HomeMy WebLinkAbout2007-P10903 (mechanical) PERMIT
CITY OF ORONO
�750 Kelley Parkway- PO Box 66 Permit Number: p10903
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
4/19/2007
SITE ADDRESS: 2590 Casco Pt Rd Unit#
Wayzata,MN 55391
P��� 20-117-23-21-0034
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 123J5 Valuation: $ 9,900.00
State Surcharge Fee: $ 4.95
TOTAL FEE: $ 128.70
APPLICANT: Servin Plumbing OWNER: 7im Butts
71235 240th Street 11266 Landing Road
Dassel,MN 55325 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.
/j f—
!�,�„i � ��%��1..�
APPLICANT ERMITEE SIGNATURE [ UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�c
FOR CITY USE ONLY
� \ City of Orono
4���' P.O.Box 66 Date Received: Permit#
� D;;;;M � 27�0 Kelley ParkH�ay
a '�j��?�;�;�. �* Crystal Bay,MN 55323 Appro��ed By: � Amount$:
�.� �j'?�+�'�i�.�o` (952)249-4600
��xo8
CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must Ue approved by the Building Official or Inspecta�and/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical pennits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within ri�o working days.
2. Pernut cards will be sent by retuin mail after a revie�v 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 Desians—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation, design temperattires,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new constntction 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 fiiial). 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 ply)
(�Residential ❑ Commercial(Approva]Required)
❑ New ❑ Additional ❑Repairs ❑ Replace
Job Site/ Owner Infornlation: .
Site Address: Z��'I(1' ��S�a P% f2�
Owner: �,`�J ��S �S� ����� Mailing Address: Z�y0 C�1�l o �j, /2/� ,
c�ty:
��2o t�0 zip: SS 3 ��/
Home Phone: Altei7iate Phone:
Contractor Infornlation:
Contractor: � r "� I L'��"����� Contact Person: 'r`'� JL``� ~
���� `
�a
Address: ���-�S 2�/� 'S • State Bond #: � U C�S� ��� ��^
City: l3SS�L Zip: �Zs Expiration Date: �� �� ���
Phone: ��v �����v��t 0 Altemate Phone: ,�ZU "" Y�d � �66G
❑ Insurance—Current:
1
A
i MECHANICAL SYSTEMS BElNG INSTALLED
HEATING SYSTEMS
Quantity:
Make: �0� i'��
Model: c��2V
Fuel: ������. ��
�(..
3 �, G ;
Flue Size:
Input BTUs:• �'�'� i U�0
•��
Output BTUs: �� ( ���
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Bunling Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ I`'o. Bath Exhaust(must have duct outside) cfm
❑ 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:
G aS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
.
' PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appiiance that meets all tlu•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;excludin�the cost of the fixhtre or appliance: and
3. Is improved,installed ar replaced by the homeo�vner 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 CALCULATION(S)-JOBS OVER$500.00 —�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�35.00)
� G, ������ x .0125 $
(contract price) (minimum 53�.00)
2. STATE SURCHARGE ** 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 PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for the
pernutted work inchiding 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 conh�act price for pernut fee puiposes. 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 ana
correct.
�� _
Applicant's Signature: ��� Date: I / �
�