HomeMy WebLinkAbout2006-P10142 - mechanical � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10142
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
7/25/2006
SITE ADDRESS: 185 Hackberry Hill Uuit#
Long Lake,MN 55356
PID: 33-118-23-44-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 73.56 Valuation: $ 5,885.00
State Surcharge Fee: $ 2.94
TOTAL FEE: $ 76.50
APPLICANT: Countryside Heating&Cooling OWNER: Jean Perry
6511 Hwy 12 185 Hackberry Hill
Maple Plain,MN 55359 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 PERMITEE SIGNATURE ISSUED Y SIGNATURE
Copies: 1-File(Signatures Reguired), l-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, l-Septic) Page 1
_ FOR CI"I'Y USE OIVLY
City of Orono
�% ���� '� P 0 Box 66 Date Received� Permit#
�r� ���'' 2750 Kel�ey Parkway �
�a �t�'�` ��+' Crystal E3ay,MN 55323 Approved I3y: Amowit$:
��t� ��;j�' '���;� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Pire Nlarshall)
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. Pennit cards will be sent by return mail after a review is completed. PERtiIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT [3EGIN UNT[L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning install�tion including
heat loss/heat gain calculation,design temperatures,eq�iipment ratii�gs 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 nnist 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)
Residential ❑ Commercial(Approval Required)
❑ New ❑ Additionai ❑ Repairs eplace
Job Site /Owner Information: ]
Site Address: / �S � caC� � � rr���-/ ' � �
Owner: �� ���"�� / �' r�/ Mailing Address: = � �'
City: ��o n U Zip: �����
Home Phone: 9S�- `/��"8��� Alternate Phone:
Contractor Information: �
Contractor: C'�*�fi�r s��c N��t.�-G��' �Contact Person: � 'f i� %%. �'�r_
Address: ���� ��''1 �a State Bond #:
City: ����� �'�'�'� Zip: ����� Expiration Date:
Phone: ��� ����" ��`�v Alternate Phone:
❑ lnsurance—Current:
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MECHANTCAL SY'STEMS BEI1r1G INSTALLED
HEATING SYSTEMS �
Quantity: � _
Make: j 5:y u~t
Model: 3'u���36�6�
Fue►: /v G
Flue Size:
Input BTUs:
Output BTUs: ���
CFM: �J�� ------
COOLING SYSTEMS
Quantity: �
Make: j3r yU nf _
Model: /a�yAf��G�`�
Tons: �
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Modei No.: __
VEN'fILATION
❑ No. Kitchen Exhaust duct recirculating _cfm
❑ No. Bath Exhaust(must have duct outside) _cfm
❑ No. _ ONler Fans: Locations _�f�»
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel OiL gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LIN�ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
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� PL��1r�1� F�,� c�LcuL�TloN�s>
� BASED OFF��- 2002 STATE STAZ�UE ��
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of�500.00 or less;excludin�the cost of the fixhu-e or appliance: and
3. (s improved, installed or replaeed by the homeowner or licensed contractor.
Skip next section, if this applies, Cost of Permit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ I.50
Total Permit Fee �
� � PERMIT�'�:EB CAZCTIL'ATI�hr(S)-��JOBS`OVER$500,00
[f above does not apply; follo�v guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price�vith a(Minimum Fee of$35.00)
���/ x .0125 $_ �� %
(contract price) (minimuin$35 00)
2. STATE SURCHARGE ** Add he State Bldg Code Div. Surcharge(Mininn�m f ic uf$.i0)
1���"��' %
� x .0005 $__�------
(contract price) (minimum$ SO)
3. POSTAGE&HANDLING(Only on Mail-[n Applications) $ 1.50
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4. TOTAL PERII�IIT rEE(Add Lines I-3 Above) $ ����
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted ���ork 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 marl<et value of such items must be added Co the
estimated cost or contract price for pennit fee purposes. ln 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 regu(ations 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: �����
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