HomeMy WebLinkAbout2006-P10357- mechanical PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P1o357
Crystal Bay, Minnesota 55323 Permit Type: 1vlechanical Permits
(952) 249-4600 Date Issued: 9/21/2006
SITE ADDRESS: 1695 Concordia St Unit#
Wayzata, MN 55391
P��� 17-117-23-22-0023
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 3�.2g valuation: $ 2,982.00
State Surcharge Fee: $ 1.49
Misc. Fee: $ 1.49 �
TOTAL FEE: $ 40.26
APPLICANT: Residential Heating&Air,Inc. OWNER: Donald Belawski
1815 East 41st Street Suite A 1695 Concordia St
Minneapolis,MN 55407 Wayzata MN 55391
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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APPLICANT PERMITEE S[GNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1
�
NOR CITY USE ONLF
� City of Orono
� � ��� P.O.Box 66 Date Received- Permit#
� ��' 2750 Kelley Parkway
.+ ��' �� ��� Crystal Bay_MN 55323 Approved L3y� Amount$:
����saxo`"�`~ (952)249-4600
CITY OF ORONO—MECHANICAL PF.RMIT
(All Coinmercial pennits must be approvcd by the[3uilding Ofl�icial or Inspcctor and/or I�ire 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 IJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN 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 form provided.
4. When any new construction or remodeling is involved,a separate building pern�it must be
obtained.
5. All worh 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 I )
idential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
3ob Site /Owner Information:
Site Address: l C� �� �J � c� � � c-�r c� � t� J 1
Owner:�v� 1�c.-� c�.�5��� Mailing Address: 1 Eq 5 �v ^c�-� � � 5 r
City: � c'C: ���i Zip: �"JS��I �
Home Phone: Alternate Phone:
Contractor Information:
Contractor: IZeS1t�CE�tla1 I��a�lil� �ontact Person: ✓T��-- �L
Air Condi�ioning, Inc.
Address: 1�1 F �a�r ai�+�+reet State Bond #:
AliinneapoEis, MN 55407
City: �612� 72�i�99 Expiration Date:
�b��
Phone: Alternate Phone:
❑ Insurance—Current:
1
�r.
, MECHANICAL SYSTEMS BEING��INSTALLED
HEATING SYSTEMS
Quantity: �
Make: �Z�,v
Model: U 6 ra ,N U 5 E����
Fuel: (�aci —�� 5
Flue Size:
Input BTUs: �U_ Q C:�
�--6�
OUtpUt BTUS: (� (�c�
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 duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ lnstallation ❑ 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:
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. Is 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 CALCULATION S -JOBS'`OVER $SOOAO
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
ca v z�'
Z�2- x .0125 $ ��
(contract price) (minimum$35_00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
� ' `1 G( x .0005 $ I �� 1
(contract price) (minimum$ .50)
3. POSTAGE& HANDLING(Only on Mail-[n Applications) $ 1.50
� Z;� �;
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charge
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 STA'I�G SL'�i�i IARCE 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 11 statements made this application are complete, true and
correct q
, � !,� _
Applicant s Signature: Date: I �� `O 6
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