HomeMy WebLinkAbout2008-00355 - mechanical , , CITY OF ORONO PERMIT NO.: 2oos-oo3ss
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssUED: 1UO3/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1470 CHERRY PL
PIN : 08-117-23-33-0017
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 004
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENT[AL
CONSTRDCTION TYPE : MECHANICAL-MULTIPLE
VALUATIOI�I : $ 8,000.00
NOTE:
HEATING SYSTEM-(1)MODEL#HD60,NATURAL GAS,(l)COOLING SYSTEM, MODEL#SSX14048,4 TONS
(4)FIREPLACES,COOKTOP,DRYER,UNIT HEATER. INSTALL HUMIDIFIER,FIRE EXCHANGER AND VENTING
APPLICANT MECHANICAL 100.00
KLEVE HEATING &AIR STATE SURCHARGE MECH(VALUATION) 4.00
6365 CARLSON DRIVE SUITE G
EDEN PRAIRIE,MN 55346- MA1L-IN FEE 1.50
(612)941-4211 MISC FEE 0.00
TOTAL 105.50
OWNER
Commercial Mortgage Fund
COMMERCIAL MORTGAGE FUND
8300 NORMAN CENTER DR.#720
BLOOM[NGTON, MN 55437-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construclion is
suspended for a period of l80 days at any[ime afrer work has commenced.
The appiicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
!/ �D 3 �D 8" ��� ��ru..a_vL- l/�0 3 i� 8'
Appli nt Permitee Sig ature Date
Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
; , FOR CITY USE OfYLY
g�� City of Orono O erm;i a ai008'- 03s.5
� P.O.Bor 66 Date Received: �� .3 �
���`� 2750 Kelley Parkw�y �S, L7
��,:21y:, Crystal B�y,MN 55323 Approved By: Amount 3: �
�j���.;� (952)249-4600
CITY OF ORONO -MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Offcial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permiu by mail or in person at the City offices. Applications wil!
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERIvIIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED Ov THE JOB SITE.
3. Ivtechanical DesiQns—Complete calculations, details and specifications are required for each
heating,ventilation, humidification-dehumidification, and air conditioning installation includin�
heat loss/heat�ain caiculation, design temperatures, equipment ratines and identification as to
type, manufacturer and model. Data shall be presented on form provided.
4. When any ne�v construction or remodeling is involved, a separate buildine permit must be
obtained.
5. All �vork must be done in accordance with the Uniform Ntechanical CodelState Buildin� Code
requirements.
6. All worh must be inspected (roueh-in and final). Call (952) 249-�600.
(24-43 hour notice required)
7. House Heatino Test Record must be submitted before final.
TYPE OF PERIvIIT I
(Check All That A lv
�Residential ❑ Commercial (�oproval Required)
� i�1ew �Additional ❑ Repairs ❑ Replace
Job Site / Owner Information:
Site Address: l"t�o
Owner:(�V Mailin� Address:
���
Citv: Zip:
Home Phone: Afternate Phone:
Contractor Information:
Contractor:KlPVP utn �. a!� Inc Contact Person: Ashley Griffin
Address: 6365 .� 1 �on nr Ste GState Bond n: Rr r_SF� � i h�
Citv: Eden Frairie Zip: 55346E�piration Date: 8/ 14 /b9
Pllone: 952-941 -4211 Alternate Phone: Q52-.,45-i242
❑ Insurance - Current:
1
,
�����?�`�t':��''�`.°�`*��,�%lEGHl�NICA.L� Y>S_�1VIS:BEI�1G.'�ST�PiI:LED,�i-�n:;� ,,;.`:1;:�; r, ,•.;
HEATING SYSTEMS
Quantity: �
Make:
Model:
Fuel: �1�
�
Flue Size:
Input BTUs:
Output BTUs: __—
CFM: _
COOLING SYSTEIIS
Quantiry: I
�la}:e:
�Icdel: �,J� � —
Tons: �
H. Powe;
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Bumin� Fireplace
❑ Wood Stove
❑ Wood Stove \Vith Flue
Brand Name: Ntodel No.:
VENTILATION
❑ I`'o. Kitchen Exhaust duct recirculatine cfm
❑ No. Bath Exhaust (must have duct outside) cfm
❑ No. Other Fans: Locations c`n�
FUEL STORAGE (titUST BE APPROVED BY F1RE M.-�RSHALL) _
❑ fnstallation ❑ Remo��al
Fue! Oil: =allons ❑ Under�round ❑ lnside ❑ Outside
LP Gas: �allons
Other �
GAS LINE ONLY'
❑ Outdour Grill � Otlicr ' List \Vh:u �C \�'hcrr: _ C��'`�
�'Y1,1�G . �n�l 1 humicl�t-�'i�r- -}�r � �..�,� tx�.' h�
`� _ e� ,
�
� ':�,� V��°;,,".�,�f`�� `'-� ,�pERMIT FEE.CroALGUI�-ATION(S) ,� ' �_,�� ;���` , ;•�
. � � , ti> � . ,
�y , h ,,•• : � , v.
_-;. ,,;.��,. �,b?j.;,,;r �`..,aBASED"OFF;.:2002_STATE STATIJE ,� . : , _ .�: -.� ,,.._
� Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; e�ccludinQ the cost of the fixture or appiiance: and
3. Is improved, installed or repfaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit S 15.00
State Surchar,e $ .50
Mail-In Fee(If Applicable) � 1.�0
Total Pcrmit Fee S
PERMIT FEE CALCULATION(S =JOBS OVER $500.00
If above does not apply; follow ouidelines below:
l. CO�ITR�CT PRICE ' is 1.3�°0 of contract price �vith a (�linimum Fee of 53�.00)
� ]�'�v� �a
V�v � .0 I�� S I OD-
(contrac:pnc�l (minimum 5��GO)
Z. ST.-�TE SL�RCH.aRGE " Add I ,: S;aie Bld�� Ccde Div. Surch�ree (>linimum Fcc ofS.�O)
/� 0� (�, . �
l�� • . .000, s —�
(contract pnce) (minimum� `G1
;. POST�,GE 8: H.-�,NDLING (Onl�� en 1(ail-(n .�pplications) S 1 ��
�i. 7'OTAL PER,�IIT FEE (.�dd Lines 1-3 �,bo�e) S I O�"<�/ L/
• ` CONTR�CT PR10E or JOB COST means the actual or estimated doll�r amount char�ed for the
perrnitted work includin� materials, labor, profit, and other fixed costs. It is the amount to be char�ed
to the customer for che �vork done. !f anv ma?erial, equipment, labor or irs:allations are �urn�shed by
the owner, tenant or any other party, the re�sonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the e��ent that there is a dispute on the
amount of the job cost, the City may request the submission of a si�ned copv of the actual contract.
• " The STATE SURCHARGE is .0005 of the Building Department at (9�') 2�49-�600 for the price.
- -.- MEC�-�ANICAL PERMIT APPLICATION AGREEMENT �
The undersianed hereby applies to the Ciry for issuance of a Ivtechanical Permit, aerees to do all
work in strict accordance with the ordinances of the Ciry and the re�ulations of the State of
tviinnesota, and c � ies t all statem ts de on this application are complete, true and
correct.
�
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Applicant's Si` ure: Date: (� 1 �
, � Reset Form � ,
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