HomeMy WebLinkAbout2007-P11509 - air conditioning PERMIT
CITY OF ORONO
2750 Ke;�y Parkway- PO Box 66 Permit Number: p11509 ,
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(951) 249-4600 Date Issued:
9/28/2007
SITE ADDRESS: 175 Crystal Creek Rd Unit#
Long Lake,MN 55356
PID: 33-118-23-33-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 49.93 valuation: $ 3,994.00
State Surcharge Fee: $ 2.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 53.43
APPLICANT: Ditter Inc. OWNER: Andrew& Sally Engebreton
820 Tower Drive 175 Crystal Creek Rd
Medina, MN 55340 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK[N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�_�'��-� ��. ���"'�'�
APPLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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�� "' � Foa c»•v«sr o�v�.v
' 0'�, City of Orono
���` ��`� P.O.Bci�66 Date Received: Permit#
• '��� � ���' 2750 Kellcy Park�vay
a �I" �' �*�' Crystal[3ay,MN>j3?3 Approvcd By: Amount$.
��' '�r ir�yo`� (952)249-4600
.�y�KOR,i'
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by thc[3uilding Olfici.il or Inspector andlor Fire Marshall)
GENERAL INFORMATION
1. You may appiy for mechanical E�ermits by mail or in person at the City offices. Applications will
be reviewed and a pennit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is compieted. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PGRMIT. WORK MUST NOT BEGIN UN7'IL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
l�ezting,ventilaTien,humi�ification-dehumidification,and air conditioning installation includii�g
I�eat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,mar.ufacturer 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�uust 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 Or PERMIT
� (Check All That Apply)
��ential ❑Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs �e.�lace
�
Job Site / Owner lnformation:
Site Address: � �'r 5 � y�� �
LT , (i �
Owner: � � - �1���,- Mailing Address: � �:..J CV � �� '"�i
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City: Zip: � ���
Hoine Pho��e: -F-J�� —��l �'�Alternate Phone:
r°—��
Contractor lnfiormati n:
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Contractor: � � �'� Contact Person:
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Address: ���� �(,��'l_, �� State Bond #: �`/ � � �� ��
City: a�_ Zip:�e�=�'�%C��fation Date: � % � (��
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Phone: �A �� � � — ��C) Alternate Phone: �
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❑ Insu►-ance—Curre��t:
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• ��� PERMIT FCE CALCULATION(S) �� �
BASFD OI�F - 2002 STATE STATUr
❑ Yes,this section applies
The replacement of a Residential fiature 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. ls improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this appiies; Cost of Permit $ ]5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Tota! Permit Fee $
PERMIT rEE CALGU`LATION(S)-JOBS �UER $500.00 ;
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract pri��ith a(Minimum Fee of$35.00)��
�' ' �l / ��--.
x .0125 $
(c ntrac�price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcl�arge(Minimum Fec of�.50)�-
� G/�—
, x .0005 $ ' •
(contract price) (minimum$ .50)
3. POSTAGE& HANDLING(Only on Mail-tn Applications) $ ' 1.5~0 �
` .�'7 /
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charaed for the
permitted work including materials, labor, profit, and other fised costs. lt is the amount to be char�ed
to the customer for the work done. lf any material, equipment, labor or installations are furnished by
the ow:;er, tenant or any other party, the reasonable market value of such items must be added t�o the
estimated cost or conttact 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 SURCHARGL is .0005 of the Building Departne��t at(952)249-4600 for the price.
��� �� � �MECI-iANICAL PERMI'I'�APPLICATION�AGf�EEMENT � �
The undersibned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in str�ict acco��dance witi� the or�linai�ces of ti�e City and the regulations of the State ui
Minnesota, and certifies that all statements made �on this applic�kion are complete, true and
con�ect. �� ✓ �
�� _ � � �
Applicant's Signature: �� Date: �
Reset Form
_ _ 3
� MECI�ANICAL SYSTEMS BEINGINSTALLED
HEATiNC SYSTGMS
Quantity:
\.
Make:
ModeL•
FueL• " _. .
Flue Size: _.�..._....._.
[nput BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: �("��� V�
Model: � ���
Tons: �
• � -- ------
�----
H. Power
FIREPLACES
Gas Factory Fireplace
❑ d Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Nlodei No.:
VENTILATION
�'",�Io. Kitchen Exhaust duct recirculating cfin
❑ No:��� � Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
F EL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
Installation ❑ Removal
Fuel Oil:��` gallons ❑ Underground ❑ Inside ❑ Outsidc
LP Gas: gallons
Other:
CAS LINE O .
❑ Outdoor ❑ Othcr/List What R Where: ______________
2 _