HomeMy WebLinkAbout2005-P09262 - mechanical PERMIT
CITY'OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09262
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: l0/5/2005
SITE ADDRESS: 160 Cygnet Pl Unit#
Long Lake,MN 55356
PID: 04-117-23-22-0020
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 50.00 valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: Hearth&Home Technologies Inc. OWNER: Olson&Bernardi
DBA:Fireside Hearth&Home 160 Cygnet Pl
2700 Fairview Ave Long Lake MN 55356
Roseville,MN 55113
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.
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APPLICANT PERMITEE SIGNATURE [SS ED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
Q,�` City of Orono
P.O. Box 66 Date Received: Permit#
• �� �v�� 2750 Kelle Park�va
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�ji`'�,�"� � Crystal Bay,MN 55323 Approved By: Amount$:
�� ,��-�+i�.a� (952)249-4G00
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CITY OF ORONO —MECHANICAL PERMIT
(.All Commercial permits must be approved by the[3uilding Ofticial or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut�vill be issued within two working days.
2. Peinut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID LTNTIL YOU RECEIVE A PERMIT. VVORK ML1ST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilation,hunudification-dehunudification, 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 const�-uction or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Buildin�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 inust be subnutted before final.
TYPE OF PERMIT
(Check All That A ply)
�Residential ❑ Conunercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ��Replace
Job Site/ Owner Infornlation:
Site Address: ��af.1 � -���n� } 'c��.
—T.
Owner: ���wl p� ��rnar��� Mailing Address:
City: ��('��� v Zip:
Home Phone: ���� '_3_��� � I �y �-/ Alternate Phone:
Contractor Inforniation:
Contractor: �� Contact Person:
� �iN�rN i �
�� ��� State Bond #:
Address: 2700 N. F��� .�T�
R°s�Wll�. MN lis11�
651/893-25a1
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance— Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED . �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
�X ,� Brand Name: ���. ��(_- I �= Model No.: `—� ,1. N
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ I��o. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FtiEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
���,�s�' ����
aallons �.�
Fuel Oil: ❑ Und�,}��,y�lifl f�s� �tside
LP Gas: gallons ,,'�,�`�e.,w;.{ .N o.^.``
Other: -,;, ��*� �n,.�nr
G:�S LINE O\LY
❑ Outdoor Grill ❑ Other i List��%hat&:Where:
�
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PERMIT FEE CALCtiLATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tln•ee of the following requirements:
1. Does not require modification to elech�ical or gas service.
2. Has a total cost of$�00.00 or less; excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeo��vner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S) —JOBS OVER$500.00
If above does uot apply; follow guidelines below:
L CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�35.00)
�G Z�Z' .c-'�Z 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 Applicarions) � 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ "` CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including inaterials, labor, profit, and other fixed costs. It is the amount to be eharted
to the customer for tl�e 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 pernut fee puiposes. In tl�e 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 conn-act.
m ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, ab ees to do all
worl< in strict accordance witll 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�ti—��� -- Date: ������'=�
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