HomeMy WebLinkAbout2005-P09025 - mechanical ' " '� ' PERMIT
CITY C�F ORONO Permit Number:
2750 Ke11ey Parkway- PO Box 66 P09025
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Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952)249-4600 Date Issued:
8/2/2005
SITE ADDRESS: 1525 Sixth Avenue N. Unit#
Long Lake,MN 55356
P��� 26-118-23-33-0033
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernvt Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS�
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,250.00
State Surcharge Fee: $ 1.13
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.63
APPLICANT: Flare Heating&Air Conditioning OWNER: S&S Morrison
9303 Plymouth Ave N. Suite 104 1525-Sixth Avenue N.
Golden Valley,MN 55427 Long Lake,MN 55356
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 SIGNATiJRE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 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.Bo�66 Date Received: Permit#
�� �'�� 2750 Kelley Parkway
.a �`• � �� Crystal[3ay,MN 55323 Approved[3y: Amount$:
�� ` � , v` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Quilding Otficial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I. 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 RECEIVE A PERMIT. WORK MUST NOT BEG[N UNT[L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidificatio��-dehumidificatiou,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipmei�t ratiugs and identification as to
type, manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeliug is involved,a separate building pennit must be
obtained.
5. All work must be done ii�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 submitted before final.
TYPE OF PERMIT
(Check All That A pl )
�Residential ❑Comi��ercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �] Replace �
Job Site/Owner Information:
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Site Address: 1 tj�'` �J�% �'�/� ��.
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Owner: ���- �' � ,�;� ��; a %� � ' ;,;/�.MailingAddress: �.:;f.,j;%''�.
City: �% �' ri.1J Zip; � �J� � t.;,
Home Phone: Alternate Phone:
Contractor Information:
Coi�tractor: Contact Persoi�: ��y� � �i
' Address: � �'''�� ��C+• State Bond #:
` � ��. NO.
� City: � �ip:,�� Expiration Date:
:*., _ F�
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Phone: � � � ��� � � � ��, Alternate Phone:
Insurance—Cucrent:
FLRRE H?'G. & AiC, C.,
9303 Plymouth Ave. No.
Goiden Valiey, MN 55427
1klECHANICAL �YST�NIS BEING INSTALLED � �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: (
� '' 1�ii/
Make: _ ��� �
n
i�+ ' rl�:
ModeL• �'- t�
Tons: 1/ ��
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
V ENTILATION
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Undergrou��d ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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. � PERMI�I'��FEE CALCULA"I�ION(S) � �� ��
- F3ASED OFF - 2002 STATE S"I'ATUC
❑ Yes,tliis section applies
The replacement of a Residential fixture or appliance that meets all three of the following requireinents:
1. Does not require modification to electrical 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 $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
P�RMIT FEE�CALCULATION(S -JOBS OVER $SOa.00 � �
If above does not apply;follow guideliues below:
1. CONTRACT PRICE * is�25%of contract price with a(Minimum Fee of$35.00)
� •� ��,� ,��_ .'�
--� x .0125 $ �'j, `�
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fec of'$.50)
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� '�_r`��� , -/, X .000s � . .i'
( ontract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ • �
■ � CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far the
permitted work includi�lg materials, labor, profit, and other fixed costs. ]t is the amount to be charged
to the custoii�er for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable �narket value of such iteins must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amoui�t of the job cost, the City may request the submission of a signed copy of the actual contract.
■ **The STATE SURCHARGE is.000� of the Building Departmei�t at(952)249-4600 for the price.
�� MECHANICAL PERMIT APPLiCATION AGREEMEN�I' �
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 stateinents made on this appiication are complete, true and
correct.
��, l^' �r �: � �- . V�
Applicant's Signature. � � ^�� Date: � _�
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