HomeMy WebLinkAbout2010-00994 - mechanical CITY OF ORONO PERMIT NO.: 2010-00992
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/13/2010
{ (952) 249-4600 FAX: (952)249-4616
ADDRESS : 25 ORONO ORCHARD RD N
PIN : 35-118-23-33-0004
LEGAL DESC : UNPLATTED 35 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 7,900.00
NOTE: I TRIANGLE TUBE
NAT GAS
HEATING SYSTEM
APPLICANT MECHANICAL 98.75
HARTY MECHANICAL STATE SURCHARGE MECH(VALUATION) 5.00
1600 1ST AVE.NE
AUSTIN,MN 55912- MAIL-IN FEE 2.00
(507)437-8201 MISC FEE 0.00
TOTAL 105.75
OWNE
BENEDICT,MICHAEL&DEB RAH
25 ORONO ORCHARD RD N
LONG LAKE,MN 55356
AGREEMENT AND SW RN STATEMENT
The work for which this permit is issued hall be performed according to
the approved plans and specifications,ap licable City approvals,and the
State Building Code. This permit is for my the work described and does
not grant permission for additional or rel ted 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 cons ction authorized is not
commenced within 180 days of the date f issuance,or if construction is
suspended for a period of 180 days at an time after work has commenced.
The applicant is responsible for assuring 11 required inspections are
requested in conformance with the State uilding Code.This permit may be
revoked at any time for duecause. q
..I, � UV‘-' l l l/7k444t. l l
Applicant Permitee Signature Date Issued By nature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABBO.
•
FOR CITY USE ONLY
/ 0 City of Orono
to" ' o P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
14, E' Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be revi-wed and a permit will be issued within two working days.
2. Permk cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL a UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PE' IT CARD IS POSTED ON THE JOB SITE.
3. Mech.! ical Desi i s—Complete calculations,details and specifications are required for each
heatin::,ventilation,humidification-dehumidification,and air conditioning installation including
heat 1.ss/heat gain calculation,design temperatures,equipment ratings and identification as to
type, . ufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtain-d.
5. All w$rk 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 Apply)
®Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: ZS NeeTt4 oizo,0o 012cA-1>•07 o*tr�
Owner: ( 13 6 Mailing Address: SAl^^E tts A rad✓�
City: 02v v U Zip: G
Home Phone: Alternate Phone:
Contractor Information:
Contractor: &A217 r1I EC NA v7At_ Contact Person: PAT e4r ‘A-f1/4
Address: l(oc)o QST AvE &)2 State Bond#: 303G- 0-1(1
City: AAt,ST-t.'1/4-) Zip:SS`l 12 Expiration Date: 7/17 1
Phone: Sol L 1 b71 O t Alternate Phone:
❑ Insurance-Current:
1
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GE THERMAL? ❑Yes ®No
HEATING SY TEMS
Quantity:
Make: 0'4^/GL E u bL:::'
Model: SOL. I/o
Fuel: A) Co
Flue Size: 3 w Pv_
Input BTUs: I IU,oov.
Output BTUs: 109,Sao
CFM: N A
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
LGas Factory Fireplace Brand Name:
Wood Burning Fireplace
Wood Stove Model No.:
L Wood Stove With Flue
VENTILA-TION
No. Kitchen Exhaust duct recirculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STO E (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
0 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 $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
7,ti00 x.0125$ d �8.75
(contract price) (minimum$50.00)
2. 54___________TTE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00)
90 0 x.0005 $ 3.Cf S-
--), S,uJ
(contract price) (minimum$5.00)
3. PO` AGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TO AL PERMIT FEE(Add Lines 1-3 Above) $ I pS, S
■ * CONT' CT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted .rk including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the custo er for the work done. If any material, equipment,labor or installations are furnished by
the owner, ,- ant 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 STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00.
•
The undersign d 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.
‘S —' ' JINW .. --°..
Date: )o//03 .
Applicant's Signature: _r a
,N3 3