HomeMy WebLinkAbout2006-P09740 - mechanical PERMIT
CITY OF ORONO
275C�Kelley Parkway- PO Box 66 Permit Number: P09740
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4/11/2006
SITE ADDRESS: 1825 Shadywood Rd Unit#
Wayzata,MN 55391
P��� 17-117-23-24-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernrits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 70.00 Valuation: $ 5,600.00
State Surcharge Fee: $ 2.80
Misc.Fee: $ 1.50
TOTAL FEE: $ 74.30
APPLICANT: Sunburst Heating&Air Conditioning Inc. OWNER: Ronald&Sabrina Ruud
1556 Oakways Road 1825 Shadywood Rd
Wayzata,MN 55391 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISS[ON TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORD[NANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
{ „"`0--�� City of Orono
�¢ ��'� P.O.Box 66 Date Received: Pennit#
''�' �'i'I 2750 Kelley Parkway
i�a ny'�' . �i! Crystal Bay,MN 5�323 Approved Qy: Amount$:
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CITY OF ORONO—PLUMBING PERMIT
(All Cotnmercial pennits must be approved by the Building Official or[nspector)
GENERAL INFORMATION
1. You may apply for�lumbing 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 retui7�mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT[L THE
PERIVIIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
0 Residential ❑Commercial (Approval Required)
[�New ❑Additionai ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior annroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: ��Z� �Gdvl�flo � '��' • w0.VZCl� r V�'��l - �53�( �
Owner:�o� Q SGt,��'i►1c�, �L�I�� Mailing Address: ,5�,z,,Yt�e_ �ts �bo�e
City: �1(��f7C�,� Zip: SS3`� (
Ceu.
Home Phone: �tSZ f��('1���9� Alternate Phone: �o(Z' �-(�� J �(9�� �(�a�^)
I Contractor Information:
Contractor:� 1 le ��`�c�C'C. �ViM-l�i�yContact Pecson: A u�� ��'�rr<<�
Addcess: �`�v � ��`�' ���� ��� State Bond #: �-
City: .�'E-� ��'�i-c><< Zip�S Sl�( Expiration Date: `
Phone: ��� �7� US�� Alternate Phone:
❑ Insurance—C�u�rent:
1
� 1
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2� OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom � I Laundry Tray f
I
Shower I 1 1 Washer
Kitchen Sink / � Water�-Ieater
Disposal ` Water Softener
(
Dishwasher � � Wet Bar
Sillcocks � Miscellaneous
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 rec�uire modification to electrical or gas service.
2. Has a total cost of$500.00 or less; exciudin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeoHmer or licensed contractor.
Skip ne�t section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) � 1.50
Total Permit Fee �
(Permit Fees Continued On Neat Page)
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� PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
If above does not apply;follow guidelines below:
PRI * i 1.25%of contract rice with a Minimum Fee of$35.00
1. CONTRACT CE s p ( )
�� (�1�,� x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Ntinimum�ee of 5.50)
�' ` �l�� x .0005 $
(contract price) (minimwn$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ l.50
4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted work including materials, labor, profit, and other fixed costs. It is the amount to be char�ed
to the customer for the worh done. lf 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 STATF, SURCHARGE is .0005 of the contract price under$1,000,000 or $.50—whichever is
greatci•. For vaivations over$1,000,000 call the Bui;ding Bzpartment at(952)249-=�600 for the price.
` PLUMBING PERMIT APPLICATIQN AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and cei�tifies that all statements made on this application are complete, true and
correct. '
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Applicant's Signature: ,�� �� VV( Date: I��r � � � �GG �
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Reset Form
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1VIN 55323
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GENERAL LNFORMATION
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 2 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. Mechanical Desiens - 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. Identification of and specifications for water heating equipment
shall also be 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fmal.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New � Addition Repair Replace
� Residential Commercial
JOB SITE: ' ' d ZiP:�/ ����
Owner's 1�ame: � Telephone Number:L;Jti.� --����
Mailing Address: ity: Zip: � !���/
Contractor's Name: .Telephone Number: ����'�,�3�/
Mailing Address: ,� ' City: � Zip:��q%
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: ► " ��- .
Model: � �
Fuel: 5
Flue Size: 3 j' �
Input BTUs:
Output BTUs: 1pJ�
CFM: �j�;
COOLING SYSTEMS
Quantity: l �-`
Make: y � �
Model: a
Tons: �
H. Power �z/,/�' u
,�.
,
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. � Bath Exhaust (must be ducted outside) ,�'U cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other �_ Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00 � �
5�,�?� °� x .0125 $ '
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. _��""��"� x .0005 $ ��,�
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `�'1f,3�;
* 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 installation 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 of the contract price under$1,000,000 or $.50 - whichever is greater.
For valuations over $1,000,000 call the Department of Inspectional Services for the price.
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 Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: Date: _����
Approved By: Date: