HomeMy WebLinkAbout2005-P09038 - mechanical PERMIT
CITY OF ORONO
2750 Kell�:;r Parkway- PO Box 66 Permit Number: p09038
Crystal Bay, Minnesota 55323 Permit Type:
(952)24�-�4600 Mechanical Permits
Date Issued: 8/4/2005
SITE ADDRESS: 2705 Shadywood Rd Unit#
Excelsior,MN 55331
P��� 21-117-23-24-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Pemvt Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,842.00
State Surcharge Fee: $ 0.92
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.42
APPLICANT: H.P.Pipeworks OWNER: Gaylord&Jon Fox
3670 Dodd Road Suite 100 2705 Shadywood Rd
Eagan,MN 55123 Excelsior MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
♦
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APPLICANT PERMITEE SIGNATURE I SUED BY SIGNAT[JRE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
�{�� City of Orono
� ��i P.O.Box 66 Date Received: Permit# � �
Q,:;�� ��' 2750 Kelley Parkway
� '� C stal Ba MN 55323 Approved By: Amount$:
� '' ��`r �,''t: �Y Y, .
� '-����r�i,.�u�� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the[3uilding Official or lnspector and/or Fire Marshall)
.lENERAL 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.
?. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—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 ar 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)
,. House Heating Test Record must be submitted before final.
�� � TYPE OF PERMIT �
(Check All That Apply)
�Residential ❑ Commercial(Approval Required)
� '�Iew ❑ Additional ❑Repairs � Replace
�b Site/Owner Information:
:�ite Address: ��UC.� �I�1C�C�Z.1��C�C� � �
7wner: UG1T�)(C'� �"U X Mailing Address: vGLM�
'�t�-: ��l�tr1G zip: �����
r —7 h
., :�e Phone: c�� LI f � r �.%�'� Alternate Phone:
'�onlcactor Information:
:,�ractor: �� C�( �P�,�J�( K-S Contact Person: �� d S Q( �V'�1
�ess: ��� �� �� State Bond #: _ �� �9�� �
;+�-; � GC /1 Zip:_J-���'� Expiration Date: ���I�� �C;
ne:
�o��', C� � �J��" Alternate Phone:
❑ Insurance—Current: f' j �r��S J�'/S)
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' � PERMIT��FE'E�CALCULATION(S)
BASFD OFF - 2002 STATF, STATUE
','cs,this sectioi�applies
�placement of a Residential fixture or a�pliance that meets all three of the following requirements:
.. Does not require modification to electrical or gas service.
�. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and
Is improved,installed ar replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit � I 5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALGULATION(S)-Jt��3� O'VEt��54�.40 �
�e does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
���`1�'��d\/ X .�125 ,D �5���
(contract price) (minimum$35.00)
STATE SURCHARGE ** Add the State Bidg Code Div. Surcharge(Minimum Fee of�.50)
� 1�`13� UU X.000s $ a�l'�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
'. 7'OTAL PERMIT FEE(Add Lines 1-3 Above) $ � 1•� �
'"''�ITRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
;. � :tted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
o th: customer for the work done. If any material, equipment, labor or installations are furnished by
!ie mvner, tenant or any other party, the reasonable market value of such items must be added to the
�stimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
��:n� of the joh cost, the City may :equest the subi�;ssior, cf u sigred �cpy of tl-,� actua: ccntract.
� STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
�>.i `✓:����GAL PERMIT A�"�'L��ATION ACTR.E " . . I�"�. .. '.. � `
�n _�rsigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
� strict accordance with the ordinances of the City and the regulations of the State of
�i, and certifies that all statements made on this application are complete, true and
�' v � �
,�:�. �t's Signature: Date:
, �
eset Form
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