HomeMy WebLinkAbout2008-00447 - mechanical CITY OF ORONO PERMIT NO.: 2008-00447
2750 KELLEY PARKWAY
� ORONO, MN 55356- �ATE IssuEn: 12/12/2008
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1800 CONCORDIA ST
PIN : 17-117-23-22-0025
LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK
: LOT 024 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,000.00
NOTG: 1 RUUD GAS FURNACE
APPLICANT
MECHANICAL 50.00
RON'S MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 2.00
12010 OLD BRICK YARD ROAD
SHAKOPEE, MN 55379 MAIL-IN FEE 1.50
(952)445-8585 TOTAL � 53.50
OWNER
HANSEN, PAUL& KAREN
1800 CONCORDIA ST
WAYZATA, MN 55391
ACREEMENT AND SWORN STATEMENT
"Che work for which this permit is issucd shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Buildinb Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspcnded for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This pem�it may be
revoked at any time for due caqse.
`�-� c.►� i i DYK.�c--�' i i
Applicant Permitee Signature Date Issued By Si ture Uate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE.
,
FOR C(TY USE ONLY
, �¢0�, City of'Orono
P.O.Bux 66 Date Received: __ Permit#
�����:., � � 27�0 Kellcy Parkway
� � i�y'�,.,�. I�i Gystal Bay,MN 5j323 Approved By: --- Amount$:---
�A,��.,,;�o'��>' (952)�d9-dG00
:r'tr�Kp6;�
CITY OF ORONO — MECHANICAL PERMIT
(:�II Coinmerci:�l p�rn�its must be approecd by the Iiuilding O��ici�il ur Impector and'or Fire Mar�h:tll)
GENERAL INFORMATION ` �
1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will
bc reviewed and a pennit will be issued wiU�in two working days.
2. Permit cards�vill 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
i�rKn�i1T CARD IS POSTED ON THE JOB SITE.
�. Mechanical Dcsi�ns—Complete calculations,details and specitications are required for each
heating,ventilation,humiditication-dehumiditication,and air conditioning installation including
heat loss/heat bain calculation,design lemperatures,equipment ratings and identitication as to
ty�ic, manufactw�er and model. Data shall be i;resentcd on form provided.
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 bc inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Rccord must be submitted before tinal.
TYPE OF PERMIT
Check All That A 1
❑ Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional 'fCepairs Replace
Job Site/Owner Inforrnation:
Site Address: ��t'` ' 1 \ ` �� �l l��l l. '�-'i �1
Owner:l� /��,�� �������r� Mailin� Address: ��� ��������`�''�`�'' �
�
'�
��ry: i� . ����� G��: 5 5� -f 1
����- ��i-���<
Home Phone. Alternate Phone:
Contractor Information:
��t, '� �,��� I.�I(�� �� L1���
Co�ltractor. ��� � � � � � � /�L.^1� �tact Person:
�
Address:
IZC�eC� O1C �ti<� ��,��C� tateBond #: l�Ll `7(p�� �o`i
City: �I ��`lr� �� Zip,/��/'" �Expiration Date: � U
l �" ���"���J
Phone: / Alternate Phone:
❑ Insurancc —Current:
1
�
HEATING SYSTEMS
Quantity:
Make: K,tM�,y
Model: � �� ��
Fuel: ��_
Flue Size:
Input BTUs: �O� ��
Output BTUs: DD,Q�j�
CNM:
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 F1RE MARSHALL)
❑ [nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside •
LP�Gas: gallons
Other:
GAS LINF,ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
- � � PERMIT FEE CALCUL'ATI(�N(S) �
' BASED(JFF -2002 STATE STATUE
❑ Ycs, this scctiun applies
The replacement ofi a Residential fixture or appliance that meets all three of the foliowing requirements:
I. Does not require moditication to electrical or gas service.
2. Has a total cost of 5500.00 or less;excludin�the cost of the tixture 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 Surchargc S .50
Mail-In Fee(If Applicable) � 1.50
Total Permit Fee $
PERMiT�'�� �;' � . °,�3�: , ��:;-:� - �S G`JEP.�500'.UU ��'.4��e,�u� :, �&:
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 .0125 � ��
(contract price) (minimu�5.00)
2. S"TATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of'�.50)
--��Ov _—x .0005 $----- Q�•�� -
(cun�ract price) (minimum$ .50)
3. POSTAGE& HANDLING (Only on Mail-In Applications) � I.50
4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ �,��
• * C:ONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted work including materials, labor, profit, and other fixed costs. lt is the amount to be charged
to thc customcr for thc work done. If any material, equipment, labor or installations are furnished by
lhe owner, tenant or any othcr party, thc reasonablc 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 Ciry 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.
�z _
The undersi�ned 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 certities that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: � � ��0���
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