HomeMy WebLinkAbout2008-P12200 - mechanical PERMIT
�lTY �OF ORONO Permit Number:
2750 Ketley Parkway- PO Box 66 P12200
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/25/2008
SITE ADDRESS: 2755 Kelly Ave Unit#
Excelsiar,MN 55331
P��� 21-117-23-23-0026
DESCRIPTION:
Proposed Use: Residential
Pernvt Class: General
Pernut Type: Mechanical Permits Pernvt Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 2,180.00
State Surcharge Fee: $ 1.09
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.59
APPLICANT: Select Mechanical OWNER: Karen Kaverman
6219 Cambridge St 2755 Kelly Ave
St.Louis Park,MN 55416 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.
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c,�'� �^' ����Vi.�rt.
APPLICANT PERMITEE SIGNATURE I UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FQR CCT1'USE ONLY
;�,�p���,� �� City of Orono � ��� � -�� � � � �
P.O.Box 66 Dafe Received: Permit#
� 2750 Kelley Parkway , �
� ;• � Crystal Bay,MN 55323- Approved By: Amount$:
�, (952)249-4600
CITY QF ORONO—�EC���CAL PERMIT
(All Commcrcial permi,ts must b�approved by thF Building Official orinspector and/or Fiie Marshall)
G�NERAl INFOR1ViATTON , ;
1. You rnay apply for mechanical pemuts by nnail or i�n perso�a at the City offices. Applicarions will
be reviewed and a permit will be issued wit�in two working days.
2. ;Pemut cards will be sent by return m�ail aft�r a review is cotnpleted, PERMITS 1#RE NOT
VALID Ul*TTIL YOU RECETVE A PERMIT, WO�MUST NOT BEGiN UNTIL THE
PERMIT CARD IS POSTED 03�T T�IE,�OB SITE.
3. 1Wlechanical Desiens--Cornplete calculario�s,details and specifications are xequired for each
heating,ventilation,humidificafion-dehum�dif ca�ion,and air conditioning installarion including
heat loss/heat gain calcularivn,design terr�ratures,equipment ratings and identification as to
type,manufacturer and rnodel. Data shall be,;presez�t�d on fo�provided. ,
4. When any new construction or remodelin��s involved,a separate building pernu#must be
ob�aiaed. �
5. All work must be done in accordance with jhe Uni#'oxrn Mechanical CodelState Building Code
`requirements.
6. All work m�st be irispeoted(rough-in and f�nal). Call(952)249-4600.
(2A-48 hour notice required)
7. House Heating'Test Record rnust be subrni�ted before final.:
T�'E OiF P�i�NIIT _
Check.All '�hat,A: i
��Residentiai ❑Commercial(Approval Required) '
❑New ❑Additional �pairs ❑Replace
/
Job S:it�%Ov�er Iriformation: �
Site Address. _� /�S ��_�.:L�/ ��
Owner: Mailing Address:
City: Zip:
�
Home P�o�e; Alternate Phoz�e:
Contractor Inforrnation:
Contractor: �i,lk"-'ZT ���N. Contact Person: ��l�=��L12y�
t�ddress: �oa't� �r�l'�2ti���.State Bond#: K �--��o3o�a
City: � t ��S Zip:��{E� Expiration Date: � � C
Phone: C ����' ���Qv � >Altemate Phone: ��a -�'-'(.�—8/�%'
❑ Insurance—Current: (���2.A1- �5�1�`�
1
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;;?a'N�`�rS..ti� ,?j�+ ! dt' l4�', .�!n�% t � . ' � } �. fi 2, 4..�r�uri��,�,y�.a s 4 ��p .
c, rr�.. 't',"i S �� �� i d5 a,§k�s��„asli,�„'s�YT?rrpl�tf $1`k#d4i�:. � .. �
HEA�'�NG S�'STEMS
Quantity: fl Gl!1�.E '+G�i�� �l.,�� �'L ,SUPl��5r ���rJ�2C.1�
1�rlake• ��..,_�• � � �(o t 3tt�p
1VIode1: �� ivl�w -i �1,�'+r' �(�lUS�
�uel:
Flue Size:
Input BTUs:
Output BTUs:
..,�_ �,F�m� �,� , ��-� , �F,,,
G"�M: -
'COOLIN�SYS�EIVIS
Quanrity:
,
1vTak�:
Madel:; �
To�s:
`H.Power
1�1zE'PLAC��
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace `
❑ Wood Stove
_ ❑ ` Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
,.,���;, ��,���: � _ . __ � . •�; . �� ;' , ��' '� ��
�/❑ No. � Kitchen Exhaust � duct recirculating cfin
,� No. � Bath Exhaust{must have duct outside) _����
' ;❑ No.. Other Fans: Locariot�s cfrn
P'tJEL STi)RAGE(Iv1UST BE APFROV�D BY F�RE MARSHALL)'
❑ Instailation ; [] Removal
Fuel Oil: gallons ❑ Underground ❑:Inside []Outside
` LF Gas: galIons
' Other: � '
�AS LINE ONLY
�
❑ Outdoor Grill ❑ Other/�:ist What&Where:
2
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5�:h 5 a ,d9... ts k*<qt��T..�, .r! i� d^ j,;, � P` y,� L t �v s y� ` y '.., . . . ..
rd �°�,�rb,k ryS,,. `�^�'�•,s1��,a"1, �t t�'�. sF}a°o v� �'`�� x 5����(�.�,;'$I ,a�:hn{�P PY5''�7s y �ry+.a:� a3 j�'y�?t.yv�'�,y N�,,� . ,.
;��:y.�a1 "v ..i '�l 4 y M1 ��5�e�i/�n;x ' �k�/�' a w„, z a 41� ��:rt tT d G`k� z�fj+.ti� �t y�kSJ n�.,. .
'`„� h�15 .,d. 3 �}� d�y S .}.�,�'�C��$�1�.:^'C��T✓+���� ��Y���4£� �'� l,:� 1 F 1 7�.�'� E M1'[�',v��!r�'A ^'t'.y, .
0 Yes,this sec�ion applies ,
The repiacement of a Residenrial fixture or apvlianc�#hat meets all three of the following requirements:
t
1. Does not require modification to electrical or gas service.
2, Has a total�_„_cost of$500.00 or less�exc udin the cost of the fixture or appl�ance:and
3. Is iz�roved,instailed or replaced by the-horneowner or licensed contractor. '
; ,
Skip next ssction,if this applies; � Cost o�'Permit' $ > 15.00
� :State SurCharge> $ ':50 '
' Mai1-Tn�ee(If Applicable) $ 1.50
Totai Permit Fee $
�`X�Yf ..r. t" ��+�3�+i�.!�,����.�*�(.•������� i+j'f, .:r����������>1J ��'iT F �� ir�`f°F.,dai�d�,T>';^r r .,. .....
If above does not ap�ly;,follow guidelines below: �
1. CONT�tACT FRICE *is 1.25%0 of uontract price vwith a(�Vlit�imum Fee of$35.00)
�/8�r x.0125$ ..�.�'d�
(Gontract price) (minimum$35.00)
i,
2. STATE SUR�C�IARGE **Add the�tate B1dg Code Div. Surcharge(Minimu�n Fee of$.50)
�,���� x A005 $ � ��
, (contractprice) (minimum$ :50)
3. POSTAGE&HA.NDLING(4nly on M�ail-Tn Applications) � ' 1.30
;
4. TOTAL PERMIT FEE(Add Lines 1-�Aboae) $ ��`'�� `
! * CONTRACT PRiCE or JOB COST mea�,s�the actual or estimated dollar amount charged for the
pertnitted work including mate�ials,labor,pro#�t,and other fixed costs. It is the amount to be,chaxged
to t13e customer for the work done. If any material, equipmeni,'iabar'or instailations are fiunished by
the owner,tenant oz any other party, the reaso�able market value of such items must be added to the
estimated cost or contraci price for perrnit fe� purposes. In the event that there is a dispute on the
amount of Che job cost, #he City may request �he sabmission of a sig�ned copy of the actual contract.
■ **Th�STATE S[JI�CHAI�GE is-0005 of the$uilding Department at(952)249-4b00 for the price.
" ,'� ,1\�EG�CA�.=PER1V��';� ,P�,Z+�A'L`IO1�T°A.GR:��IVIEN'T .�� ''
, :
The undersigned hereby applies to the City fou issuance of a Mechanical Perrnit, agrees to do a11
work in strict accordance with the ordir�an.ce�,of the-,City and the' regula�ipns of the `State of -
Minnesota, and certifies that all statem�nts rna�ie on tihis application are complete, true and
correct.
A,pplYcant°s Sigri�ture: Date: �—o�d��d�
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