HomeMy WebLinkAbout2006-P10122 - mechanical � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10122
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 7/19/2006
SITE ADDRESS: 4025 Dahl Rd Unit#
Mound,MN 55364
P��� 07-117-23-14-0002
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: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 79.50
APPLICANT: Shaip Heating&Air Conditioning, Inc. OWNER: Larry Mclain
7221 University Ave.NE 4025 Dahl Rd
Fridley,MN 55432 Mound MN 55364
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.
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APPLICANT PERM[TGE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1
FOR CTI'Y USE ONLY
,¢p� City of Orono
�� �, P.O.Box 66 Date Received: Permit#
1 ,;.,.,_ i 2750 Kelley Parkway
�b,a 'Ii1'%�;-- � Crystal Bay,MN 55323 Approved By: Amount$:
`�\�\'��.o:�o� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Ma�hall)
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. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE
3. Mechanical Desiens—Complete calculations,details and specifications aze 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. A11 work must be done in accordance with the liniform Mechanical CodeiState Building Code
requuements.
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 Information:
Site Address: �Q� V� � 6
Owner: `�'��12 ' I N ' Mailing Address: (L' � //y �
c�ri: ��0.�� z�p: �53�'
Home Phone: � � �� "��� Alternate Phone:
Contractor Information:
Contractor: �� � Contact Person: r 1 Q l ' �f lJ i('
Address: �,
7 e.����� State Bond#: S5 ^1 � �
Ci � '� S,l I�
h'� t Zip:�' 73,� Expiration Date: d�� �
� �
Phone: / '�� �S -�� ; Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make: ' , �
Model: l,��P S� ��
FueL• 1�' .l1'/�S
Flue Size: �
Input BTUs:
Output BTUs: ��_
CFM:
COOI.ING SYC'�'EMS
Quantity: `
Make: �l� �
Model: V � � ��
Tons: ,��/� , `)
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: ' Model No.:
VENTILATION
❑ No. Kitchen E�chaust duct recirculating ��
❑ No. Bath E�chaust(must have duct outside) ��
❑ No. Other Fans: Locations c&n
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Instailarion ❑ Removal
Fuel Oil: gailons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATLTE
❑ 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;excludine 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 Surchazge $ .50
Mail-In Fee(If Applicable) $ 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$35.00)
"� �� �
�
r �� x.0125$ � �5•��
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surehazge(Minimum Fee of$.50)
� �p � � ��
�G' U(� � �� x.0005 $ � �� 1,�(J
( ontract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ � 79���
■ * CONTRAC'I' PRICE or JOB COST means the actual or estimated dollaz amount chazged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged
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 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, 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: Date: " ' �
Reset Form
3
: �' {�!
Building Codes and Standard Division Building Codes and Standazd Division
Commissioner of Labor and Industry
COIIlIT11SS10IIC1' Of LabOP aIl(�TII(�UStI' Has Received and Filed a$25,000 Surety Bopd,
3' As Required by MS 326.992,for Work Regulated
Has Received and Filed a $25,000 Surety Bond, by cne stace Me�n$�i��coae
As Required liy MS 326.992,for WorkRegulated 'ro: Shelley S.Hanson Bond No: ss-t9ia�a
by the State Mechanical Code Sharp Heating&Air Nrs m: oois6
Conditioning,Inc.
TO: Shelley S.Hanson Bond No: SS-1I1272 Effective Date Expiration Date
Sharp Heating&Air Conditioning,Inc. MB ID: 00156 ��22/2oos 7/21/2006
7221 University A,ve.N.E.
- ... - -- ... ;---
_ _ _ _____ --- -- -- ----- -
ridley MN 55432 ' ' , , --
Effective Date Expiration Date
7/22/2005 . 7/21/2006 w
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