HomeMy WebLinkAbout2005-P09079 - mechanical PERMIT
CITY �F ORONO
2750 Kelle''y�'Parkway- PO Box 66 Permit Number: P09079
CrystGi Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 8/18/2005
SITE ADDRESS: 2715 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0019
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: Pernut Fee: $ 97•88 valuation: $ 7,830.00
State Surcharge Fee: $ 3.92
Misc.Fee: $ 1.50
TOTAL FEE: $ 103.30
APPLICANT: Standard Heating&Air Conditioning Inc. OWNER: Mark&Kirstin Wilson
410 W Lake Street 2715 Counh-yside Dr W
Minneapolis,MN 55408-2998 Long Lake,MN 55356
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.
��/_� ��r pA /r
/l��t v/,
APPLICANT PERMIi'EE SIGNATURE SUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, ]-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
C� .�
�OR CITY USE ONLY
�<
� City of Orono
' �` � P.O.Box 66 Datc Keceived: Permit it
�', � } 2750 Kelley Parkway
�� 9�� �`� � �.�i Crystal Bay,MN 55323 Approved By _ Amount$� �
� �d tiv�o,� (952)249-4600
> �x��'%:
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pemiits must he appru��ed hy the Building Ofiicial or Inspcctor and/or Pire 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. Pennit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALtD UNTIL YOU RECENE A PERMIT. WORK MUST N07'[3EGIN UN'I'IL 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 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 1 ) � �
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs �Replace
Job Site/Owner lnformation: �
Site Address: �� �� �./� l�`� ��(� �(�
��
Owner:���y� ��!'l/� � Q�i(ing Address: ��S 1/l.��l f� ���(('
�
City: � � Zip: ���
0
Home Phone: �(� ���" ��b�ate Phone:
Cantractor Information:
,
����EATIN Contact Person: � L}Q� �ri�
a (�'1 c�'�,
410 W�ST I�e� ��R�ET '
�����OL�S, MN�54c��998 State Bond#:
612-824-2656
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
I
c
, � � � � � � PERMIT FEE CAI1Ct1LATTON(S) � ��� �
' � � � �� ��BASED OFF -2402 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. ls 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) $ I.50
Total Permit Fee $
� �F.ic1�1I i FEE i,r'�i,CUi.I�Tiaiv`(S j—3�BS �VEt2 aSGu'.�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)
�� �3c� X.0�25 $ � � -
(contract price) (minimum$3�-00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(n9inimum Fee of$.50)
��3� X.0005 � �-�C �
(contract price) (minimum$ �0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ L50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � _!���
■ * CONTRAC'r 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 SLJRCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION A�"..�E��MENT
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 m e on this application are complete, true and
correct. ,
Applicant's Signatur • G'D�C2t 1 �
Reset Form
3