HomeMy WebLinkAbout2007-P10985 (mechanical) PERMIT
CIT`�' OF ORONO
275� Kelley Parkway- PO Box 66 Permit Number: P10985
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/14/2007
SITE ADDRESS: 2590 Casco Pt Rd Unit#
Wayzata,MN 5539]
PID: 20-117-23-21-0034
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 2,790.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: Automatic Garage Door&Fireplace, Inc. OWNER: Jim Butts
8900-109th Ave N-#1000 ll266 Landing Road
Champlin,MN 55316 Eden Prairie,MN 55347
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 PE [TEE SIG ATURL ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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t , �'`0�,��` Cit� of�Orono
, O� `�'O P.O•Box 66 Date Received: Yermit#
�,;;,:,;r� 2750 Kelley Parkway
a '�j���X��'��' � Crystai Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire hlarshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a perinit will be issued within two working days.
2. Pernut 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. Mecl�anical Desi�-Complete calculations, details and specifications are required for eacl�
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 forin provided.
4. When any new construction or remodeling is involved, a separate building pernut must be
obtained.
5. All work n�ust 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 subnutted before final.
� TYPE OF PERMIT
(Check All That A ly)
� Residential ❑ Commercial(Approval Required)
❑ New �Additional ❑ Repairs ❑ Replace
Job Site/ Owner Inforniation: .
Site Address: ��`'� � C�^S c� �o';��-I r��
Owner: I.��t�< (��i ���.;� MailingAddress: Z��y° ��S�O ��''' �� ���
c�ty: ��o r�o Z,p: �S 3 � �
Horne Phone: Al�eniate Phone:
Contractor Information:
v 7-o,-r� 7 ,?,,�� �,- .����u r
Contractor: Contact Person: �� -��� �
4sy a� %°�i�`' 5�,.�t �`rr�",
Address: ? ^ ' State Bond #: �GI�"! a
Ss� ��
City: ��.�_ Zip: ,�'� Eapiration Date:
Phone: 7b3�-S 71 - ZS�S Alternate Phone:
❑ Ii�surance— Current:
1
, �
1
' , � MECHANiCAL SYSTEMS BEII�G INSTALLED j , r
HEATING SYSTENIS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM: '
COOLING SYSTEMS
Quantity.
Make:
Model:
Tons:
H. Po�ver
FIREPLACES
� Gas Factory Fireplace
❑ Wood Bui7iing Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: ✓t'��� ��7-+ � Model No.: S��� � ��
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons �
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What 8,Where:
�
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• ' PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Resideutial fixture or appliance that ineets all ttu�ee of the followiilg 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 fixture 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.�0
� Total Permit Fee � $
PERMIT FEE CALCULATION(S) —JOBS OVER$500,00 �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is L25% of conh�act price with a(Minimum Fee of$35.00)
' . � � 1Gll�,�� x.0125 $
(contract price) (minimum$35.00)
_ Z._.STATE SLTRCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERI�IIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to tl.e custemer for the work done. If any n:aterial, equipment, labor or ins±allatioi�s are fiarnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or conhact price for pernut fee puiposes. In the event that there is a dispute on the
amount of the job cost, the City niay request the submission of a signed copy of the actual conh�act.
■ ** The STATE SURCHARGE is .000� of the Building Department at(952)249-460� for the price.
MECHArtICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all
worlc in strict accordance with the ordinances of the City and the regulations of the State of
i�linnesota, and certifies that all statements madc ar, this ap�;ication ure cci.�plete, true and
correct.
, .�—%
Applicant's Signature: C��-�.��, '��� Date: �
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