HomeMy WebLinkAbout2008-P11840 - mechanical PERMIT
ChTY UF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11840
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
1/29/2008
SITE ADDRESS: 2905 Deer Run Tr Unit#
Long Lake,MN 55356
PID: 04-117-23-24-0010
DESCRIPTION:
Proposcd Usc: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 53.50
APPLICANT: Kleve Heating&Air OWNER: Charles&Deborah Manzoni
6365 Carlson Drive Suite G 2905 Deer Run Tr
Eden Priaire, MN 55346 Long Lake, MN 55356
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 PERMI�fLI�:SIGNATL'RE SULD BY SIGNATUR6
Copies: 1-File(Signatures Requirecl), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Scptic, 1-Septic) Page 1
' ' FOR CITY USE ONLY
p� City of Orono
j���¢�`r��� P.O.Box 66 Date Received: Pennit#
l(�, �''�� 2750 Kelley Parkway
�?�� p,��`i h�v Crystal Bay,MN�5323 Approved By: Amount$:
�'��'�t� � zi�,v��� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must bc approved by the Building Ott�icial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
l. 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 Desi�ns—Complete calculations,details and specifications are required for each
heating,ve�:tilation,I�umidification-dehuraidificatio�i,ar�d airr conuitionin� installation inciuding
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 A 1 )
❑� Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �eplace
Job Site / Owner Information:
Site AddreSs: �905 Dcer Run Trail
Owner: �narles&Deb Ma°Z°"' Mailing Address:
Clty: Orono ��p: 55356
Home Phone: (9sz�a�3-i2so Alternate Phone:
Contractor Information:
COI]tCaCtOC: Kleve Heating&AC CO[7taCt PeCSOtI: Ashley Griffin
6365 Carlson Drive,Suite G RLI-561 165
Address: State Bond #:
City: Ede"Pra'r'e Zip: Ss3a� Expiration Date: os��4�og
Phone: (952�9ai-a2i i Alternate Phone: (952�34s-�2az
❑ Insurance—Current:
1
MECHAN[CAL SYSTEMS BEING INSTALLED
HEATINC SYSTEMS
Quantity: �
Bryant
Make:
Model: 355AAV04280
Natural Gas
Fuel:
Flue Size:
80,000
Input BTUs:
Output BTUs: 75,200
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ 1'Vcod Stove With Fl�.�e
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:
2
.. ' �
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance 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. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(lf 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°/o of contract price with a(Minimum Fee of$35.00)
4,000.00 x .0125 $ 50.00
(contract price) (minimum$35.00)
2. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
4,000.00 x .0005 $ 2•00
(contract price) (minimum$ .50)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50
53.50
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 materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. lf 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 c ifies t t all statements made on this application are complete, true and
correct �
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Applicant's Signature: Date:
�
Reset Form
3
�� � �-�/ DAT TIME ✓
CITY OF ORONO CALLED IN D
INSPECTION�. R , /' SCHEDULED �
PERMIT N0. `"t� COMPLETED
ADDRESS �-�
OWNER��✓,Q— CONTR.
TELEPHONE N0. 5 – 7.3 � �� �
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� DESCRIPTION Ge�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING �-ktECHANICA�FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUM8ING FINAL ❑ FOUNDATION/REMOVAL
OWNER/C TRACTOR TO MEET YOU�_YES_NO
c., COMMENTS:
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� WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W{LL RETURN �'] CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i s ction 24 hours in advance. (952� 249-4600
OwnerlCont o site
Inspector. �
White Copyllnspector's File � Canary Copy/Site Notice