HomeMy WebLinkAbout2018-00173 (mechanical- heating & a/c) CITY OF ORONO 1* 2018 - 00173 *
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2750 KELLEY PARKWAY DATE ISSUED: 02/20/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3243 CASCO CIR
PIN : 20-117-23-43-0010
LEGAL DESC : SPRING PARK
: LOT 015 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)LENNOX HEATING SYSTEM
(1)LENNOX 2.5 TON A/C
APPLICANT MECHANICAL 112.50
GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 4.50
5182 WEST BROADWAY MAIL-IN FEE 2.00
CRYSTAL,MN 55429- TOTAL 119.00
(612)535-2000 Payment(s)
CREDIT CARD 7420 119.00
OWNER
MILEUSNK,GEORGE&MARILYN
2110 SUGARWOOD DR
ORONO,MN 55391-
AGREEMENT AND SWORN 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 does
not grant permission for additional or related work which requires separate
permits. 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
&/- 0 1/ &
Applicant Permitee Signature Date Issued By ignature Date
02/19/2018 14:27 7635354379 GOLDEN VALLEY HTG PAGE 01/04
.i'R r 1,1SE ONLY
or
City of66
P.O.Box 66 Dat,Recei . E ! Permit (/
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2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount 5:
..kkA 44 Phone(952)249-4600 Fax(952)249-4616
o• k S�roA CITY OF ORONO—MECHANICAL PERMIT
(Ail Commercial permits must be approved by the Building Official or Inspector 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 atter a review is completed PERMITS ARE NOT
VALID UNTIL YOU RECEIVEA PERMIT. WORK MUST NOT EEGIN UNl( ,THE
PST CARD IS POSTED ON'YH>E JOB SITE. •
3. Mechanical Designs—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 titust 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 OE PERMIT
(Check All That Apply)
Zkesidential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs A � ❑Replace
Job Site/Owner Information:
Site Address: 3 J J 1 Ci r
• Owner: Ol eQ(CoL_, PI i tgot (ifcre, Mailing Address;
City:• ''V Zip:
Home Phone: &i;2) ~ 3Wo V ternate Phone:
Contractor Information:
Contractor: G ‘. Contact Person:
5182 WEST BROADWAY
Address: so State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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Note: Geothermal Systems will now re uire a Site Van&Beview by our Building Official.
IS THIS GEOTHERMAL? KJ\''e$ No
BEATING SYSTEMS \
Quantity:
Make: L 4e V
Model: (Lu f{
Fuel;Flue Size: 4010
Input BTUs: /V�
Output BTUs: WI/ il6 o
CFM:
COOLING SYSTEMS
Quantity:
Make: LW1141_
Model: •1, �Q
Tons: 407, 5
H.Power
F REPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
YILATJON
❑ No_ Kitchen Exhaust duct recirculating cfm
0 No. Bath exhaust(must have duct outside) _cfrn
❑ No. Other Fans: Locations cfm
'SUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground
LP,Gas: gallons
gx ❑Inside ❑Outside
Other:
cos LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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02/19/2018 14:27 7635354379 GOLDEN VALLEY HTG PAGE 03/04
��.,.... yc�.,.=.-: �._.vrTa7��i? —..—C =_ r _ t�•'AYtLiy� : `
Yes,this section applies
The replacement of aidgnIia lure o r anpliatace that meets all three of the following requirements:
1_ ages not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;expl .g•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
State Surcharge $ 15.00
_1M
Mail-In,Fee(If Applicable) 5— 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
I. CONTRACT PRICE *is 1.25%of contract price with aum Fee ee of 530.00)
Cil ) x.0125$ JI 50
(tract price) (atietimum$55.00)
2- 5.1413xanac4mqg 000 U x.0005 $ 615d
( meet price)
3. POSTAGE&H;AN'DUNG(Only on Mail-In Applications) $
-3,99)
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 5 / I /
• 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.
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.
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Applicant's Signature; ,t4/LII
Date: 4
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