HomeMy WebLinkAbout2005-P08714 - mechanical � PERMIT
CITY OF OR�?NO
275�Keliey'Parkway PO Box 66 Permit Number: p08714
Crystal Bay, Minneso 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 5/12/2005
SITE ADDRESS: 3970 North Shore Dr
Mound,MN 55364
P��� 08-117-23-33-00 8
DESCRIPTION:
Proposed Use: &esidential
Pernut Class: Ceneral
Permit Type: �Iechanical Permits Pernut Sub-type(s): Multiple Mechanical Items
I
DETAILS: �
Approved per resolution#: �'
Separate permits required:
NOTICES/REMARK9�:
_ .�
FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 131.50
APPLICANT: ��ar OWNER: Timothy Zwart
2�87 5tarion Parkway NW 3970 North Shore Dr
A�dover,MN 55304 Mound MN 55364
i
THE UNDERSIGNE HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO D ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUIL II�G CODE REQUIREMENTS.
�
APPLICANT P TEE SIGNATURE SUED BY SIGNATURE
Covies: 1-File(SiQni reis Required), 1-Apnlicant, 1-Monthlv Renorts, 1-Assessinr:, 1-Finance Page 1
�
FOR CITY USE ONLY
� �A� City of Orono
4 `►'O P.O.Box 66 Date Received: Permit#
�;;;.� 2750 Kelley Parl:way
a ;�j��h,�� � Ciystal Bay,MN 55323 Approved By: Amount$:
��^ �4t�=��;i,fa�o� (952)249-4600
�sexo�'
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pemii[s must be approved by die Building Ofticial or Inspector and/or Pire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Peinut cards will be sent by retuni mail after a review is completed. PERMITS ARE NOT
VALID Ul`TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERIVIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilation, hunudification-dehunudification, 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 conshuction or remodeling is involved,a separate building pernut 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 pl )
�esidential ❑ Commercial(Approval Required)
/
�Tew ❑Additional ❑Repairs ❑ Replace
Job Site/ Owner Inforniation:
Site Address: �1�� ��"�� �)I�Q 1�r�
Owner:� �� I� � ��m�'��ailing Address: �U�Q
City: Zip:
Home Phone: �Q��—' �lV I ' l�l�c�� Alternate Phone:
Contractor Infornzation:
Contractor: I(�,�J�,� Contact Person: 1�1
Address: C��b I���\G� lC�V1� tate Bond#: I��'IC1UI O�-'
City: �� .'✓ Zip��� Expiration Date: Q��
Phone: ''�t�,�-�Li—�� AlternatePhone:
� Insurance—Current:
1
� � _ �
. �
k': MECHANICAL SYSTEMS BEIlvTG INSTALLED �
.
IiEATING SYSTEMS
Quantity: '
Make:
Model: �'��
Fuel: � � l��
l�
Flue Size:
�; Input BTUs: IJIJ
Output BTUs: IiC.JIJ
CFM:
COOLING SYSTEMS
4`` Quantity: I
Make: � 0 D�VY�
Model: K — ��
Tons: r
H. Power
�,:
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
^ ❑ Wood Stove
��� ❑ Wood Stove With Flue
�'
F�` Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
;�, No. � Bath Exhaust(must have duct outside) cfin
❑ 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:
�
f , _
� • PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tlu-ee of the following requirements:
1. Does not require modification to elecn�ical or gas service.
2. Has a total cost of$500.00 or less;e�cluding the cost of the fixture or a�pliance: and
3. Is improved,installed or replaced by the homeowner or licensed connactor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
� ' Total Pernut Fee �
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conh�act price with a(Minimum Fee of$35.00)
�- � o�
►� ���,l�C� x.oiz5 � � �J�
(contract piice) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� CG (�OC� X .000s $ ��
(contractprice) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) r
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
peimitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the custoiner 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 puiposes. 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
The undersigned hereby applies to the City for issuance of a Mechanical Peimit, 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: — Date: � � J
: r: ,,
, �
, � � _ _ _ _