HomeMy WebLinkAbout2008-P12053 - mechanical PERMIT
C`�TY OF ORONO
275Q Kelley Parkway- PO Box 66 Permit Number: p12o53
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued: 5/15/2008
SITE ADDRESS: 4435 North Shore Dr Unit#
Mound,MN 55364
P��� 07-117-23-34-0004
DESCRIPTION:
Proposed Use: Residential
Perinit Class: General
Pemrit Type: Mechanical Permits Pennit Sub-type(s): Heating Systems
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 48.75 valuation: $ 3,900.00
State Surcharge Fee: $ 1.95
Misc.Fee: $ 1.50
TOTAL FEE: $ 52.20
APPLICANT: Stasney Mechanical,Inc. OWNER: Gordon Lundman
1574 3rd St.SW 4435 North Shore Dr
New Prague,MN 56071 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 UED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSepric, 1-Sepric) Page 1
�: .
� FOR CITl'ITSE ONLT
� ,:"- -�` Cit�-of Orono
���O•r�'� Y.O.Bo��i6 Date Recei�-ed: Pemiit=
!��: �" 2750 I�elle}'Parl.�ca}
�1 !��'1!. c.'n stal Ba}�,nIN 55+2? _appro�td Bc: .amount b:
�� %��:�4�,��'�� l95?)219-160U
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CITY OF ORONO-MECHAI�ICAL PERMIT
(_all C'omuiercial pzrmits mnst bz appro�zd b}thz Buildina t:)8icial or Ins�xctur and or Fue nL�r�hall)
GENERAL INFORMATION
i. 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 rehun mail after a review is completed. PERMITS ARE NOT
VALID iJN"TIL 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 Unifonn 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 fmal.
TYPE OF PERMIT
(Check All That A 1�-)
�Residential ❑Commercial(Approval Required)
❑Ne�� ❑Additioual ❑RePairs �Replace
Job Site/O��ner Information:
Site Address: �5�.��� �'./�����"' S��-�<- �r��•��'
O`�ner:
���'�✓� �Gn���.� Mailing Address: S�y.3� .�U�'�h 5���'e�'�-;
Ciri-: /�o!1�aL Zip: S.S�G`�
Home Phone: I.S��� y���/� Alternate Phone: �"�/��
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Contractor Information:
Contractor:S���-5�7� /?�p�h«�,«%��Contact Person: C.���-a� ��� ,�`����'
Address: /5�y -3`����� s�✓ State Bond #: �'J����G-3
S�.'�-� =-
Cih�: /'��w ������- Zip:. Eipiration Date: /��-��°�
Phone: ,�5�-7-�� ?`�K> Alternate Phone: !�i'//3
� Insurance-Current: ,�e. �y S�� �- ���
1 �.5 5 /�/�e5 fj. L-C /7/�,c ii c'✓
05/09/2008 16:30 FAX 9527587002 STASNEY MECH C�001/001
'``MEGHA�I�FI�.A�.'��`�`�S BEING II�TSTAY;L� °` . ."
HEATING SYSTEMS
�n�: /
�e: �T��
�vtoa�i: �Z=.�����1' 9s��.�
�tel: /�/Gf
Flue Size: ���
Input BTUs: 17.�Ga�
Output BTUs: I�S�o
CFM:
COOLING SYSTEMS
Qus►ntity:
Make:
Model:
Tons:
H.Po��er
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood B�ning Fireplace
❑ Wood SYnve
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTII.ATION
❑ No. Kitchen Exhaust duct recircuta�ting cfm
❑ No. Bath E�haust(must have duct outside) cfm
❑ No. Other Fans: Locations c&n
)
/Ua �`FUe�-
nsrallatian xemo�al -- 5���,c ^J�/��K �C�.
Fuel Oil: gallons � ❑ Underground ❑Inside ❑Outside
L Gas: gallons
GA5 LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
. 2
�/-, -, ,.c_ �//_�L
_� � ~-�
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Ye�_this sectiou applie�
The replacement of a ResiJential tithu�e or appliance that meets all tlu-ee of the follo��uig requu•ements:
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 fixhue 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 $
PERMIT FEE CALCULATION S -JOBS OVER$500.00
If abo��e diies not appl��_follo����*��idelule.belo��:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
: j� �� x.0125$ �l%�
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Mini�num Fee of 5.50)
� %'�n � x.0005 $
/ � S�
(contract price) (minimum$ .50}
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ ' ` �" `�
■ * CONTRACT PRICE or JOB COST means the actual or estunated dollar amount charged for the
permitted work induding 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 ptu-poses. 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 SURCIIARGE is.0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereb�� applies to the Cin� for issuance of a Mechanical Permit, agrees to do all
«ork in strict accordance «ith the ordinances of die Cit�� and the regulations of the State of
Minnesota. and certif'ies that all stateinents made on this application are complete, true and
correct.
� �
Applicant's Signature: � ..� C�.� Date: / i� ��G��
F
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