HomeMy WebLinkAbout2005 - P09356 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 KPIIey Parkway- PO Box 66 P09356
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
10/26/2005
SITE ADDRESS: 2630 West Lafayette Rd Unit#
EXCELSIOR,MN 55331
PID: 21-117-23-24-0044
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: $ 148.75
Valuation: $ 11,900.00
State Surcharge Fee: $ 5.95
Misc.Fee: $ 1.50
TOTAL FEE: $ 156.20
APPLICANT: Kleve Heating&Air OWNER: THOMAS P LOWE ETAL
6365 Carlson Drive Suite G 2630 WEST LAFAYETTE RD
Eden Priaire,MN 55346 EXCELSIOR MN 55331
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.
AP
APPLICANT PERMITEE SIGNATURE 111. •.UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
DSO City of Orono
P.O.Box 66 Date Received: Permit#
y 2750 Kelley Parkway
"�'t '� Crystal 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)
g Residential ❑Commercial(Approval Required)
❑New D Additional ❑Repairs ,Replace
Job Site/Owner Information: p
Site Address: 2 CD O W ' Lay r� '�-�" 7OQd
Owner: 1 aN Lo I1 U Mailing Address:
City: Oe One Zip:
Home Phone: q�2 t1 I-- '1 J Alternate Phone:
Contractor Information:
Contractor:Kleve Htg. A/C Inc Contact Person: Chart elle Murk
Address: 6365 Carison Dr . Ste GState Bond#: RLI-561165
City: Eden Prairie Zip: 55346ExpirationDate: 8/14/05
Phone: 952-941-4211 Alternate Phone: 952-345-7242
n Insurance-Current:
1
• fi'k�S�=�'i�`��+" -�, C�N1Ct`fl..'�'�,��.",�,C++�,e��G�'k�+��?`l�,l�.il,r��..;-��v zry'ar��„�ax< .' i
HEATING SYSTEMS
Quantity: I
Make: nno4
Model: 6\b/MPV W(J't SO
Fuel: na17�
Flue Size: .S PVC,
v
Input BTUs: 1#,000
Output BTUs: / Z C 000
CFM:
COOLING SYSTEMS
Quantity: 1
Make: Lena�OV
Model: i Y015-o4z-
Tons: �l�Z
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
O No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
O Installation 0 Removal
Fuel Oil: gallons ❑ Underground 0 Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY
O Outdoor Grill 0 Other I List What&Where:
2
pyx t 0 t f ,, „,�s. �®
? 4.4 lirYY^^r L
❑ 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 $
PERMIT FEE eCALCULATION(S) JOBS OVER$500.06'
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contractnprice with a(Minimum Fee of$355.00))
1 , goo,O0 x.0125 $ t! O . 15
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
i i q oo.o� x.0005 $ A
contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 1 50, Z-O
■ * 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.
MECHANICAL PERMIT APPLICATION AGREEMENT'.
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.
Applicant's Signature: =_��_ Date: 10I 2-0 ID 7
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