HomeMy WebLinkAbout2005-P08846 (Mech) � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08846
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/16/2005
SITE ADDRESS: 3845 Bayside Rd Unit#
Long Lake,MN 55356
P��� OS-117-23-23-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 41.25 valuation: $ 3,300.00
State Surcharge Fee: $ 1.65
TOTAL FEE: $ 42.90
APPLICANT: D7'S Heating&Air Condirioning OWNER: John&Sherri Thiesse
6060 Labeaux Ave 3845 Bayside Rd
Albertville,MN 55301 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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AP ICANT PE MITEE SIGNATUKL' ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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� . FOR CITY USE ONLY '
� City of Orono
• O� �O P.O.Box 66 Date Received: Permit#
�,;;,;,,,, 2750 Kelley Parkway
� '�j�?��.'�� �* Crystal Bay,MN 55323 Approved By: Amount$:
��k��;�.$a'` (952)249-4600
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial pennits must Ue approved by the Building Official or[nspector and'or Fire Marshall)
GENERAL INFORMATION
1. You inay apply for inechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two workinQ days.
2. Peinut 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,huiuidification-dehumidification, and air conditioning ulstallation 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. Wiren any new construction or remodeling is invoived, a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniforin Mechanical Code/State Buildiug Code
requirements.
6. All work inust be inspected(rough-in and final). Call(9�2)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
�
�Residential ❑ Coinmercial(Approval Reqtured)
❑ New �'Additional ❑ Repairs ❑Replace
Job Site/ Owner Infornlation:
Site Address: ��`�� �����,,��;���� (��J
Owner:�/�,�i,.,f � h.� s s�_ Mailing Address; �N y(" (3�v:s ic�s• I��
City: ��f��,v�� Zip: �� �,�y
Home Phone: '7`� � ��%�� -C��I�,� Alternate Phone:
Contractor Inforniation:
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Contractor: a v /��L7�:n.,,1��G Contact Person: 7 3-� C��7��.1</��p �
Address: ��C1�����f���� ;�.-� State Bond #: �f 5 , y�7r;
City: � - � � ,,���� Zip: " "��( Expiration Date: � �3��� /c� �'�
Phone: �G;S L/�/� ,�E�� Alternate Phone:
❑ Insurance— Cunent:
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MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: ���� /-�g•,.> � Model No.: �f��� ,���5
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Renioval
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS I.INE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S)
' BASED OFF - 2002 STATE STATUE
❑ Yes,tlus section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to elecri�ical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by tl�e homeowner or licensed conhactor.
Skip next sectio�,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERIVIIT FEE CALCULATION(S) —JOBS OVER$500.00
If above does not apply; follow guidelines belo�v:
1. CONTRACT PRICE * is 1.25%of conn-act price with a(A'Iinimum Fee of�35.00)
r�-
_j���D x.0125 $
(contract price) (minimum 53�.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Niinimum Fee of$.50)
,,��s
3.3C�!� x.0045 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is tl�e amount to be charged
to the custoiner 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 pernut fee purposes. In the event that there is a dispute on the
amouiit of the job cost, the City may request flle 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.
MECHAI�IICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�-ees to do all
work in sh-ict 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: F�/�/�,S
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