HomeMy WebLinkAbout2007-P10933 - mechanical PERMIT
CITY GF ORONO -`
Permit Number:
2750 Kelley Parkway- PO Box 66 P10933
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
4/27/2007
SITE ADDRESS: 2503 Kelly Ave Unit#
Excelsior,MN 55331
PID: 20-117-23-12-0054
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Perniits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 44.89 valuation: $ 3,591.00
State Surcharge Fee: $ 1.80
Misc.Fee: $ 1.50
TOTAL FEE: $ 48.19
APPLICANT: Standard Heating&Air Conditioning Inc. OWNER: Teresa Torgerson
410 W Lake Street 821 22nd Avenue N
Minneapolis,MN 55408-2998 S. St. Paul,MN 55075
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 SUED BY SIGNATURE
'ME
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Re; �iVjATj�N ptic, 1-Septic) Page 1
FOR CITY USE ONLY � � �
-;��� City of Orono � �
P_O.13oa 66 � �j�'_ � � Dafe Received: Permii�1
`�� � � 2750 Kelley Parkwa v�
a� �i �� �.' Crystal Bay,MN 5532 � Appzoved By: Amount$:�
� ����4�`t% (9.52)249-4(00
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CITY OF ORONO—MECHANICAL PERMIT RECEIVE[�
(All Commercial pennits must hc approved by the 13uilding Official or Inspector and/or I�ire Marshall)
�ENExaL rNFORMaT1oN � � 2007
1. �'ou may apply for mechanical permits by mail or in person at the City offices. Applica��TY��F ORONO
be reviewed and a peri�iit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BECIN UN'TIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
�1P81 �C1SS1�1�'8Y,2'%Yt[�c�1C11�2�1(�±?,CiPSIg!?tQtnrP.rnt�rec �jlllYt21?!?t id*7.^.vS:%%�Ir�C.^.�1�C:.:v^Y::;S.�v
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Tcst Record must be submitted before final.
� � � "1'YPE OF PERMIT � �� � ` �� �
� �� � �� � (�heck A I1 That A 1 ) � �� � � �� �
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs Replace
Job Site/Owner Inform��ion: � �� �
Site Addre : �d �
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Owner• � S C� iling Address: �� ��( y����
City: (�1/1� Zip: �S 3 3 �
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Home PhonL.'�j��� � �`��ernate Phone:
Contractor Information: �� �� � � ��
� .. _ / `
Contact Person: �
�T9�18r��ATING-�.Al�-�gNB��11�_ _ - �f' ��;,
410 WEST I�e� ����ET �
���,APOLIS,MN 554cu�2g98 State Bond #: ��. � 55$ ��' /
612-824-2656 ;
City: Zip: Expiration Date: ���b ` 0 �
Phone: Alternate Phone:
❑ Insurance—Current:
1
'
' ``; MECHANICAL SYSTEMS BEING 1NSTALLED
HEATING SYSTEMS
Quai�tity:
Make:
Model:
Fuel: �Cf S
Flue Size:
lnput BTUs: (O / �
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 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 FF,F,CALCULt�TiC)N(S)
�� � � �� BASED�OFF�—2002 S"['ATE��ST�TUE� � �
❑ Yes,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. ls 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 $
�--'-- !— PERMIT FEE CALCULATION(S)—J(JBS OVER$500.00' —�
If above does not apply; follow guidelines below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125 $
�
(contract pric ) ninimum$35 00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
S4 X .000s $ . .�
(contract pnce) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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 work 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 purposes. In the event that there is a dispute on the
amount of the job cost, tne City may request tne 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.
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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 ma this application are complete, true and
correct.
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Applicant's Signature: ��� � ��
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Reset Form ��;� �_
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