HomeMy WebLinkAbout2010-01163 - heating systems CITY OF ORONO PERMIT NO.: 2010.01163
' 2750 KELLEY PARKWAY
" ORONO, MN 55356- DATE IssUEn: 1 U30/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2690 PHEASANT RD
PIIv : 21-117-23-23-0019
LEGAL DESC : PHEASANT LAWN
: LOT 019 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,560.00
NOTE: 1 MITSUBISHI MSFEI2NA ELECTRIC HEATING SYSTEM
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APPLICANT MECHANICAL 50.00
ANGELL AIRE INC. STATE SURCHARGE MECH(VALUATION) 5.00
12253 NICOLLET AVE
BURNSVILLE,MN 55337 MAIL-IN FEE 2.00
(952)746-5200 MISC FEE 0.00
TOTAL 57.00
OWNER
GETLIN, LARRY&DEBBIE
2690 PHEASANT RD
EXCELSIOR,MN 55331
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
permiu. 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.
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 c`ause.
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Applicant Permitee Signature Date Issued By � ature te
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A E.
FOR CITY USE ONLY
,¢0� CityofOrono
O O P.O.Box 66 Date Received: Permit#
�,} 2750 Kelley Parkway
� ���.� n���� ��,' Crystal Bay,MN 55323 Approved By: Amount$:
��t� '"��;',�.Y��o`� Phone(952)249-4600 Fax(952)249-4616
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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 PERM[T. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 consiruciion or remoaeling is iriv�iveu,a separatz buiiding perr,iit must be
obtained.
5. All work must be done in accardance 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 A 1
� Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs � Replace
Job Site /Owner Information:
s�te aaaress: 2690 Pheasant Road
Larr Gatlin 2690 Pheasant Road
Owner: y Mailing Address:
city: Excelsior G;p: 55331
Home Phone: �952� 944-9499 Alternate Phone:
Contractor Information:
Contractor: Allgell All"e, IC1C. Contact Person: Kay
Address: 12253 Nicollet Ave. S. State Bond#: 3386-M B
City: BUI"CISVIII@ Zlp:55337 Expiration Date: g z Z' �at/
Phone: (952� 746-5200 Alternate Phone:
❑ Insurance—Current: ACU It�/
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Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �❑No
HEATING SYSTEMS
Quantity: �
Make: MItSUblShl
Mode1: MSFE12NA
Fuel: r�f�i
Flue Size:
Input BTUs: /� G<il.J
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas Factory Fireplace Brand Name:
Wood Burning Fireplace
Wood Stove Model No.:
Wood Stove With Flue
VENTILATION
No. Kitchen Exhaust duct recirculating cfin
No. Bath E�chaust(must have duct outside) cfin
No. Other Fans: Locations cfin
FUEL STORAGE (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:
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� 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 elecMcal 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 contractor.
Skip next section,if this applies; Cost of Permit $ I5.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
3560.00 X.o12s$ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00)
3,560.00 X.000s $5.00
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $57.0�
■ * 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 STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00.
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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.
Applicant's Signature: �- Date: � �/24/2O�O
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