HomeMy WebLinkAbout2007-P11686 - mechanical ,CIT� OF ORONO PERMIT
' 2750 Kelley Parkway- PO Box 66 Permit Number: p11686
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued: 11/15/2007
SITE ADDRESS: 4205 North Shore Dr Unit#
Mound,MN 55364
P��� 07-117-23-43-0004
DESCRIPTION:
Proposed Use: �
Pernut Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 243.75 Valuation: $ 19,500.00
State Surcharge Fee: $ 9.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 255.00
APPLICANT: Genz-Ryan Plumbing&Heat OWNER: Mary Jo Peterson
2200 W Highway 13 4205 North Shore Dr
Burnsville,MN 55337 Mound MN 55364
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 D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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,�p� City of Orono
�n 4 P.O.Box 66 Date Received: Pernrit#
,y,� 2750 Kelley Parkway
� t��;.� Crystal Bay,MN 55323 Approved By: Amount$:
��� (952)249-4600
CITY OF ORONO—MECHA1vICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/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 and a permit will be issued within two working days.
2. Permit cazds 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 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 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). Ca11(952)249-4600.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERIVIIT
Check All That A 1
�✓ Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
"Job Site/Owner Information:
Site Address: 4205 NORTHSHORE DRIVE
Owner: HIGHMARK BUILDERS Mailing Address: 12245 NICOLLET AVE S
C1Ty: BURNSVILLE Zip; 55337
Home Phone: (9s2)ssz-s9oa Alternate Phone:
Contractor Information:
Contractor: GENZ-RYAN PLB&HTG Contact Person: �
Address: 2zoo w�i3 State Bond#: 929298827
City: BURNSVILLE Zlp: 55337 Expiration Date: os�ta�os
Phone: (952)767-1000 Alternate Phone: �952)767-1863
❑� Insurance—Current:
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I3EATING SYSTEMS
Quantity: 1
Make: LENNOX
Model: G61MPV60D
Fuel: NAT.GAS
Flue Size:
Input BTUs: 135,000
Output BTUs: 126,900
CFM:
COOLING SYSTEMS
Quantity: 1
Make: LENNOX
Model: 13ACD060230
Tons:
5
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
�✓ No. 1 Kitchen Exhaust duct X recirculating 300 ��
0 No. 5 Bath Exhaust(must have duct outside) 110 cfin
0 No. I Other Fans: Locations DRYER 300 cfin
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: FIItEPLACE,FURNACE
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❑ 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 Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
19,500.00 x.0125$ 243.75
(cont�act price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
19,500.00 x.0005 $ 9.75
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
255.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged
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 mazket 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.
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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: ���'�'LU Date: l i/o7/o7
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� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT
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� DESCRIPTION_� �n— `� �-�
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the ne inspection 24 hours in advance. (J52� 249-4600
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Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL 0 SEWER HOOK-UP ❑ FROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
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❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
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