HomeMy WebLinkAbout2007-P11407 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p114o7
C�ystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
9/6/2007
SITE ADDRESS: 2699 Kelly Ave Unit#
Excelsior,MN 55331
PID: 21-117-23-23-0041
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pemuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernrit Fee: $ 111.73 Valuation: $ 8,938.00
State Surcharge Fee: $ 4.47
Misc.Fee: $ 1.50
TOTAL FEE: $ 117.70
APPLICANT: Ditter Inc. OWNER: Daryl&Lucy Uphoff
820 Tower Drive 2699 Kelly Ave
Medina,MN 55340 Excelsior MN 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.
(
�
,_�� �_
APPLICANT PERMITEE SIGNATURE I D BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Sepric) Page 1
�
� - ��o �� 2
roa c�Tv usr orr►,v
, �!'0'� City of Orono
�:.
,ii �` � `� P.O.Boa 66 Date Received: Pcnnit#
rt'� �'�� 2750 Kellcy Parkevay
a +� ? ,_. �.��� Crystal 13ay,MN 5�323 Approved By: Amount$:
;�a� �,�«,,��L`;' (952)249-4600
�?A'asiio4/
CITY OF ORONO—MECHANICAL PERMIT
(All Coinmercial pem�its must bc approved by thc I3uilding Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical perniits by mail or i��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 BECIN UNTIL THE
PERMIT CARD 1S POSTED ON THE JOB S1TE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,desiQn 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 pennit 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. I�ouse Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A l )
esidential ❑Commercial(Approval Required)
❑New ❑Additional ❑ Repairs �ce
Job Site/Owner Information:
�
�
Site Address:
Owner. 1�° ' '.� � �•� Mailing Address: ��l`�
City: � Zip: �:� �
Home Phone:L����-C,C�'��- 7��� � Alternate Phone:
Contractor lnfo�•mation:
� _`�"�-,C � �
L!=
Contractor: � y"� � Contact Person: �_
�' C'�� �
Addcess: ���������� State Qond #: �����
��j
City: � �� 7ip:�`� �L;x}�iration Date: � `-��� ` Qc�
Phone: ���_ ���` ����Alternate Phone:
❑ Insw�ance—Current:
1
� .
• MECI-IANICAL SYSTEMS BEING INSTALLED ' `�
i
HEATINC SYSTEMS
Quantity: j
Make: �.��� �'�� ' —�-_�-�1L�'�
�
Model: �'�' Q � � � '� � �
Fuel:
Flue Size: � `
Input BTUs: � � �
�� � � � —
Output BTUs: � �
CFM:
I
COOLING SYSTEMS
Quantity: _�_
Make: e L' �
/� 7� ���� ��
Model: � — �" /—�'��'----L�
Tons:, � I
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
V ENTI LATION �
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE(MUST BT APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: _ gallo�s
Other:
GAS L1NE ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
2 -
. f e .
�� �� PERMIT����FEE CALC�ULATION(S) �
BASI�D OFF -2002 SZ'ATI� STATUE
❑ 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. 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 CALCULAI'ION(S)—JOBS OVER�500.O0 ' ,
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25% f contract pr ce with a(Minimum Fee of$35.00)
C r��"- 7.�"
X .o12s $
(contract price) (mi imum$35.00)
2. STATE SURCHARGE ** Add t e State Bldg C de„Div. Surcharge(Minimum Fec of$.50)
� �
. 1"�c � X.0005 $ . � --�-.
(contract price) »�im mum$ .50)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ �JI.50��
�
�C�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actua) or estimated dollar amount charged for the
perniitted 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 othe; party, the reasonable market value of such items must be added to the
estimated cost or contract price for pennit 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 Buildin�DeparCment at(952)249-4600 for the price.
MECHANICAL PERMIT APPL1CATlON AGItLI�MENT -�
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 ►nade on this applicatioi� are complete, true and
con�ect.
. G � � �
Applicant's Signature. � Date:
�'� `
ResetForm
3 -