HomeMy WebLinkAbout2006-P10628 - mechanical PERMIT
_ CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10628
Crystot Eay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
12/12/2006
SITE ADDRESS: 2745 Shadywood Rd Unit#
Excelsior,MN 55331
P��� 21-117-23-31-0003
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.50
APPLICANT: Sharp Heating&Air Conditioning,Inc. OWNER: James Zimmerman
7221 University Ave.NE 2745 Shadywood Rd
Fridley,MN 55432 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 ISSLJED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
_. _
FOR CTl'1'USE°ONLY
� �p� City of Orono
�r � P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
� ������ Crystal Bay,MN 55323 Approved By: Amount S:
� (952)249-4G00
CTTY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or InspecWr and/or Fire Marshall)
GENERAL INFORMATTON
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 PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specificarions 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 st�all be presented on form provided.
4. When any new construction or remodeling is invoived,a separate building permit must be
obtained. .
5. All work must be done in accordance with the Uni�orm Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(2448 hour notice reqaired)
7. House Heating Test Record must be submitted before final.
TYPE OF PERNIIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
Job Site/Owner Information:
�
Site Address: �
,
Owner: (���M�_ ' Mailing Address: S �
City: l Zip: �
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: Contact Person: � (' ' f
Address: ,� , �� �
. State Bond#: 5,�� � �
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City: 1 Zip:�7� Expiration Date: . ..
Phone: �� -� � -Q Alternate Phone:
❑ Insurance—Current:
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HEATING SYSTEMS
Quantity: �
�
Make:
Model: IT�'° �� '
Fuel: S
Flue Size:
Input BTIJs: � �
Output BTUs:
CFM:
COOLING SY�TEMS '
Quantily.
Make:
Model: �
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: � Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct t�ecirculating cfin
❑ No. Bath Ea�haust(must have duct outside) ��
❑ 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 WhaL&Where:
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❑ Yes,this section applies
The replacement of a Residential fixture or anpliance that meets all three of the following requirements:
1. Dces not require modification to electrical or gas service.
2. Has a total cos of$500.00 or less;excludine the cost of the Sxture 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 Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
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(Minimnm Fee of$35.00)
� OQ
� x.0125$
(cont�act price) (minimum 5. )
2. STATE SURCAARGE **Add the State Brld'�Code Div.Surcharge(Minimam Fee of 5.50)
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"� x.0005 $_ .
(contract�xice) (minimiun S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ,
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the
pernutted 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 fuinished 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 e�,ent 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 SURCHARG�is.0005 of the Building Departme�at(952)249-4600 for the price.
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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 wmplete, true and
correct.
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Applicant's Signature: Date:
' .R.e�et�orm
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