HomeMy WebLinkAbout2007-P11040 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11040
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 ' Date Issued:
5/23/2007
SITE ADDRESS: 4225 Forest Lake Dr Unit#
Mound,MN 55364
PID: 07-117-23-12-0025
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:
Dryer Vent&Gas Line for Fireplace&Dryer
FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Tonka Plumbing Heating&Cooling Inc. OWNER: Kenneth Anderson
265 Cty Rd 110 North 4225 Forst Lake Dr
Mound,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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APPLIC T P RMITE SIGN URE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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FOR CITY USE ONLY
' ,��\ City of Orono
P.O.Box 66 Date Received: Permit#
�' � 2750 Kelle Parkwa
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��""�� '�" Crystal Bay,MN 5�323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Conunercial permits must Ue approved by the 13uilding Ofticial or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pemut cards will be sent by retuni 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 Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilation,hunudification-dehumidification,and air conditioning installation including
heat loss/heat gain calculatioil, 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 pernut must be
obtained.
5. All work must be done in accordance with the Unifonn Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rougl�-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Conunercial(Approva]Required)
❑ I�'e�v �.Additional ❑ Repairs ❑Replace
Job Site/ Owner Information:
Site Address: �"a�� �Y �� L_G�s�-�/1� ��/e„
Owner: K.�1/�'�1/1 �f'}W�IP/✓�'�Y� Mailing Address: S�tNV1�
City: �O�O Zip: 55.3 (o`t'
Home Phone: �����'j���0 Alteniate Phone:
Contractor Inforniation:
Contractor: �A.�� d-ty���tact Pel-son: �v�� ��'"
Address: �s Cfl +�CG�. ��O l�, State Bond #: q� Jl-�- (A�]�1�,�
City: �/�,'�I,t�Y�,pL- Zip:�,�l�Expiration Date: ���p�
Phone: Ct,�io1`��a'�Z� Altei-natePhone: ��-�=�'e�� ��-��q�
❑ Insurance—Current: �S}-r���YYL�
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MECHANICAL SYSTEMS BEING 1NSTALLED .
HEATING SYSTEMS -
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTENTS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculatiilg cfm
❑ No. Bath Exhaust(must have duct otittside) cfm
'�, Ivo. __L Other Fans: Locations cfm
FUE�,STOR4GE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Remova]
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other!List What R Where: �r U�X�-� d i�i�/✓`
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PERMIT FEE CALCULATION(S)
, BASED OFF - 2002 STATE STATUE
� Yes,this section applies
The replacement of a Residential fi�:ture or appliance that meets all tln�ee of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; eYcludin�the cost of the fi�ture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee (If Applicable) $ 1.50
Total Pernut Fee $
PERMIT FEE CALCULATION(S) —JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conh�act price with a(Minimum Fee of$35.00)
x.0125 $
(contract price) (minimum�3�.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Stu'charge(Minimum Fee of$.50)
�.0005 $
(conh•act price) (minimum� .50)
3. POSTAGE R HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) �
■ * CONTRACT PRICE or JOB COST means the acnial 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� wark done. If any inaterial, equipment, labor or installations are filrnished by
the owner, tenant or any other party, the reasonable inarket value of such items must be added to the
estimated cost or conh-act price for permit fee puiposes. In the event that there is a dispute on the
amount of the job cost, the City may request the subinission of a signed copy of the actual contract.
m *`k The STATE SliRCHARGE is .000� of the Building Departnient 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: �1����
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