HomeMy WebLinkAbout2007-P10825 - mechanical �
� PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 , Permit Number: p1o825
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
3/15/2007
SITE ADDRESS: 3596 Livingston Ave Unit#
Wayzata,MN 55391
P��� 17-117-23-43-0034 •
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Pernrits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Installed range with copper shut off,flex connector,sediment rie&anti-tip br
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 500.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Center Point Energy Minnegasco OWNER: Matthew Bollis
9320 Evergreen Blvd-Suite B 3596 Livingston Ave
Coon Rapids,MN 55433 Wayzata,MN 55391
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 SIGNATCJRE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, i-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
A 4.
�E�� FOR CITY USE ONLY
,¢�� City of Orono
� P.O.Box 66 MAR 1 ����eived; Permit#
�4;�.,,, � 2750 Kelley Parkway
lyI%�'`. � Crystal Bay,MN 55323 A roved y: Amount$:
�'������� �9sz>za9-a600 CIT'Y OF f�Ohl� _
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by[he Building Official or Inspector ancUor Fire Marshall)
GENERAL INFORMATION
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 TI�E
PERMIT CARD 1S 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 const:uction 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 Test Record must be submitted before final.
TYPE OF PERMIT
(Check Al�That A 1
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional �Repairs ❑ Replace �
.�?S��l�!C� �.l��j lil/l��%i -l cSU� G�� ��/
Job Site/Owner Informati�n:
Y GU'liiCGf01'������' � �Ccil�i`��Q � •
Site Address: � � �(p �L/����� e �
Owner: {�J�t¢� ��'��[S Mailing Address:
City: �✓�'YI(� ' Zip: �S���
Home Phone: ��Sa- �J1'��b Alternate Phone:
Contractor Information:
Contractor: � �-�,� �� '�,%� '� Contact Person:
q�3ac �� „ ;l�i�c!"��uk�
Address: l��,T i., ..� ' �vi State Bond#:
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Ciry: �`�''L� Z' •,n�� Expiration Date:
� Phone: ��> �-�j7�����r D�) Alternate Phone:
❑ Insurance— Current:
1
. . .
HEATING SYSTEMS
:,
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Vyood 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) ��
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gatlons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons •
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
_ ° � �� � � °��� ���PERMIT FE�CALCULATION(S)
� _,: � �_
BASED OFF - 2002 STATE 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; excludine 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
Tota!Pcrmit Fce $
���=��� �� ����� ��PERMIT FEE CALCULATION S -JOBS OVER $500.00 �
�y;�>��"=`
If above does not apply;follo�v guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
x .0125 $ ,3 � OC'
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fce of$.50)
— x .0005 $ �C
(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 actuai 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 PERMIT APPLICATION AGREEMENT F�. .�
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 made on this application are coinplete, true and
correct.
Applicant's Si nature:� ,
_ g _�_� .�%� Date. �'.�4��
� �;:. � Reset Form �
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