HomeMy WebLinkAbout2005-P09194 - mechanical PERMIT
CITY 9r ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09194
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4800 Date Issued:
9/19/2005
SITE ADDRESS: 2425 North Shore Dr Unit#
Wayzata,MN 55391
P��� 09-117-23-44-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 58•24 Valuation: $ 4,659.00
State Surcharge Fee: $ 2.33
Misc.Fee: $ 1.50
TOTAL FEE: $ 62.07
APPLICANT: Aabbott Ferraro Inc. OWNER: Mr.&Mrs.Levy
1324 Payne Ave. 2425 North Shore Dr
St.Paul,MN 55101 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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AP CANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing,(If Septic, 1-Septic) Page 1
" ` FOR CTfY USE ONLY
f'0�'��., City of Orono
� � '�� P.O Box 66 Date Received: Permit#
,���y, „ Q ` 2750 Kelley Parkway
'�� ��'�, ,��� Crystal Bay,MN 55323 Approved By: Amount$:
������fi� (9521349-4600
CITY OF ORONO—MECI�ANICAL PERMIT
(All Commerc�al permits must be approved by the Buiiding Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
]. You may apply f'or 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 Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation inciuding
hea?Insc/heat�ain�?lcutution,design temperatures,eqe::pment 4•a±ings and identificat:on 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 Appty)
Q Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs Q Replace
�Job Site/Owner Information: �
Site Address: 24�5 North Shore Dr.
OWneC: Morris Levy MAII111�AddCeSS: 2425 North Shore dr.
C ity': Orono Z��; 55391
HOme PIlOt1e: �9�2���3-5223 Alternate PhOne: (952)473-6392
Contractor Information: �
Contractor: •`�abbott Ferraro Inc C011taCt PeCS011: Nick Steckhahn Sr.
ACICICeSS: 1324 Payne Ave St1te BOriCI #: 55193533
�,�ty; St.Paul Z�p: ss�ot Expiration Date: 12�ovos
Phone: ��'s����6-�2ta Alternate Phone: (6si>zaa-2ssa
❑ 09/O 1/06
[nsurance—Current:
1
, x ' 1VIECiTA:�*tI�AL SYSTE1vIS BEII�G�TI��TAI�"�:�D '
HEATING SYSTEMS
Quantity: 1 --_ —
Trane
Make:
Model: TUYl00R9V4W
Nat Gas
Fuel:
Flue Size:
2"PVC
Input BTUs: 100,000 —
Output BTUs: 92.500 _ ——_ _ ___ _
CFM: 1600 '
COOLING SYSTEMS
Quantity: -- ---- —
Make:
Model:
Tons:
f-1.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Firep(ace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model Nu.:
VENTILATION
❑ No. ___ Kitchen Exhaust cluct _recirculating _ cfm
❑ No. Bath Exhaust(must have duct outside) _cfm
❑ No. ___ Other Fans: Locations___ __ cfm
FUEL S7'ORAGE(MUST BE APPROVED BY F[RE MARSHALL)
❑ ]nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑lnside ❑Outside
LP Gas: gallons
Other:
CAS LINE ONLY
❑ (htdoor Grill ❑ Other/List N'liat& �Vhere:___ ___
�
PERMiT FEE CALCULATION(S)
8��1:����F;:�.Q02 �'�'�1TE ST�,,`��q... .
❑ 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
Total Permit Fee $
� . ___,_-�, . _�
�?ERMiT'F"��CALC�;1�,�.�'I(?N(S)-J(�B�g�VER$S{�f�.�` ��-�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
4.,659.00 x.0125$ 58.24
(contract priccl (minimum$35.00)
2. STATE SURCHARGE **Add the State Bidg Code Div. Surcharge(Minimum Fee ofS.50)
4,659.00 x.0005 $ 233
(contract pricel (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-[n Applications) $ 1.50
62.07
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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 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. ln 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 SUKCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
` MEC�[���.�,�P�;RI�IT APPLICATIQ�I AGRE�M��`I'
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
correct.
.�`
� / .
Applicant's Signature: ` `� '��_ -� 09/16/OS
Reset form
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' Building Codea aad Standatd Division ': '
,;..,,.,
� Commiasloner of Admiaistratloa �
' Hat Received aad Flled a 525,000 Surety Bond, �
t
Aa Required by MS 326.992,for Work Regulated
by the State Mechaoical Code �' '`�
�..;:•:.
TO: Nicholaa Steckhahn Boad No: 55193333
Aabbott Ferraro,Inc. MB ID: 00939
Ettective Date Exp(r�tion Date
12/8/2004 12/7/2005 ,t