HomeMy WebLinkAbout2006-P09693 - mechanical PERMIT
C;ITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P09693
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
3/23/2006
SITE ADDRESS: 510 Deborah Dr Unit#
Maple Plain,MN 55359
P��� 31-118-23-23-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pcrmit Type:
Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved perresolution#:
Separate permits rcquired:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 148.33 Valuation: $ 11,866.00
State Surcharge Fee: $ 5.93
TOTAL FEE: $ 154.26
APPLICANT: M&D Plumbing&Heating&A/C, Inc. OWNER: Johanna Heggelman
11050 28th Street NE 510 Deborah Dr
St. Micheal,MN 55367 Maple Plain MN 55359
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 PERMITEE SIGNATURE ISSUED BY SIGNATURF,
Copies: I-File(Signarures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
i FOR CITY LISE ONLY
� � City of Orono � 1�, ::1/���
O� �O P•O.Box 66 Date Received: 13 V" Vermit# �"L (r
�^,::,�„ 2750 Kelley Parkway `
a 1�?7���r� � Ciystal Bay,MN 55323 Approved By: Amount$: l S �•2�
��^ �j+��'''�.o` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must Ue approved Uy the Building Official 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 perniit will be issued within two working days.
2. Pernut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. �VORK MUST 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-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. All work must be done in accordance with the Uniform Mechanical Code/State Building 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 must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
�-
Q'Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs � eplace
Job Site/ Owner Information:
Site Address: -� ��-' i�� ��>,=L�� I�,- - �%�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: r�'��L�� ��h������ Contact Person: i�-� ,l� c)�:/t,�;_,-�:,
Address: /�t�5�% %' �f`' ���• ^'�� • State Bond #: ��-' ����� ' �i�'�''�
City: 5�- r�r���.r� Zip:5:�-<t!�-� Expiration Date: �-��'-C��
Phone: ?c; f -`�i� "z�-`� Alternate Phone:
❑ Insurance— Current: U/-�.� C�:s�.�_.�/�., {�--�-�e�
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MECHANICAL SYSTEMS BEP�1G 1NSTALLED • �
HEATING SYSTEMS
Quantity: ? �
Make: !3.-y��.-.,f- 13��it,ti��-
Model: .�izl�rti�%r.'7�/1�;'i% �i z,},����.3(��;;, ,�. .
Fuel: /✓,L�. �,�,L� .
Flue Size: `/ `/
Input BTUs: �c� Oc�G �r%;��'t;
Output BTUs: �1 g���,i1 ���•, c�<_•s��=
CFM:
COOLING SYSTEMS
Quantity: �
Make: J • �,,,,„ t
Model: / 23l�NJ+L'��;�
Tons: -� T�/`�
H. Power %�, �s=�/
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) 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:
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j PERMIT FEE CALCULATION(S)
� BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that nieets all tluee of the following requirements:
1. Does not require modification to elecri�ical or bas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed conh�actor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Pernut Fee $
PERMIT FEE CALCULATION(S) —JOBS OVER $500.00
If above does uot apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$35.00)
1 �, �'�, 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 PERiVIIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted work 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 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, a�-ees 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.
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Applicant's Signature: ( -----. l�,���.�, Date: :-' 3-c> l�,
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