HomeMy WebLinkAbout2008-P11916 - mechanical . ,
PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P11916
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
3/12/2008
SITE ADDRESS: 210 Big Island Unit#
Excelsior,MN 55331
PID: 23-117-23-23-0034
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 139.38 valuation: $ 11,150.00
State Surcharge Fee: $ 5.58
TOTAL FEE: $ 144.96
APPLICANT: Heating&Cooling Two Inc. OWNER: Jud Champlin
18550 County Road 81 2643 Thoroughbred Lane
Maple Grove,MN 55369 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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PPLICANT RM SIGNA E S ED BY SIGNATURE
Copies: I-File(SiQnatures Reauired). 1-Aoolicant. 1-Monthlv Renorts_ 1-Assessine_lif Sentic_ 1-Senticl �___ ,
, , �
�
, � ¢Q�, City of Orono FOR CITY USE ONLY �
P.O.Box 66 Date Recerved . �, �� Pe��t'# `'
� ����,,., � 2750 Kelley Parkway .
'� ���� Crystal Bay,MN 55323 � ' �"�
`"�����,�� (952)249-4600 Approved By `Amounf;$
�
CITY OF ORONO-MECHANICAI, pERMIT -
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENER.A.L:INFORIVIATION
1'� You may apply for mechanical pemuts by mail or in person at the City offices. Applications will
be reviewed and a pernrit will be issued within two working days.
2. Pemut cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
- PERiViIT CAItD IS POSTED ON THE JOB SITE.
3. Mechanical Desi s—Complete calculations, details and specifications are required for each
heating, ventilation,humidification-dehumidification, and air conditioning installarion including
heat loss/heat gain calculation,design temperatures,equipment rarings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4• When any new construction orxemodeling is involved,a separate building pemut 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 final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before finaL
' E OF PERIVIIT: : .� .: , _ .
. TYP
'(Check All That A ly) ,;
�esidential ❑Commercial(Approval Required)
�Q,New ❑Additional ❑Repairs
❑Replace
Job Site`/ Owner Infoiznation
Site Address: �� �5��
Owner:-.S�(�u,�C� U Q i '�' Mailing Address: .
City:
Zip:
Home Phone: Alternate Phone:
:Contractor Information:
Contractor: HEATINQ &COOLINa TWO INC.Contact Person:
8 oun , i
Address: �aPle Grave, MN 55369-9231
---T"'��! a�R '�g�7 State Bond#:
www.heatcool2.com
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance-Cunent:
1
� . � �
; ��_������`�����;�� SYSTE � ,
- � ��: C�FA�II��L _ NiS�EING $ - � � ,�
IN'S;`�-�.L�BB��,�.�:: f��,�r� ���'
'ie. F't
Y . . . . . .. � . � . . .
HEATING SYSTEMS . - .
i
Quanfity: �
Make: _ - �
, .. -
- ' Model: : ' �G D
Fuel:\ ,,,�� -
_ - Flue Size: r
� AF
Input BTUs. �f=
.. Output BTUs: �n�vo. - �
_ ,.:,
�CFM: -
. COOLING SYSTEMS -
-. Quantity:, � _
Make: -
Model: aa����—J[7 _
,
. `Tons:
H.Power
FIREPLACES : ,, ,. '
❑ Gas Factory Fireplace
� Wood Burning Fueplace �
'.. ❑ Wood Stove
❑ Wood Stove With Flue _
,- - Brand Narrie: ' Model No.: ::
VENTILATION
.
❑ Na �_ Kitchen E�chaust_ � duct recirculating �o e ��
`❑ No. �_ Bath Exhaust(must have duct outside) �O .cfm
❑ No. Other Fans: Locations �
cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) .
❑ Installation � Removal
FuelOil: gallons _
' LP Gas: ❑ Underground ❑Inside ❑ Outside.
gallons
Other.
GAS LINE ONLY
❑ Outdoor Grill ❑ Od�er/List What&Where:
2 �
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. ������F.,��.�����«.��fi�.�PERNfI1�F�E.fCAI;C�TL�'A�ION�S)"��"�'�-,� ����,�` �--"}�������;
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. 7 �~ i£,� *� ,�4r -C .-
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�`'�' ` _ _- BASED;O�F =2002E,S'rAT;ES`�ATU�� ��:- �' �
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❑ .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;excludin�the cost of the fixture or appliance: and
` ;3.�,Is improved,installed or replaced by the homeowner or licensed contractor.
- 4'' � Skip next secrion,if this applies; ' Cost of Pernut , $ 15.00 -
` : : r �, � State Surcharge
: $ .50
Mail-In Fee(If Applicable) $ 1.50 .
- Total Permit Fee $
�`�,�`� '� �EE�ZNIIT,FEE,� s . ,
' � �UL-;A�`ION�(�)-�JOB,,S;O,�'ER;�S0.0,'00�..�'��,.��"��.��
If above does not apply; follow guidelines below:
� 1. CONTRACT PRICE *is 1.25%of contract price with.a (Minimum Fee of$35.00)
�'-. ;, _, .-,.;: .
��
` X.oizs$
_ (contract price) (minimum$35.00) .,, �
2. STATE SiJRCHARGE **Add the State Bldg Code Div.Surcharge (Minirnum Fee of$.50)
, , '.., x.0005 $ _ (.. �
(contract price) (minimum 5 .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 actual or estimated dollar amount charged for the
permitted work including 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 contract price for pernlit fee purposes. 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 Departrnent at(952)249-4600 for the price.
-:� y 3�'�#� °�MEGHt�.�]ICA�PERIVI[T`.A�PL�TCATIO�AGREEME_T ���,�L: ��*- .
.�� r _ ��. F -� � ,
. . .._ � _. . . .. , .. �K�....-�m � ��:�,��.�: '
The undersigned hereby applies to the City for issuance of a Mechanical Perniit, 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 and
correct.
Applicant's Signature: { Date: �=��'� �o
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