HomeMy WebLinkAbout2005-P09465 - mechanical � PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P09465
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 12/6/2005
SITE ADDRESS: 740 North Arm Dr Unit#
Mound,MN 55364
PID: 06-117-23-43-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Perniits Permit Sub-type(s): Wood Fireplace
Gas Fireplace
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT: Guyers Builders Supply OWNER: Dean R Mitchell
13405 15th Aven North Lucy V Mitchell
Plymouth,MN 55441 740 North Arm Dr
Mound, MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK W STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM[TEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(if Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
� � City of Orono � � ,r�- _
' 4 � P.O.f3ux 6G DaYe Received: ! 2 G �'} permit# 1 G y�''S
��<';;.,,,, � 2750 Kclley Parkway
'`�' `` Crystal Bay,MN 55323 APproved�3y: Amount$:
'� 1171 1',`;-,_ ��''
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CITY OF ORONO –MECHANICAL PERMIT
(All Commercial pennits must be approved by the 13uilding Of�icial or Inspector ancl/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed a�id a pernut will be issued withiu two working days.
2. Pernlit cards will be sent by return u1ai1 after a review is completed. PEIZMITS ARE NOT
VALID UNI'IL YUU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SI1'E.
3. Mechanical Desi�ns—Complete calculations, details and speciFications are requiied for eacl�
heating, ventilation, lnuliidification-dehmiudi�ication,and air conditioning installation iucluding
l�eat loss/heat gaii7 calculation, design temperahu�es,equipment ratiugs and ideutification as to
type, manufacturer and model. Data shall be presented on form provided.
4. When auy new construction or remodeling is involved,a separate building pernut rnust be
obtained.
5. All work nlust be done in accordance with the Uniform Mechanical Code/State Building Code
requirenlents.
6. All work nnist be iuspccted(rougli-in aud fiiial). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Rccord must be subnutted before final.
TYPE OF PERMIT
(Check All That Apply)
�C'Residential ❑ Commercial(Approval Itequired)
❑ New ❑ Additional ❑ IZepairs ❑ Replace
Job Site/ Owner Infoi7ilation:
Site Address: �7 y�? �c,� i� fl,�'�%! a,e%���'
Owncr:�l�l i;�!�- � ��`���v�`'i Mailing Address:
c� � c ��
City: Zip:
Hoine Phone: Alternate Phonc:
Contractor Inforniation: �—�
Contractor: ,�S ��<<-d E �' S vPR'/Coniact Person: QON /YI�cc �,�
Address: %s�0 S i�'� r9i/E' State Bond #:
City: p� yMo�� r«F Zip:Ss�y/ Expiration Date:
Phone: ��63� �,�`�y - y�(� � Alternate Phone:
❑ Insura�lce— Cui�•ent:
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' � ° ' NiECHANICAT�SYSTEMS BEING I�1�TAI;I;ED , :
HEATING SYSTEMS
__.___..._.___---_._
Quanrity: �--.___-- _...__.__ .-�
_......
Make: � ,.---��iJ%U 0 ?� __.._ LE�Nc J�
Model: ��V `��yd
1�_2 _.y3 z�
Fuel: /�A''� C�AS 1.J0 0 �
Flue Size: O
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace
� Wood Burning Fireplace
Wood Stove
❑ Wood Stove With Flue �a� y$yo 6 AS
Brand Name: L�AI�I/c9 fC Model No.: LB� Y.3 Z`� wB c�4
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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 ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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� ' `-P�RIVIIT.FEE 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 requuements:
1. Does not require modification to electrical or gas seivice.
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 Surcllarge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OUER$500.00 '.
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conhact price with a(Minimum Fee of$35.00)
ZS� 6 x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(contractprice) (minimum$ .50)
3. POSTAGE&HANDLING(Oi�ly ou 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
pernutted 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 putposes. In the event that there is a dispute on the
amount of the job cost, the City inay request the submission of a signed copy of the actual contract.
■ **'The STATE SURCHARGE is .0005 of the Building Deparnnent at(952)249-4600 for the price.
MECHAIVICAL PERMIT APPLICATION`AGREEMENT
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 complete, true and
conect.
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Applicant's Signature: ������,�1 Date:
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