HomeMy WebLinkAbout2006-P10534 - PERMIT
�6TY OF ORONO '
2750 Kelley Parkway- PO Box 66 Permit Numb r: P10534
C.rystal Bay, Minnesota 55323 Permit Tybe: Mechanical Permits
(952) 249-4600 Date Issu�d: 11/7/2006
SITE ADDRESS: 4355 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 06-117-23-12-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits ' P rmit Sub-type(s): Sign-Temporary
DETAILS:
Approved per resolution#:
Separate permits required: �
NOTICES/REMARKS:
No more than 4 temporary business signs may be issued per calendar ear(or variance required) far not more
than 10 days(weekends included)or duration of event being promote ,whichever is less.
FEE SUMMARY: Permit Fee: � 216.29 Valuation: $ 17,303.00
State Surcharge Fee: $ 8.65
TOTAL FEE: $ 224.94
APPLICANT: Horizon Contractors, Inc. OWNER: Greg&Lynn White
8197 Horizon Drive 4355 Bayside Rd
Shakopee,MN Maple Plain,MN 55359
THE UNDERSIGNED HER Y REQUESTS PERMISSION TO MAKE THE R�AL MPROVEMENTS SPECIFIED
AND AGREES TO DO ; ORK IN STRICT COMPLIANCE WITH ALL CI1TY O ORONO ORDINANCES AND STATE OF
MINNESOTA BUIL �ODE REQUIREMENTS.
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APPUCANT PERMITEE SIGNATURE ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If eptic, 1-Septic) Page l
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roR c�Tv�s�oN�v
� ����� City of Orono
�� ��� P.O. I3ox 66 ate Received: Perniit# _
, 2750 Kclley Parkway
� �'"��'��> �� Crystal Bay,MN 55323 pproved By: Amount$:
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� ����Ea�v�o (952)249-4600
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CITY OF ORONO—MECHAN CAL PERMIT
(All Commercial pem�its must be approved by the Building Oftic al or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical permits by mail or in per on at the City offices. Applications will
be reviewed and a permit will be issued within two wor ing days.
2. Pern�it cards will be sent by return mail after a rcview is completed. PERMITS ARE NOT
VAL[D UNTIL YOU RECEIVE A PERMIT. WORK UST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations, details an specifications are required for each
heating, ventilation, humidification-dehumidificatian, an air conditioning installation including
heat loss/heat gain calculation,design temperatures,equ ment ratings and identification as to
type, manufacturer and model. Data shall be presented n 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 echanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call (9 2)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before fi l.
TYPE OF PERMIT
(Check All That Appl )
,�Residential ❑ Commercial (Approval Required)
❑ New �Additional ❑ Repair ❑ Replace
Job Site/ Owner Information:
Site Address: y��J � � 1`�-c�
Owner: _�J/1 r , Mailing A dress: �l � -
City: Zip:
Home Phone: Alternate hone:
Contractor Information:
Contractor: f��►�z��r��,,�c�-�lc�rs ,�n� Contact P rson: / '� i�i �-�u-�n c�
Address: ��17 /-�{��„� Qt;;,.e. State Bon #: IC L � ��s //7 6
City: S� Zip: 1�! Expiration Date: ����0�7_
Phone: ���"5���� �����' Alternate hone:
❑ Insurance Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED � .
HEATING SYSTEMS
Quantity: �
Make: �l�k il,��r'¢-
Model: �(.-��j�C D�O Ir��
Fuel: p�a�r�
Flue Size: � �5�'2!�'!X
Input BTUs C�(.�'��.
Output BTUs: S6GY0
CFM: ��
COOLING SYSTEMS
Quantity: �
Make: !' c Q�`f`L
Model: FSS�'C030,L'/-1
Tons: p�'�
H. Power �
FIREPLACES
�� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �y p�-S, Model No.:
VENTILATION
� No. � Kitchen Exhaust�duct recirculating jd� cfm
No. � Bath Exhaust(must have duct outside) �U cfm
❑ No. Other Fans: Locations cfm
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FUEL STORACE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
CAS LINE ONLY
❑ Outdoor Grill ,� Other/List What&Where: ��t�n� � �/'�'��, �l.L� •
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PERMIT FEE CALCULAT ON(S)
BASED OFF - 2002 STATE TATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets al three of the following requirements:
1. Does not require modification to electrical or gas ser ice.
2. Has a total cost of$500.00 or less; excludin�the cos of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner r licensed contractor.
Skip next section, if this applies; Cost of Pe it $ 15.00
State Surcha ge $ .50
Mail-[n Fee If Applicable) $ 1.50
Total Permi Fee $
PERMIT FEE CALCULATION(S)—JO S OVER $500.00
If above does not apply; follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price 'th a(Minimum Fee of$35.00)
Q ' -�— x .0125 $ o`l(�•��
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Cod Div. Surcharge(Minimum Fee of$.50)
/7 3 v� ' x.0005 $ �� (��
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicati ns) $ �t-Si�—
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ixr y• -/y
• * CONTRACT PRICE or JOB COST means the actual or e timated dollar amount charged for the
permitted work including materials, labor, profit, and other fix d costs. It is the amount to be charged
to the customer for the work done. If any material, equipme , labor or installations are furnished by
the owner, tenant or any other party, the reasonable market v lue of such items must be added to the
estimated cost or contract price for permit fee purposes. In he event that therc is a dispute on the
amount of the job cost, the City may request the submission f a signed copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the Building Depart ent at(952)249-4600 for the price.
MECHANICAL PERMIT APPLIC?iTI N AGREEMENT
The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City nd the regulations of the State of
Minnesota, and certifies that all st 'ts made on this application are complete, true and
correct.
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Applicant's Signature: Date: �� 7�
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