HomeMy WebLinkAbout2007-P11334 - ventilation PERMIT
CITY OF ORONO
2750 Kclley Parkway- PO Box 66 Permit Number: p11334
Crystal Bay, Minnesota 55323 Permit Type: 1vlechanical Permits
(952) 249-4600 Date Issued:
8/14/2007
SITE ADDRESS: 1635 Concordia St Unit#
Wayzata,MN 55391
PID: 17-117-23-22-0040
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Ventilation
D ETAI LS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 600.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Kleve Heating&Air OWNER: Howard Altori III
6365 Carlson Drive Suite G 3905 North Shore Dr
Eden Priaire,MN 55346 Mound MN 55364
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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APPLIC.Ai�iT PERMITEE SIGNATURE IS ED BY SIGNATURE
Copies: 1-File(Sigriatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
�, _ FOR CITY USE ONLY
���� �;`. City of Orono
� r"�'�`Y �•�
/,� ��� P.O.Box 66 Date Received: Permit#
�� .;ti, i�l 2750 Kelley Parkway
� �j��!, Crystal Bay,MN 55323 Approved By: Amount$:
�� �l��.,,� ���� (952)249-4600
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—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
!ype,mar.ufacturer an�+ model. Data shall be�resented on form �ro:�id?d.
4. When 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 A l
� Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs � Replace
Job Site/Owner Information:
slte l�daCeSS: �635 Concorida Street
Owner: A�1O° Mailing Address:
City: Orono Zip:
Home Phone: (9sz>a��-oss4 Alternate Phone:
Contractor Information:
COIltC2CtOC: Kleve Heating&Air Conditi� COIItaCt POCSOn: Ashley Griffin
6365 Carlso�Drive,Suite G RLI-56ll 65
Address: State Bond #:
Eden Prairie 55346 08/14/08
City: Zip: Expiration Date:
Phone: (9s2>9ai-a2�� Alternate Phone: (9sz�3as-�zaz
❑ [nsurance—Current:
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~ MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑✓ No. � Kitchen Exhaust Hood duct recirculating cfm
❑ No. 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:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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. ' PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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.
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 CALCULP.TION S —JOBS OS'LR $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)
600.00 x.0125 $ 35.00
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
600.0o x .0005 $ 0.50
(contract price) (minimum$ .50)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50
37.00
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 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.
■ ** 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 f the City and the regulations of the State of
Minnesota, and ce ifies at all statement m de n thi�application are complete, true and
correct.
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Applicant's Signature: - Date: 1
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