HomeMy WebLinkAbout2006-P10503 - mechanical PERMIT
CITY t7F ORONO Permit Number:
275U Kelley Parkway- PO Box 66 P1o503
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued: 10/26/2006
SITE ADDRESS: 2665 Mapleridge La Unit#
Excelsior,MN 55331
P��� 21-117-23-21-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernrits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 93.75 Valuation: $ 7,500.00
State Surchazge Fee: $ 3.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 99.00
APPLICANT: Kleve Hearing&Air OWNER: 7ohn Johnson
6365 Carlson Drive Suite G 2665 Mapleridge La
Eden Priaire,MN 55346 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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APPLICANT PERMITEE SIGNATURE I S D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�'' FOR CITY USE ONLY
. �0� City of Orono ,
� O� P.O.Box 66 Date Received: Permit#
'►. 2750 Keliey Parkway
���2�� Crystal Bay,MN 55323 Approved By: Amount$:
�j�'��� (952)249-4600
CITY OF ORONO—MECHAI�TICAL PERMIT
(All Commercial permiu must be approved by the Building O�cial or Inspecwr and/or 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 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
heat loss/heat gain catculation,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 notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
❑ Residential Commercial(Ap.proval Required)
<d�e-tc.��e c�ara��
�New ❑ A ditional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 2 �� � �'� �`Q' �� � � � ��
Owner: ���r U j`��xtt+t�g Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor:K1PVP Ht-.g_ �. Afc� Inc ContactPerson: �rariPnP Mauc^k
Address: 6365 Garlson Dr . Ste GState Bond #: RT,T-561 1 65
City: Eden Prairie Zip: 55346EYpiration Date: 8/14/06
Phone: 952-941-4211 Alternate Phone: 952-345-7242
❑ Insurance-Current:
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HEATING SYSTEMS ���� d�-�a,c��ed ara
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Quantity:
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Make: � �l I�f
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Model: �
Fuel:
Flue Size:
Input BTUs: ��L 1JCJ�J
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: I
Make: �./V V
Model: M��` '� �� J
Tons: � ` �l�'
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming 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 ❑ [nside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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' t i i. _,�, � ,�, _ � -�><��pER1V1IT FEE CALCUL�ATION(S ' , , T ='� `Y ;
. �,``�'; , �,.,�.;��{X.'.t�t y}�,;BASED OEF_�'=2002'S,T`AT'E�S'I'ATiJE;f. � "��`�r'� � � ' ' 4,`
❑ 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 Surchar�e $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
' �` PERNIIT FEE CALCUL;A'?-'ION S =JOBS OVER$500.00 -
If above does not apply; follow guidelines belo�v:
1. CONTR�CT PRICE * is I?�°/a of contract price with a(�Iinimum Fee of�3�.00)
l .J��� x .O125 � ��, I�
(lontract pricc) (minimum�3�00)
2. STATE SURCH,aRGE ** Add the State Bldg Code Div. Surcharge (�linimum Fcc of S.iO)
�W�� x .000� 5 �� ��
contract price) (minimum$ SO1
3. POSTAGE& HANDLING (Only on Mail-In Applications) S 1.50
4. TOTAL PER�tiIIT FEE(.Add Lines I-3 Above) S ����
• * 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 char�ed
to the customer for the work done. If any material, equipment, labor or installations are fumished 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 tl�e actual contract.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
- � MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all
work in strict accordance- ith the ordinances of the City and the regulations of the State of
Minnesota, and certifi�s that all statements made on this application are complete, true and
correct.
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Applicant's Sianature: Date: �� �
;:i Reset Form - .. ,
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