HomeMy WebLinkAbout2007-P10784 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P10784
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
3/8/2007
SITE ADDRESS: 3457 Crystal P1 Unit#
Wayzata,MN 55391
PID: 17-117-23-43-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: Genera]
Permit Type: Mechanical Permits Permit Sub-type(s): Hearing Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,900.00
State Surcharge Fee: $ 0.95
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.45
APPLICANT: Western Hearing&Air Conditioning OWNER: Peter J Hill
P.O. Box 41 911 W 47th. St.
Long Lake,MN 55356 Minneapolis,MN 55419
THE UNDERSIGNED HEREBY REQUESTS PERMISSfON 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 PERMI'1'EE S[GNATURE S UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
FOR CITY USE ONLY
��� Cit� of Orc►oo p�
!� Y.O.13os 66 Date Received: _ _ Permit N�����1�
� �`��� 2750 kellcy Yarkway
.5.
t � �'�,� �.�+ Crystal Bay,h1N 55323 Approecd By: Amount$:
�L� �.;�b J� (952)2-19-4600 ---- -----
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C[TY OF ORONO—MECHANICAL PERMIT
(All Commercial pe�mits must be appro��cd by the Building Official or Inspector andlor Fire Marshall)
GENERAL INFORMATION
1. You ma}� apply�1�>r mechanical permits hy mail or in per�n at the City o1'fiees. Applications will
be reeicwed and a permit will be issu�d within t��°o��orking days.
2. Permit cards will be sent by retum mail after a r�l�ic�� is completed. PI3RIvIITS ARE NOT
VALID[JNTII, YOU RfiC}iNI:�1 PERMI'I'. WORK MUST NOT BEGIN UNTIL THE
PERNIlT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete caleulations,details and specifications arc required for each
heating,�entilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
t�pe,manul'acturer and mocicl. I)ata,hall be presented on form pro��ided.
4. When anv ncw con�t�uction or t-emodeling is in��olved,a uparate building�rmit must br;
obtained.
�. All�i-ork must be done in aecordance«�ith the Uniform Mechanical Code/State Building Codz
requirements.
6. All�vork must Ue inspected(rough-in and final). Call(9�2)249-4600.
(2a-�8 hour notice required)
7. House Heating 1`est Rec;ord must be submittzd t�fore final.
TYPE OF PERMIT
Check All That A 1
Q Residential ❑Commercial (Approval Requirc�)
❑Ne�� ❑Additional ❑Repairs �Replace
Job Site/Owner Information:
Site Address: =�4s�cry�r��Pla�e
Owner: P�t�x;>> Mailing Address: lais Las�n
C1�: Minneapolis ZIp: 55101
Home Phone: Alternate Phone:
Contractor Information:
COritT'1CtOi: Western Heating&Air Cond COIltclCt PeiSOtl: Hugh James
Address: �'°�3°x al State Bond#: 9K�4��y
Orono 55356 . 10/15/07
City: Zip: Expirat�on Date:
Phone: t����a�9-z$�, (�>>2�9�i-��t�
Alternate Phone:
❑ Insurance—Current:
1
� MECHAMCAL SYSTEMS BEING INSTALLED j
HEATING SYSTEMS
Quantitc: /
Mal�e: ��c�'d�'Y�.�'l
Model:
Fuel: /-1�'�-"rti,yc�. I
Flue Sir.c: Z"
InputBTUs: �� (,R,���
Output BTUs: ���� (��
Cl�M: �
COOLING SYSTEMS
t�uantity:
Make: '
Model:
�
Tons: �{
�--
I I. Po�ver
FIREPLACES
❑ Gas Factoi-� Fireplaa;
❑ Wocxi Burning Fireplace
❑ Wood Stove
❑ Wooci Stove WithFlue
13rand I�Iante: 0'V Mi�del No.:
VENTILATION
❑ No_ Kitchcn 1?�haust d�ict recirculating clm
❑ No. F3ath E�haust(must ha�e duct outside) cfm
❑ No. Othc�-}�ans: Lc�cations cfnl
FUEL STORAGE(MUS"I'I3E APPROVEll�3Y FIl2]'MAI2Sf IALL)
❑ Installaticin ❑ Remo���l
]�uel Qil: gallons ❑ [Jnderground ❑ Inside ❑Outside
I,Y Gas: gallons
Othei-:
GAS LINE ONLY
❑ Outd�>or(.11i11 ❑ Othet-/List Whai& �t'here:
2
- PERMIT FEE CALCiILAT`ION(S)
BASED OFF- 2002 STATE STATL7E
❑ Ye�,thi�scction applies
The replacetnent of a Residential fisture or a�pliance that meets all three c�f the following requirzments:
1. Does nut require me�ification to electncal c+r gas sc;t-�-ice.
2. Has a total cost of$SOO.00)or less;excludin�the cost of the fi�-ture or applianez: �md
3. Is impro��ed,installed ar r�laced by the homeowner or licen�ed c-0ntractor.
Skip ne�t se�tion,if this applies, Cost�i�Permit $ ]�.00
State Surcharge $ .�0
Mail-In Fce(If npplicable) $ 1.50
Totxl Permit Fce S
PERMIT �EE CALCULATION S —JOBS OVER$500.00
If above d��es not applV;r�llo��guidelines belo�v:
1. CONTRACT PRICE * is 1.25�%of contract pnce�vith a(Minimuro Fce of�35.00)
��(� , -- 1 .012� $
(contract prtcc) (minimum$.�5.00)
2. STATE SU RCHARGE ** Add the State Bldg Cod�Di��. 5urcharge(�iinimum Fee of�.50)
t.Ot)OS $
(contract price) (minimum� .50)
�. POST�GE&HANDLING((}nly on Mail-In Applicatic�ns) $ 1.�0
�. TOTAL PERMIT FEE(Add I.ines I-3 Above) �
■ * CON'rRACT PR1CI_�, or JOB GOST mean, the actual or estimatcd'dollar amount charged for thc;
peimitted��ork including matenals, labor,protit, and other fi�ed costs. It is the amc�unt to l�charged
to ihe custom�r lor the work done. If<�ny material, equipment, labor or installations are fumished by�
the o�vner, tenant or anv other party,the reasonable market value of such itEms must be added to thz
estimated cost or contract price for permit 1-ee purposes. In the event that there is 3 dispute on the
amc�unt oC the je�b cost, the Citc mae� request the submission c�f a signcxi cop� of the actual contr-act.
■ ** �l`h�S'I'A'[�SURCHARGE is.0005 of thc Buildin�Department at(952)249-4600 for the p�ice.
MECHAIVICAL PERMIT APPLICATION AGREEMENT
The undersigned hereb� applies to the Citv for issuauce of a Mechanical Perniit, agrees to do all
��ark in strict accordance ��ith d�e ordinances of the Cit<< and the regulations of the State of
Mim�esota. and certifies dlat all statements ►uade on this application are complete, true and
corrcct.
:�pplicant�s Si�nahzre: 'N/�� Date;
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