HomeMy WebLinkAbout2006 - P09621 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P09621
Crystaf Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
2/24/2006
SITE ADDRESS: 4455 West Branch Rd Unit#
Mound,MN 55364
PID: 07-117-23-21-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 87.71 Valuation: $ 7,017.24
State Surcharge Fee: $ 3.51
Misc.Fee: $ 1.51
TOTAL FEE: $ 92.73
APPLICANT: Onsite Mechanical OWNER: Jane Kline
7900 Halstead Dr. 4455 West Branch Rd
Minnetrista,MN 55364 Mound MN 55364
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 SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
n► FOR CITY USE ONLY
A` City of Orono
O¢� G P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
OCrystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600
.
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 UNTIL 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 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 Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
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Site Address: V\\\r\4 4q55 �� ck
Owner: ' e 10`i n Mailing Address: 145S Gt\ 1 `c1
City: 1 0 k.,,i1C Zip: �1
Home Phone: "1I7)Z- -1--1/2-^y1in Alternate Phone:
Contractor Information:
Contractor: D(6. 4e 1 keG6ka,‘ Contact Person:
Address: 01.1110CM1 State Bond#: TO 000 O
City: 5• biip:X15 Expiration Date: l `1 q
Phone: C162--44 1'64 Alternate Phone:
n Insurance-Current:
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:717:1774 & . aA�\�an. aai C+ a 7'-"Y�'W
'R . ' i � � ��'sifi'+&^%W..�'.�.. rb'�71ii"A Yrs in'Se_S�.dL.w
HEATING SYSTEMS l
Quantity: 1
Make: G51-0?51-0? -\ D
Fuel: AWva`
Flue Size: `‘
Input BTUs: //U VOO
Output BTUs: 4'. Do()
CFM: P71) -72/0
COOLING SYSTEMS
Quantity:
Make: 11 n - L7-30
Model: :fl -30
Tons: Z ,5
H.Power
FIREPLACES
El Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
El No. Kitchen Exhaust duct recirculating cfm
ElNo. Bath Exhaust(must have duct outside) cfm
ElNo. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
E l Installation ❑ Removal
Fuel Oil: gallons El Underground El Inside El Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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❑ 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 $
iiir"r;T;
Exp." ..a.'„` tb ,
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
7,b11 . 2-9 x.0125 $ 0-7 12_
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
t i 1 .2y x.0005 $ .
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 1 2
■ * 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 iss,.0005�of the Building Department 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 Cityand 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:
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