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Home My WebLink About2015-00049 - mechanical CITY OF ORONO * 20 1 5 - 0 0 0 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 01/20/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 825 OLD CRYSTAL BAY RD S PIN : 09-117-23-21-0001 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,930.00 NOTE: (1)LENNOX FURANCE AND(1)LENNOX A/C APPLICANT MECHANICAL 61.63 STATE SURCHARGE MECH(VALUATION) 2.47 SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 6219 CAMBRIDGE ST ST.LOUIS PARK,MN 55416- TOTAL 66.10 (952)926-4488 Payment(s) CREDIT CARD 0353 66.10 OWNER DAYTON,JUDSON&ELIZABETH 121 S 8TH STREET#860 MINNEAPOLIS,MN 55402- 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. 6.71,L(Ab. 0" I ab /5 Applicant Permitee Signature Date Issued Signature Date Jan 15 2015 5: 25PM HP LASERJET FAX t p. 1 ° p ONLY O City of Orono Date Il0 `7Perm¢#p�d/.J�'00 519 -r P 0.Box 66 i ` 2750 Kelley Parkway Amaeft S: •/D ^ , ' Phone(9952)249- 456003 Fax(952)249-4616 Approved CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or FiTC Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications wilt 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. WOItH MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE 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 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 f (Check All That Apply) Vesidential ❑Commercial(Approval Required) ❑New 0 Additional 0 Repairs eplace I-JobSite tOwner : I dress: 09S 0v) C A 6ee� o c_ Site Ad owner: 0-v 0 c-DA-YT Mailing Address: City: Zip: Home Phone: CO ca-$G7-We 9 Alternate Phone: I Contractor Information: I C- SMA6 Contractor: 53.4 ,441-- 4,Jscslc, Contact Person: t-sicc 6A �LA* 4' 45rr' State Bond #: f'L6 OO fl Address: s f l City: 76 5 I DJI�Zip: r4 Expiration Date: 9/1( //( Phone: C/J9212.1"ile Alternate Phone: /Q-a2/r✓Ps9 ❑ Insurance-Current: 1Y ' 1 Jan 15 2015 5: 25PM HP LASERJET FAX p. 2 1 9 l • .1:. • u • - Note:All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes f No HEATING SYSTEMS �J Quantity: Make: YONo . Model: e- L2_q.(" Fuel: Flue Size: Z:,elf L Input BTUs: r7Or Output BTUs: 61?2'Oo CFM: I 24s)� COOLING SYSTEMS Quantity: l Make: Lc-alvw0,4 Model: Tons: / H.Power C-vle.3. FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue I Masonry 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 0 Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 Jan 15 2015 5: 25PM HP LASERJET FAX p. 3 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 totalcost 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• $ r ..a:sa."rm,,..k,.. .,.�a,_.c.,.....__.. _....w...,._.__.._,..,.._...,....i....'�`,...,.. : , If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �r_x.0125$ (O 1` `� (contract price) (minimum$50.00) 2. STATE SURCHARGE LitQ x.0005 $ IP, Y? (contract price) 3. POSTAGE&HANDLING(Only on Mail-1n Applications) $ 2-00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ “8-`(0 • * 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 s -• s m..- in this application are complete, true and correct. //?/ Applicant's Signature: r Date. 3