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HomeMy WebLinkAbout2012-01185 - mechanical CITY OF ORONO I II IIIII HI * 20 1 2 - 0 1 1 8S * 2750 KELLEY PARKWAY DATE ISSUED: 11/20/2012 I ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 545 OLD CRYSTAL BAY RD S PIN : 04-117-23-31-0003 LEGAL DESC : A DITOR'S SUBD.NO.230 : L T 022 BLOCK 000 PERMIT TYPE ECHANICAL(>$500) PROPERTY TYPE SIDENTIAL CONSTRUCTION TYPE ECHANICAL-MULTIPLE VALUATION : $ 1,500.00 NOTE: (1)MODINE HEATING SYSTEM IN DETACHED GARAGE MODEL#HD 45A-NATURAL GAS 3"FLUE 45,000 INPUT BTU'S 36,000 OUTPUT BTU'S 720 CFM APPLICANT MECHANICAL • 50.00 HARIVIAOLD DAVID&MONA STATE SURCHARGE MECH(VALUATION) 0.75 505 505 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- TOTAL 50.75 OWNER HARMANN,DAVID&MONA 505 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,appl'cable City approvals,and the State Building Code. This permit is for only the work described and does not grant permis$ion for additional or relat d work which requires separate permits. All prottisions of laws and ordin ces governing this type of work shall be compied;with whether or not speci ied herein.This permit will expire and become null and void if constru tion authorized is not commenced within 180 days of the date of'ssuance,or if construction is suspended for a period of 180 days at any t me after work has commenced. The applicant is responsible for assuring al required inspections are requested in conformance with the State Byiilding Code.This permit may be revoked at any time for due cause. sem_ it' /// l c2, ` J./ ' P L / A / /o101 ?-- Applicant'ermitee Signature Date Is.-d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. diK F CI USE ONLY • /40, City of Orono ` 112 �n P.O.Box 66 Date Receive I !/Permit#(20/ 11° �' 2750 Kelley Parkway j1'�'�:•, i Crystal Bay,MN 55323 Approved By: Amount$: ‘.____4,4,11,4s i Phone(952)2494600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All 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 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. Mechanigal 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 must be inspected(rough-in and fmal). 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 0 Commercial(Approval Required) DE Tq c//EOJ l. .9 2AGE' ❑■ New 0 Additional 0 Repairs 0 Replace Job Site/Owner Information: Site Address: 1505 Old Crystal Bay Rd South Owner:David Harmann Mailing Address: Long Lake City: Orono Zip: 55356 Home Phone: (952) 404-0720 Alternate Phone: (763) 360-6664 Contractor Information: Contractor: Owner David Harmann Contact Person: Address: Above State Bond#: City: Zip: Expiration Date: Phone: (763) 360-6664 Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? 0 Yes 0 No HEATING SYSTEMS Quantity: One Make: Modine Model: i HD 45A Fuel: Natural 3" Flue Size: G Input BTUs: 45,000 Output BTUs: 36,000 CFM: 720 COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES O Gas Factory Fireplace Brand Name: O Wood Burning Fireplace O Wood Stove Model No.: ❑ ! Wood Stove with Flue/Masonry VENTILATION O No. Kitchen Exhaust duct recirculating cfm ❑ � No. Bath Exhaust(must have duct outside) cfm O I No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) o Installation 0 Removal Fuel Oil: gallons ❑ Underground 0 Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY O Outdoor Grill 0 Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies 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 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 $ PR*SIT 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$50.00) 1 ,500.00 x .0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 1 500.00 , 0.75 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $50.75 • * 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 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 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. II /' P// 4rti ._ : 11/20/12 Applicant s Signature. �""`ZDate. Reset Form 3