : ORCHARD BEACH : LOT 002 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 1,775.00 NOTE: 1 CAIVIER ELECTRIC HEATING SYSTEM APPLICANT �CHANICAL 50.00 GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE MECH(VALUATION) 0.89 2200 HIGHWAY 13 BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 (952)767-1000 MISC FEE 0.00 TOTAL 52.89 OWNER PETERSON,MARY JO 4205 NORTH SHORE DR MOiJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this percnit 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 separate permits. All 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.1'his permit may be revoked at any time fo�due cause. �l�iZ�(,(.t�' L�1. l l i i Applicant Permitee Signature Date Issued By S' ature te SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABO . � . � J � :�� t �� .' � FOR CITY USE ONLY ,��: City of Orono � �,` P'O.Box 66 Dxte Rcceived: Pcrmit# 2750 Kcllcy Parkway �.� � �'�� Crystal Bay,MN 55323 Approvcd By: Amount$: �� ',��.o`�� (952)249-4600 ��'ksexops�" CITY OF ORONO—MECHANICAL PERMIT (All Commcrcial pcnnits must bc appro��ed by thc Building Of�icial or Inspcctor and/or Firc Marshall) GENERAL INFORMATION l. 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 warking days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU R�CEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculaYions,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat]oss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on fonn 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. TYPE OF PERMIT Check All That A 1 [�Residential � Commercial(Approval Required) ❑New �Additional ❑ Repairs ❑ Replace Job Site/Owner Information: C' - r � SiteAddress: �` �� '�� } 't!�� >�� Owner: Mailing Address: �J�� Q� �� r. City: l;�;11�; Zip: S�>�c�'� �iorrie Phoiie: Alie�nate Pho��e: Contractor Information: �� , � „ Contractor: L"1�' '� ��`-��1 Contact Person: �.��1 �'�'��1'--�'t-��'� Address: ' ' � �',�'1 ��' ��,\`' State Bond#: � ��i a��Sp c�'� � City: 4�,1.t'�� Zip:�� Expiration Date: �� Phone: ��' I lk�"l�� Alternate Phone: r; � [� Insurance—Current: 1��'��Y �^��J`�"� ��-��,�-'.��=I 1 t n� � 1 r s�c�,'a ��'�Y�!�,�:��;�ft,��'!��1 �,�,' i�K L�,� ��'��#�r'�`�� ,1.�.�i'Y'�:r'�-� 3 i� 1 i,�-r-t i�l�.��- MECHANICAL SYSTEMS BE1NG 1NSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �]No HEATING SYSTEMS Quantity: � Make: 1,��1�� Model: ��`�'�V Fuel: r n •� Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. _ Kitchen Exhaust_ duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation � Removal Fuel Oil: gallons ❑ Underground �Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: 2 • s .� PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applics 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;excluding the cost of the fixture ar 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 $ 50 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 PR[CE *is l.25%of contract price with a(Minimum Fee of$50.00) , �� r��. �: X.o►�s� �a�a_ ��, �,�s�-�� (contract pricc) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee o($.50) �I,�� x.0005 $ �� 6� (contract pricc) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `J Z,�� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including matcrials, 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. ■ **The STATG SURCHARGE is.0005 of the Building Department at(952)249-4600 for the oricc. MECHANICAL PERMIT APPLICATION AGREEMENT 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: ��j��'� Date: �� C��1 Reset Form 3