HomeMy WebLinkAbout2007-P11204 - mechanical CITY C�� ORONO PERMIT
2750 Kt�iley Parkway- PO Box 66 Permit Number: p112o4
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
7/10/2007
SITE ADDRESS: 2110 Sugarwood Dr Unit#
Long Lake,MN 55356
PID: 34-118-23-21-0025
DESCRIPTION:
Proposed Use: Residential
Pemut Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Air Condirioning
DETAILS:
Approved per resolution#: `
Separate pernvts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 43.75 Valuation: $ 3,500.00
State Surcharge Fee: $ 1.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 47.00
APPLICANT: Ron's Mechanical,Inc. OWNER: George&Marilyn Mileusnic
12010 Old Brick Yard Road 2110 Sugarwood Dr
Shakopee,MN 55379 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 SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Y. / �
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Bo� 6b (27�0 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applicatioils ���ill b��
reviewed and a permit ���ill b� isstied �vithin t�vo �vorking days.
2. 1'eizZlit cards will b� sent bti�rctui-n mail aftei� a rcview is compleCed. PERi��I1TS ��1�, NO"I� VAL11)
UN1�1L YOU I�LCEIVE A P�R1�1I1'. WURK MUS"1' NO"1' B�G1N UN1'1L TI-IE PERi�1I1' CAfZL) 1S
1'O�"1'ED ON "I�I�E JOB SI1�E
3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heatin�,
ventilation, humidification-dehumidification, and air conditioning installation includiilg heat loss�licat
�ain calculation, design temperatures, equipment ratings and identification as to type, man�ifacturcr an�
m�del. Data shall be presented on form provided. ldentification of and sp�ciiica[ions for water hes�in�z
equipment shall also be provided. `
�. When any new construction or remodeling is involved, a separate building permit must be obtained.
S. All �vork 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-hu�ir notice required.
7. 1 iouse Heating Test Record must be submitted before tinal.
Iustructioi�s
Complete a11 itenls on this application. Conlput� tl�i� permit i�ee. Si�n aild �late thc certitic��tivi�:.
1NCOi�1PLETE APPL1CATlONS WILL NO�I' BL PROCESSED. I1 you have questions, call
(9�2) 249-=4600.
Please check one: ❑ New ❑ Addition ❑ Repair [�Replace Q Residential ❑ Commercial
Jo� s�rT�c: �II(� Sl��C9rUi�� �f ll�� �c� t`
z�p: JJ���
O�vnei-'s Name: 1 _ , �(ti,�aC���/') (� �IE'C�Sf')(�G Plione Number: ���" � ����5>t f
�tilailing Address: _ City: _ Zip:
Co►�tc-actoc�'s Name: RON � S MECHANICAL, INCptione Number: 952/445-8585
:'��lailinb Address: 12010 OLD BRICK YD RD City: SHAKO.PEE Zip: 55379
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: '
Model:
FueL• '
Flue Size:
Input BTUs:
Output BTUs:
CFM: _' ----
COOL,ING SYSTEMS
Quantity: I
Make: �
Model: ����
Tons: 3
H. Power �
FIREPLACES GAS LINE ONLY
� Gas factory fireplace ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
$rand Name Model No,
VENTILATION �
No. Kitchen Exhaust duct recalculating efm
No. Bath Exhaust (must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STOR.AGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons _
❑ Other Gas opening •
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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 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; Cost of Permit $ 15.00
State Surcharge � .50
Mai1=ln Fee S 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
0 x .0�2� � �3.�^S
(contract price) (minimum�3�.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 � �.�'`S�
(contract price) (nunimum S .�0)
3. PostaQe aiid Handlint (Only mail-i�t applicatio�is) � 1.50
�;. 'I'O"T�L PER�IIT FEE (Add lines 1-3 above) � 1.��,�(�
"CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work ir.cluding
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 is furnished by the owner,tenant or any other party the reasonable market value of such items
must be added ro the estimated cost or con[ract price for permit fee purposes. ln the event that there is a dispute on the amoun�uf
the job cost, the City may request the submission of a signed copy of the actual con[ract.
"*The STATE SURCHARGE is.0005 of the contract price under$I,000,000 or$.50-whichever is greater.For valuations over
S 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 �vork in strict accordance«i�h
the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statemencs made on�hi�
application are complete, truc and correct.
Applicant's Signature: � ��� Date: �'3'�
Approved By: Date:
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