HomeMy WebLinkAbout2008-00323 - mechanical CITY OF ORONO PERMIT NO.: 2oos-oo323
. �� 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/22/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 425 OXFORD RD
PIN : OS-117-23-41-0023
LEGAL DESC : STIELOWS 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 14,300.00
NOTE:
1 LENNOX FURNACE GAS
1 LENNOX AC 5 TON
APPLICANT MECHANICAL 178.75
MARSH HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 7.15
6248 LAKELAND AVE N TOTAL 185.90
MINNEAPOLIS,MN 55428-
(763)536-0667
OWNER
SCHWARTZMAN,JON&JANE
425 OXFORD RD
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved p►ans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
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.
1'he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked t ' e for u ause.
JJ � �� � �� l l
A plicant P itee Signature Date Issued B gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE.
�
I � ���� �'���At�.�� � �
` � Cl�Of 01'O�O � ��R�- ,���.` rra'�+ �. ..� �: ��'a , � �.� .
, �'g' '�'� P.O.Box 66 a�a ''� � � ' �'�������7nt�'/��,,�'�����° ��`-�
2750 Kelle Parkwa �'` 3�� �� � °�"`�� �, �;
Y Y � � �y� �� � �a� �� ' h
y, Crystal Bay,MN 55323 � 3���' ''�'�� ���inf.$' � -� ��
�?���� (952)249-4600 �� �;�� ���,y,'��, �r, � `� � � , �„`,
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
�
'�"'''�'t f"'��`5�'��'���� �r ' ' I< .,�. ' �' �� ..� �
1. You may apply for mechanical pernvts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cazds 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
PERNIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi¢ns—Complete calculations,details and specifications are required for each
heating,ventilarion,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calculation,design temperatures,equipment ratings and idenrificarion as to
type,manufacturer and model. Data shall be presented on forxn 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.
� �,` � � ��,r a '�, �r.�'��,� � ;y 4 � �x�+�' � ��r��� ����� ���"� �_
�� .�, ���. ? � � k T�o � �2�;� � �Z��� «�4^`� �. �.�^,��� ;� ���u-�y � �
` �z�r. . ' _ ,�,-s � ,� a �:.� �, �g � :� �.
' ��, '�"� r � �x a�. W4�. ,., _....., >�.. .f� �';�.���fi �,.�°,�";< � ,�.g� � �,��"1 �P a `�.
v.� �s. �>'?��' '`�.,., �1S'�.4 w.�'�a
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
��"���'��3����Tt318`'�1�I1 � � � � �, ��:`,
, �. � . � . a�,._.. ��.� I.�, �+�,� ���„;� s��
Site Address: �Z'� �x �2 p �d r^ �
Owner: �I�"K�� Q� ��' Mailing Address:
City: Zip:
(o l2-g 6�'7 b8o
Home Phone: Alternate Phone:
�
��r���x��at� � s
;
. . . � ,_ ��� ��� n� � ..� �.�
�,,�ov�He�'1r�► /
Contractor: M�4/�SN y/�!�'n��� Contact Person: ���6�y MA'��
Address: �vZyS LgI�CA^��A''� ^�' State Bond#:
City: Q�°pK "� �� Zip: �yL� Expiration Date:
Phone: �G 3=s36 r��o6� Alternate Phone:
❑ Insurance—Current:
1
�
1
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: 1
Make: �p�!/✓o�
Model: ��(� MPP6���3s
Fuel: N1��
Flue Size: 3�� PV t-
�put B�r�rs: �3 s,o��
ou�uc B�rLrs: I Lb�, Zs�
CFM:
COOLING SYSTEMS
Quannry' —
Make: �P r��X
Model: )(L1`� – ��oU
Tons: S
H.Power '
FIREPLACES D�-� U��� I"��L ��°�'^� ��O �YYGI�
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
G] No. Kitchen Exhaust duct recircularing cfin
�� No. Bath Exhaust(must have duct outside) cfrn
❑ No. Other Fans: Locations ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
�
,� t.�
❑ Yes,this section applies
The replacement of a Residential fixture or apnliance 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;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed coniractor.
Skip next section,if this applies; Cost of Pemut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
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$35.00)
i `�, 3�.� X.oi2s$ 178.�6
(contract price) - (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
1�1�� x.0005 $ �'�S
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I(7S,90
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 pernut 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 of the Building Department at(952)249-4600 for the price.
T'he 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: Date: �' ��
3