HomeMy WebLinkAbout2007-P10782 - mechanical PERMIT
C!TY OF ORONO
2750 Keliey Parkway- PO Box 66 Permit Number: p1o782
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
2/22/2007
SITE ADDRESS: 751 Boulder Dr Unit#
Long Lake,MN 55356
PID: 33-118-23-11-0073
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Gas Line to Stove
FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50 �
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Flare Heating&Air Conditioning OWNER: O.T. Development, LLC
9303 Plymouth Ave N. Suite 104 10300 lOth Avenue N#101
Golden Valley,MN 55427 Plymouth,MN 55441
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
ANp 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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� APPL[CANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), l-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONI.Y
City of Orono f�;tle Received: Permit#
�'4�Q� <, P.c>.¢�.c,�,
�" 2750 Kelley Parkway Amount$:
., .�., ` �.�' Crystal 13ay,MN 5�323 APProved By'. _
�:�, �' " - u;%� (952)249-d600
iek�Ros�' "
CITY OF ORONO—MECHANICAL PERMIT
(All Commerci�l pennits must he apprnvPd hy the 13uilding Official nr lnspectnr and/or Fire Marshall)
I GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in perso�i at the City offices. Applications will
be reviewed and a permit will be issued within two�vorking days.
2 Permit cards will be sent by return mail after a review is completed. PERMITS ARE NO"T
V.4LID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TNE
PERMIT CARD 1S 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 inciuding
heat loss/heat gain calculation,design temperatures,equi�ment 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 permit must be
obtained.
�. All work must be done in accordance with the linifonn Mechanical Code/State Building Code
requirements.
(. All work n�ust be it�spected{rough-ii�and final). Call(952)249-4600. ����� ��, ,�
(24-48 hour notice required) � ?f)
7. House Heating Test Record must be submitted before finaL /��
�— TYPE OF P�RMIT �
(Check All That A 1 ) �
� Residential ❑ Commercial(Approval Required)
❑ New '�Additional ❑Repairs ❑Replace
, �.(ob Site/Owner Jnformation:
�ite Address: ���l,��� �,/�/j' //�%I��
.� � --, p�'�" ���5
Owner: � �% I�L�1 �� Mailing Address:
City: _ �� {�(�l�L � Zip: �� �
1 lome Phone: Alternate Phone:
Contractor lnformation:
�
� ('ontractor: ���'� �� ��� Contact Persorr: � �
/�ddress: �����.� /1 ��� ,'S�tate Bond #:
Cit � ��I�, �� ��� Zip:�7���Cxpiration Date:
y= ,
Phone: 1 ti � � � I �� � � �� Alternate Phone:
❑ lnsucance—Current:
1
! ' MECHANiCAL SYS"i'EMS BEING IN�TALLEL)`
� ,_
HEATING SYSTEMS
Quantity: — --- -- —
�9 ak e: —__--- — — --- --
f�+lodel: — — --
I Puel: _. -- — — _�
P4ue Size: _ — -
i _ --
' Input[3TUs: _ —
(:)utput BTUs: _ —— -- ---
CFM: _ — � —
('OOLING SYSTEMS
Qu�ntity: ------ ------ — — -
M1kc: — ---- - —
i�Aodel: ------ --- — --------
"t'ons: — ---- -- —
IH. Power _ — --- — ----
�tREPLACES
[] Gas Factory Ficeplace
[] Wood Burning Fireplace
[] Wood Stove
� Wood Stove With Flue
Brand Name:_ __ Model No.: --
� V CNTILATION
[� No. _ Kitchen Exhaust _ duct_ recirculating ____�fin
� Bath Exhaust(must have duct outside) ___cfm
No. cfin
� No. --- (�ther Fans: Locations_—----_--- ---
1�UGt,STORAGE(ML;ST BE APPROVED BY FIRE MARSHALL)
� installation ❑ Removal
Fuel Oil: _g��loits ❑ Underground ❑lnside ❑Outside
LP Gas: _gallons
Other: --------------
GAS LINE ONLY
� � Outdoor Grill � Other/List What&�Uhere� �"����------
2
PERMIT FEE CALCULATION'(S)
BASED OFF 2002 STATE STATUE
� Yes,this section applies
'I'he rep�acement 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
i3, 1s improved, installed or replaced by the homeowner ar licensed contractor.
$ I�.00 -
Skip neYt section, if this applies; C'ost of Permik $ .50
State Surcharge
Mail-In Fee(lf Applicable) $ 1.50
'I'otal Permit Fee $ ��
�- PERMTT FEE CALCULATION(S)-JOBS OWER$��l(���.,`' °
11'�bnve does not app�y;fo����'Suidelines below:
1. CONTRACT PRICE * is i.25%of contract price with a(Minimum Fee of$35.00)
x .0125 $ —_—
� (contract price) (minimum$3�-00}
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Ntinimum I�ee of�.50)
x .0005 $ —
-- (cnnvact price) (minimutn R .i01—
g I.50
3. POSTAGE&HANDLiNG(Only on Mail-In Applications) —
4. TOTAL PERMIT FEE(Add Lines 1-3 nbove)
�
• '> CON'i'RACT 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 fa�the�vork doi3e. If any material, equipment, IaUor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimaYed cost or contract price for ��erinit 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 STnTE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
� � � � � MECHANICAL PERMIT APPI.,tCAT10N aGF����1T-� ��
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
�vork in strict accordance with the ordinances ofi the City and the regulations of the State of
Minnesota, and eertifies that all statements tnade on this application are comp(ete, true and
coreect.
�� _ �� � �C �
npplicant's Signature: _ _ // � � Date: G �__
Sf t f�iC�sn'
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