HomeMy WebLinkAbout2005-P09355 - mechanical PERMIT
CITY�OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09355
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
10/26/2005
SITE ADDRESS: 2695 Kelly Ave Unit#
Excelsior,MN 55331
P��: 20-117-23-14-0008
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:
garage heater&gas line for heater
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,295.00
State Surcharge Fee: $ 0.65
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.15
APPLICANT: Kleve Heating&Air OWNER: Charles&Roseanne Simpson
6365 Carlson Drive Suite G 2695 Kelly Ave
Eden Priaire,MN 55346 Excelsior,NIN 55331
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
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
• l�t CIT'IrtTSE�1�1T.'Y
City of Orono ' '
� ����Q P.O.Box 66 Da�e Rec�ived: Fennit#
2'750 Kelley Pazkway
; '' Crystal Bay,MN 55323 A}�proved By. t4mount$:
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��� (952)249-4600
CITY OF ORONO-MECHA1vICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
GENERA�'Ilk1FE���'��+(�� �
1. 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. Permit 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 Desiens—Complete calculations,details and specifications are 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 n�tice required)
7. House Heating Test Record must be submitted before final.
TYPE�F�'�RSv�I'�'"'
Check Al�T��t A I`
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
JOl?�1�£/�W118T'�I3��i'1T1�'��O�l;
Site Address: 2tJ�� � ` �
Owner:� D 1� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Com�ractvr I���rx��tion:
Contractor:K1PVP utg_ �. A�r. Inc ContactPerson: c�rariPnP Mai�elr
Address: 6365 Garlson Dr. _S�e GStateBond#: RT.T-5h1 1 F5
City: Eden Prairie Zip: 553�lfExpirationDate: 8/14/05
Phone: 952-941-4211 Alternate Phone: 952-345-7242
❑ Insurance-Current:
1
PERMIT FEE CALCULATION(S)
� �BAS�� QFF - 2C0� �:�ATE STAi'UE �
❑ 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;excludinQ 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 $
� 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.�
12R5,� Y .ot2s $ ��,�
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
I �qr'J,"� X.000s $ .��
(contract price) (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, 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 PERMI"1 APPLICATION AGRBEivi�ivT �
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accord ith the ordinances of the City and the regulations of the State of
Minnesota, and ce �fies tha all stat ents ade n this application are complete, true and
correct.
Applicant's Signature: Date: � �� ��
l
Reset Form
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HEATING SYSTEMS
Quantity: _�_
Make:
ModeL• ��' 75
Fuel: IUQt
Flue Size: � ��
Input BTUs:
� r�� �
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 cfin
❑ No. Bath Exhaust(must have duct outside) ��
� l•io, 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: ar ����
2
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DAT �p� TIME
CITY OF ORONO CALLED IN �l� �`��J
INSPECTION NO ICE SCHEDULED a
PERMIT NO. � ' � COMPLETED
ADDRESS ��`�� �'�E'l�L� /�'U�C�-
OWNER CONTR. 1 l•P �fr�
TELEPHONE N0. ��� ��� -�d 7 �
� DESCRIPTION ����'`�C�' ��'�2 ���
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED f-] ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for inspection 24 hours in advance. (952� 249-4600
OwnerlCo tr on '
Inspector.
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