HomeMy WebLinkAbout2005-P08898 - mechanical PERMIT
�1T''� OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po8898
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/29/2005
SITE ADDRESS: 1265 Shoreline Dr Unit#
Wayzata,MN 55391
PID: 02-117-23-34-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 57.50 Valuation: $ 4,600.00
State Surcharge Fee: $ 2.30
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TOTAL FEE: $ 59.80
APPLICANT: Hearth&Home Technologies Inc. OWNER: Terri Jenstad&Gary Petersen
DBA:Fireside Hearth&Home 1265 Shoreline Dr
2700 Fairview Ave Wayzata,MN 55391
Roseville,MN 55113
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 ISSUE BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� � �_� ROR CITY USE ONLY
,� 4�� City of Orono
� �� � P.O.Box 66 Date Received: Permit#k
�;;;,,� 2750 Kelley Parkway
� '��"�?�,��?: � Crystal Bay,MN 55323 Approved By: Amoimt$:
� �(��'��$�o` (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must Ue approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernvts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernut 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 Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilation,lluinidification-dehumidification, and air conditioniilg 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. Wtren any new construction or remodeling is involved, a separate building pernut 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 Heatiug Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
� Residential ❑ Coinmercial(Approval Required)
� �
❑ New ❑ Additional ❑ Repau�s ❑ Replace
Job Site/Owner Information:
Site Address: � � Y f I �r -
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Owner:�e-rr� ��n5� u�-' � Mailing Address: (��S ��'1G�"�� �1lL �-
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c�ty: �r��� o z�p:
Home Phone: l,P I a ' �J� � ' ��d� Alternate Phone: Q S a - �S � ' ��� �
Contractor Infornlation:
Contractor: L l r���� �t � Contact Person: �Ql..
� Address: ���(p� u.X� State Bond#:
4: � �;���.
� City: ��'�_ Zip: 53�S Expiration Date:
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� Phone: ��� " Cj�S-�-I� 7 Altei-nate Phone: � I a -�j(��_I�o� `1
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'�, ❑ Insurance- Cun•ent:
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j MECHANICAL SYSTEMS BE1NG 1NSTALLED ♦, �
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
: �- ,
� COOLING SYSTEMS
`''t Quantity:
Make:
' � � Model:
_ Tons:
;:'..; H.Power ..
F.. .: .... . . ....
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p -' ,'. FIREPLACES
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❑ Gas Factory Fireplace
�, : Z '�_ Wood Burning Fireplace
' ❑ Wood Stove
❑ Wood Stove With Flue
� I I Q�j
� Brand Name: 1 Model No.: 1 U(J I
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� � � , VENTILATION
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� - ❑ No. Kitchen Exhaust duct recirculating cfm
�:' ; ❑ No. Bath Exhaust(must have duct outside) cfm
s? ❑ No. Other Fans: Locations cfm
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� FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
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�, ❑ Installation ❑ Removal
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Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
� � LP Gas: gallons
'� Other:
GAS LINE ONLY
❑ Outdoor Grill Other/List What&Where: Q l � ��� � �
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� � 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 require modification to elech�ical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by tl�e homeowner or licensed conri�actor.
Skip next section,if this applies; Cost of Pernvt $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
' PERMIT FEE CALCULATION(S) —JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conn�act price with a(Minimum Fee of$35.00)
I i /-l/� :J(i r7
`I�VV = X.�125 � � 5 ( - 5(�
(contract price) (n�inimum$35.00)
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2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
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x.0005 $ `°�
F�
(contract price) (minimum$ .50) ,��j
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 dollar amount charged 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 furnished by ��'r'q
the owner, tenant or any other party, the reasonable market value of such items must be added to the ='
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estimated cost or conh�act 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 tl�e actual conh�act. �3
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■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. °�
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MECHANICAL PERMIT APPLICATION AGREEMENT �
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all '''�
wark in st�-ict 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.
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Applicant's Signatur : Date: l�/ 0(-I
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