HomeMy WebLinkAbout2006-P09521 - mechanical PERMIT
� CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09521
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 1/4/2006
SITE ADDRESS: 3125 Fox St Unit#
Long Lake,MN 55356
P��� 04-117-23-33-0011
DESCRIPTION:
Proposed Use: 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: Pernut Fee: $ 187.50 valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 195.00
APPLICANT: Delson Plumbing,Inc. OWNER: Timothy&Gayle Devries
1308 42 1/2 Ave.NE 3125 Fox St
Minneapolis, MN 55421 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
MINNESOT ILDING CODE REQUIREMENTS.
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APPLICANT PERMITEG SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reyuired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR C[TY USE ONLY
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4 `V p.p.B��Y(�� Date Received: Pcrniit#
��;;;:,�,� O 2750 Kelley Parkway
a� ����'�;�;'�"_ ��+. Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—�IEC�IANICAL PERMIT
(All Cominercial permits must be appru�ed Uy the 13uildir�g Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATIOI�T
1. You may apply for mechanical pernuts by mail or iu person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Penlut cards will be sent b}�retun�mail after a review is completed. PEI2MITS ARE NOT
VALID UN1'IL YOU RECEIVE A PLRMIT. VVORK MUST I�TOT I3EGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB S["I'E.
3. Mechanical Desi�ns—Complete calculations, details and specitications are required for each
heating,ventilation, hun�idification-del�unudification,aud air conditioning iustallation including
heat losslheat gain calculation, desig�i trmperariires, equipment ratings and identification as to
type, manufacturcr and model. Data shall be presented on form provided.
4. Whei1 airy new constructioi�or remodeling is iuvolved, a separale building peruut must be
obtaincd.
5. All work must bc done in accoi•dance with the Uuiforn�Mechanical Code/State Building Code
requirements.
6. All work uuist be inspected(rough-in and final). Call(952)249-4600.
(24-48 ho�r noti�e required)
7. House Heating Test Record musl be subnutted before final.
TYPE OF PERMIT
(Check All That Apply)
iesidential ❑ Cominercial(A�proval Required)
❑ Ne�v ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Infonnation: —�
Site Address: 3 �� � �U � s� �
Owner: Mailing Address:
City: Zip:
Home Phone: Altei7�ate Phone:
Contractor Infornlatio�l:
Contractor: �J L �- ��l" ��B� _ Contact Person: � �v � ��SU l�
Address: ( ��� 7��a'�`� ��- State Bond #:
City: �o � '�S. Zip:�s��'�� Expiration Date:
Phone: �� 3" ' �� �' D �l S�� Alternate Phone: �4�� �3(o Y— z(7Q 6
❑ I��surauce—Cuii�ent:
1
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MECHANICAL SYSTEMS BE1NG INSTALLED � �
HEATII�IG SYSTEMS
Quantity: � °J�"'"`
Make: � t c/S
Model: G_��� X
Fuel: � Qr-T- G�5
Flue Size:
�/� �
Input BTUs: 2 (
Output BTUs: p
CFM:
COOLING SYSTEMS
Quantity: __
Make:
Modcl:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Bi-and Naine: Model No.:
VEN'TILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) _ cfin
❑ No. Oflier Fans: Locations cfin
�UEL STORACF, (MUST I3E APPROVrD BY FIRE MARSHALL)
❑ Installatioii ❑ Removal
Fuel Oil: gallons ❑ Undergrotmd ❑ Inside ❑ Outside
LP Gas: gallons
Othcr:
CoAS LINE OI�ILY
❑ Oiirdoor Grill ❑ OCher/List What�.Where:_ ____ _
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replace�nent of a Residential fi�:ture or appliance that meets all tluee of the following requirements:
1. Does not require modification to elcctrical or gas seivice.
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 conri�actor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcl�arge $ .50
Mail-lu Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does�1ot apply; follow guidelines belo�v:
1. CONTRACT PRICF, * is 1.25%of cont�ract}�rice with a(Minimum Fee of�35,00)
�� � ��6 x .0125 $ _
(conu�act pricc) (minimum$35.00)
2. STATE SLJRCHARCE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
a.0005 $
(conlract pricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only ou Mail-In Applicatioils) $ 1.50
d, TQTA1,PERMTT FEE(Add Lines 1-3 Abovel �
� "� CONTRACT PRIC� or JOL� COST �neans the actual or esti�nated dollar ainount charged for tlie
permitted work including materials, labor, profit, and other fixed costs. lt is the amount to be charg�d
to tlie customer for the work dotle. If any matcrial, equipnlent, labor or installatious are fLu-nished by
the owner, tenant or any otl�er party, the reasonable market value of such iteuis must be added to the
cstimatcd cost or contract price for pernut fee puiposes. 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 conh�act.
a *'r The STATE SURCHARGE is .0005 of the F3uilding Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
"I'he �indersigned llereby applies to the City for issuance of a Mechanical Yei-�nit, agrees to do all
woi-lc i�n sh-ict accordance with the ordinances of the City aud the regiilations of the Stiate os
Minncsota, and certifies that al aten�ents inade on this application are complete, h-ue and
correct. �'
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Applicant's Signature: Date: r � � � ��
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