HomeMy WebLinkAbout2008-P12112 - mechanical PERMIT
CITY O� ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12112
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/28/2008
SITE ADDRESS: 1165 Brown Rd S Unit#
Wayzata,MN 55391
PID: 10-117-23-24-0020
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: Permit Fee: $ 103.13 valuation: $ 8,250.00
State Surcharge Fee: $ 4.13
Misc.Fee: $ 1.50
TOTAL FEE: $ 108.76
APPLICANT: Sabre Heating&Air Cond Inc. OWNER: Eric Nielsen
3062 Ranchview Ln N Box 54
Plymouth,MN 55447 Crystal Bay,MN 55323
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.
��.a.�.Q (T. �9�n
APPL[CANT PERMI"I'6E SIGNATURE UED BY SIGNATURE
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, ]-Septic) Page 1
, FOR C[TY USE ONLY
�' City of Orono
�� 4�� P.O.Box 66 Date Received: Permit k
�� � ', 2750 Kcllcy Parkway
a ,�i'"� �j� Crystal Bay,MN 55323 Approved By: Amount$:
��A %�� ��o�! (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must bc approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in person at the City offices. Applications�vill
bc reviewed and a pern�it will be issued within two working days.
2. Permit cards will be sent by rcturn mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT [3EGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
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 forn�provided.
4. Whcn 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 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.
� TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Replace
Cob Site/ Owner lnformation:
Si'te Address: 1����Z �`1(1\'� � ��ln �,��t
Owner:�Y ���� «� Mailing Address: ���r�.�,� �1� L�%--� ��
: ���� �, �
c�ty: � zi�:
Home Phone: �12'Z�l,`���J Alternate Phone:
� Contractor Information:
�- --
�T{���)� � � � '��C tact Person: 1" �
Contractor: ,� � � 1� ,I on
Address: z,� � 1�(.` '1 � State Bond#: ���1J� Z��
City: p��_ Zipt''�1 Expiration Date: � � �
Phone: �l�l���1�Zu-�� Alternate Phone:
❑ lnsurance—Cunent: ��1
]
. .IvlE �HA���A ��'"ST�1�.��E�1�fiG��S�T.A��El�..�,�,�� ,�,,,� ,.;fl� ,.��e:'�
iiF:AT�iNc svsTEms
Quantity: __ '
M ak e: !,.'r�1� ����
"l�'!��,
Model: l,�l� ������-
Fuel: �
Fiue Sirc:
Input E3TUs:
Output B�1 Us: __
CFM:
COOLING SYSTEMS
Quantity: �
Make: l�,�r��.y
Modcl: �
Tons: ��__
I1. Powcr �
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
� ❑ Wood Stove With Flue
Brand Name: Model No.:
VENTOLATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUF.L STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
I.P Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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� F��RMIT I}�F CALCULATION(S)
BASED Ot:F - 2002`STATE STATUE
❑ Yes,this section applies
Thc replacement of a Residential fixture or appliance that meets all three of the following requirements:
I. 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. ls improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ I 5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCTJLATIOI�r S -30BS OVER$500.00 '' �"'
I f above does not apply; follow guidelines below:
I. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$35.00)
��Lr�n ,���� x .oi2s$ IU��I�
(contract pricc) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
��L��-�v �d C� x .0005 $`�t . �ZJ
(contract pricc) (minimum$ .50)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ ��C,� • 7�
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
, pennitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. [f any material, equipment, labor or installations are fumished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
cstimatcd cost or contract price for permit 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.
• **"l�he S��A"fE SI�RCi1ARGF, is .OU05 of the Building Department at(9�2)249-4600 for the price.
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MECHANICAL PLRMTT APPLICATION AGREEM�NT , i
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 and
correct.
Applicant's Signature��� � �-� � C� Date: . � ��
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