HomeMy WebLinkAbout2008-P11830 - duct work • '' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11830
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
1/23/2008
SITE ADDRESS: 1495 Green Trees Rd Unit#
Wayzata, MN 55391
PID: 11-117-23-23-0012
DESCRIPTION:
Proposed Usc: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Duct Work
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Ductwork only in new addition
FEE SUMMARY: Pernut Fee: $ 42.50 va►uation: � 3,400.00
State Surcharge Fee: $ 1.70
TOTAL FEE: $ 44.20
APPLICANT: Serbus Heating&Cooling OWNER: James&Judith Brass
272 Industrial Blvd. 1495 Green Trees Rd
Waconia, MN 55387 Wayzata MN 55391
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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� AP��1CANT PERMITEF.SIGNATURE I SU6D BY SIGVATI;RI;
Copics: 1-File(Signa[i�res Regcrired), I-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
� City of Orono
��� �� P.O.Box 66 Date Received: Permit#
�,,�,,,� 2750 Kelley Parkway
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CITY OF ORONO -MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permiCs by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two warking days.
2. Pernut 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,ventilation,humidification-dehumidification, and air conditioning installarion 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 befare final.
TYPE OF PERMIT
(Check All That Apply)
'�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information: .
Site Address: -�f�z�,�J�/'�-�-- S ��k�
,��c� �
Owner: ��> Mailing Address:
City: �R�^��, Zip:
Home Phone: Alternate Phone:
Contractor Information: �
SC-M�`'`y �!
Contractor: __ �-�^-'� • <<N ��—S Contact Person: �;k- �
Address: Z��Z -1-*�'-'��5�� ��`�' State Bond #: CbS� S�1�'
City: �,t/�-to�,p--� Zip:�� Expiration Date: //�/���� �'
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Phone: ��Z'�/��' Z��� Alternate Phone:
❑ Insurance-Current:
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MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model I`To.:
VEl�'TILATION ti�% �
�`��1 !'� l��`�'��
� e
No.
❑ No.
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: ;allons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ �'es, 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; 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(If Applicable) $ 1.50
Total Permit Fee $
PER,MIT FEE CALCULATION(S)-JOBS OVER$500.00 ' � `9 �
If above does not apply; follow guidelines below:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�y° �t� x.0125 $
(contract pricc) (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 Applicarions) $ 1.50
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 wark 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 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 contract.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersi�,med 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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Applicant's Signature: � ----�-- � --�Date: � 2 3 ��
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CITY OF ORONO CALLED IN ?J U� = l '�
INSPECTION�/ICE SCHEDULED .3 r . r� ��
PERMIT NO. _ /,! .�� COMPLETED
ADDRESS f'7'�-�` ����f'I �j/'�Ge S iYC7:
OWNER CONTR. � � �
TELEPHONE NO. � — � 4�— �-3 � /�
� DESCRIPTION � ���
� ❑ FOOTING � MECHANICAL ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING �'MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAI ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED [_l PROJECT COMPLETE
❑C RECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on�e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice