HomeMy WebLinkAbout2007-P11249 (mechanical) PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11249
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued:
7/24/2007
SITE ADDRESS: 690 Tonkawa Rd Unit#
Long Lake,MN 55356
PID: 05-117-23-33-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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: Micheal&Olivia Bradley
7221 University Ave.NE 13905 Ivywood St NW
Fridley,MN 55432 Andover MN 55304
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.
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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' FOR CITY USE ONLY
QCity of Orono
o!'�'10 P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
} Crystal Bay,MN 55323 Approved By: Amount$;
(952)2494600
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL,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.
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 UNTEL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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 or remodeling is involved,a separate building permit must be
obtained. .
5. All work must be done in accordance with the Uniform Mechanical CodetState Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply)
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑RepairsA!(Rcplace
Job Site/+Owner Information:
tin
Site Adodress: ?
7t�) IhUA-
Owner: Mailing Address: IBJ
-T City: Zip: �5
Home Phone: _ Alternate Phone:1
Contractor Information:
J
Contractor: F' Contact Person:
Address: t7liVi IZS , State Bond#: A104111
City: E Zip: Expiration Date: l ')A '
Phone: (� Alternate Phone:
T-) ❑ Insurance-Current:
1
HEATING SYSTEMS
Quantity:
Make:
f
Model: p
Fuel:
Flue Size:
Input BTUs:
Output BTUs: 70ig
CFM:
COOLING SYSTEMS
41
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
HGas Factory Fireplace
Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating clip
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations c1m
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 What&Where:
2
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A.
❑ 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;excluding 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 $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price
e with a(Minimum Fee;of$35.00)
�V x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S.50)
kil W
x.0005 $ '
contract price) (minimum$ .5-0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ 37,,s,-0-
I
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted 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
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 event 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 SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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 complete, true and
correct.
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Applicant's Signature: - Date:
3
MINNESOTA DEPARTMENT OF wHesorw ocnwwrraeert or
_ LABOR&INDUSTRY. LABDR&INDUSTRY
Construction Codes and Licensing Division Construction Codes and Licensing Division
Commissioner of Labor and Industry
Commissioner of Labor and Industry Has Received and Filed a$25,000 Surety Bond,
Has Received and Filed a$25,000 Surety Bond, As Required by MS 326.992,for Work Regulated
by the State Mechanical Code
As Required by MS 326.992,for.Work Regulated To: Kevin D.Hanson Bond No: 3904119
by the State Mechanical Code Sharp Heating&Air MB ED:02336
Conditioning,Inc.
To: Kevin D.Hanson Bond No: 3904119 Effective Date Expiration Date
Sharp Heating&Air Conditioning,Inc. MB ID: 02336 7/21/2007 7/20/2008
7221 University Ave.N.E.
Fridley MN 55432
Effective Date Expiration Date
7/21/2007 7/20/2008
MBFormRC
h
PAGE I
Owners WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY
- '4SURANCE COMPANY 18147
01 ANACAPRI BLVD. , LANSING, MI 48917-3999
ENDORSEMENT EFF. 12-:29-2006
AGENCY ERICKSON INSURANCE AGENCY
06-0418-00 3811 W BROADWAY AVE (763)535-2455 POLICY NUMBER
MINNEAPOLIS MN 55422 MKT TERR 016 051706 0802067
ITEM 1
INSURED SHARP HEATING & AIR CONDITIONING ITEM 2 POLICY PER OD
INC COMPANY FROM 12:01 A.M. 12-2 -2006
ADDRESS 7221 UNIVERSITY AVE NE BILL TO 12:01 A.M. 12-2 -2007
FRIDLEY MN 55432-3134 At THE INSURED'
MAILING ADDRESS
INSURED IS - CORPORATION
OTHER WORK PLACES NOT SHOWN ABOVE.
ITEM 3 A. WORKERS' COMPENSATION INSURANCE: PART ONE OF THE POLICY APPLIES TO WORKERS'
COMPENSATION LAW OF THE STATES LISTED HERE: MN
B. EMPLOYERS LIABILITY INSURANCE: PART TWO OF THE. POLICY APPLIES TO WORK IN EACH STATE
LISTED IN ITEM 3. THE LIMITS OF OUR LIABILITY, UNDER PART TWO ARE:
BODILY INJURY BY ACCIDENT $500,000 EACH ACCIDENT
BODILY INJURY BY DISEASE $500,000 EACH EMPLOYEE
BODILY INJURY BY DISEASE $500,000 POLICY LIMIT
C. OTHER STATES INSURANCE: PART THREE OF THE POLICY APPLIES TO THE STATES, IF ANY,
LISTED HERE: AL, AR, A2, CO, FL, GA, IA, IL, MN, MO, NC, NE, SC, SD, TN, UT VA &
WI UNLESS ALREADY LISTED IN ITEM 3A.
ITF-'-.4 THE PREMIU-M FOR THIS POLICY WILL BE DETERMINED BY OUR MANUALS RULES, CLASSIFICATI NS,
RATES AND RATING PLANS. ALL INFORMATION REQUIRED BELOW I.S SUBJECT TO VERIFICATIO
AND CHANGE BY AUDIT.
CLASSIFICATIONS OF OPERATIONS PREMIUM BASIS RATES
ESTIMATED RATE ESIMATED
CLASS TOTAL ANNUAL PER NNUAL
CODE REMUNERATION $100 P EMIUM
STATE OF MINNESOTA
ID* 0010 DESC 001
HEATING, VENTILATION, AIR-CONDITIONING,
AND REFRIGERATION SYSTEMS -
INSTALLATION, SERVICE AND REPAIR &
DRIVERS 5537 100,000 6.54 6,540
IDB 0020 DESC 001
SALESPERSONS, COLLECTORS OR MESSENGERS -
OUTSIDE 8742 38,000 .65 247
IDS 0030 DESC 001
CLERICAL OFFICE EMPLOYEES NOC 8810 30,000 .23 69
14SUED 12-14-2006
27777 (10-88)(WC000001A) 2835