HomeMy WebLinkAbout2005-P09147 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po9147
Crystai Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
9/7/2005
SITE ADDRESS: 270 Crestview Ave Unit#
Long Lake,MN 55356
PID: OS-117-23-14-0063
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: $ 221.gg valuation: $ 17,750.00
State Surcharge Fee: $ g.gg
TOTAL FEE: $ 230.76
APPLICANT: Basic Mechanical and Remodel LLC OWNER: Lewis&Leslie Bautista
6322 Bloomington Ave. S 270 Crestview Ave
Richfield,MN 55423 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISS[ON 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 P RMITEE S[GNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
City of Orono , %
4�'� P.O.Box 66 Date Received:� � 'c:> Permit# ��
�" � 2750 Kelle Parkwa
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a '�j`�-'�,�;'f � Ciystal Bay,MN 55323 Approved By: Amount$: � �� �d
�� ��t' �.o` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pern�its mus[Ue approved by the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by retuni mail after a review is completed. PERMITS ARE NOT
VALID UI�TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Coinplete calculations, details and specifications are required for each
heatin�, ventilation,hunudification-dehunudification, and air conditioning installation iucluding
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on form provided.
4. When any new conshuction or remodeling is involved, a separate building pernut inust be
obtained.
5. All work must be done in accordaiice with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(9�2)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
� Residential ❑ Commercial(Approval Required)
0 New ❑Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ,Z.7D C,Z'EST vsE�
Owner: �OI�ISS �AhTsSTiq Mailing Address:
c�ty: m�ic� ��vvE z�p:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ,�51'C�C,i�►AIVTU9�L Contact Person: /Y,1'tKE f.r�sCKSD�
9N,Q iQEinodE� �cc
Address: �cr32Z��A'Itc/VlTO� State Bond #: 0 3Z 7-s9s
qvE so.
City: /QSCFfFsE[.Q Zip:�,�3 Expiration Date: 9�7Id�
Phone: (��Z'7g$'`�$SS 2.. Alternate Phone: (oI L - 7`/7 - `+�Z7�
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity: �
Make: �/!�/9/J
Model: �/� �/ !'�/,S.SQ�CA /JS �l
Fue1: N�l• GAS
Flue Size: P�C ,3 ,�
Input BTUs: / /,S� db0
Output BTUs: /D,s; $d U
CFM: /,q�
COOLING SYSTEMS
Quantity: /
Make: �,BIV
Model: �L'r y$' �
Tons: y
H. Power y
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct ✓fecirculating cfm
❑ No. �� Bath Exhaust(must have duct outside) �O �o 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:
/!��}�1 GR S : F Uit�1/���, GA�AGE h�EA t�.�°, PJ,�yEr2, ,ST U V E,
2 G�5 Fi�e E �tq�
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' PERMIT FEE CALCLJLATION(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 Ap�licable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $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)
� /7. 7,,f�C� x.0125 $
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) �
■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for the
pernutted wark 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 furiushed by
the owner, tenant or any other party, the reasonable market value of such items inust be added to the
estimated cost or contract price for pernut fee puiposes. 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.
MECHAIVICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pern�it, 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 made on this application are complete, true and
correct.
Applicant's Signature: i�2�� -� � Date: .
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