HomeMy WebLinkAbout2007-P11193 - air conditioning PERMIT
CITY �F ORONO
27�L Kelley Parkway- PO Box 66 Permit Number: p11193
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-46CJ Date Issued:
7/l 0/2007
SITE ADDRESS: 375 Ferndale Rd N Unit#
Wayzata, MN 55391
PID: 36-118-23-41-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.25
APPLICANT: Sharp Heating&Air Conditioning, Inc. OWNER: Mary Vandeputte
7221 University Ave.NE 375 Ferndale Rd N
Fridley, MN 55432 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPI,IANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMI'IEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Scptic, 1-Septic) Page 1
FOR CTTY USE ONLY
' �¢p\ City of Orono
//,� `P� P.O.Box 66 Date Received: Permit#
r ;4'��� �' 2�50 Kelley Parkway
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�j ��'�,*, t�;i Crystal Bay,MN 55323 Approved By: Amount$:
�\���:��oj� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector andlor Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City o�ices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cazds 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 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. 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 ❑Additiona( ❑Repairs �eplace
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Job Site/Owner Information:
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Site Address: i
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Owner: Mailing Address: -� ,
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City: �� Zip: ..�
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Home Phone: � ' ' Alternate Phone:
Contractor Information:
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Contractor: '" l�Q� Contact Person: �,1 _ (�
Address: 7,� � � V.�� State Bond#: -� -�
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City: Zip:�� Expiration Date: �-�� `tl�
Phone: �b j "��, `� Alternate Phone:
❑ Insurance-Current:
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MECHANICAL SYSTEMS BE1NG INSTALLED '
x
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quanrity: �
Make:
Model: � �.. ,
1
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) ��
❑ No. Other Fans: Locations ��
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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• PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or anpliance 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,insta(led 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$35.00)
I (
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x.0125$ �."
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
,� � ' ��
. X.000s $ � -7�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ L50
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged 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 mazket 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.
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ApplicanYs Signature: Date:
Reset Form ��
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