HomeMy WebLinkAbout2002-P05719 - mechanical CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P05719
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 10/9i2002
SITE ADDRESS: 4510 North Shore Dr
Mound,MN 55364
PID: 07-117-23-31-0029
DESCRIPTION:
Proposed Use: Residential
Permit 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: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.50
APPLICANT: Ron's Mechanical,Inc. OWNER: Pete&Kathy Sawicki
12010 Old Brick Yard Road 4510 North Shore Dr
Shakopee,MN 55379 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.
APPLICANT PERMITEE SIGNATURE S BY SIGNATURE
Conies: 1-File(Sienitures Required), 1-ADDlicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Oct-07-2002 09:55am From-CITY OF ORONO +9522494616 T-195 P.001/003 F-483
CITY OF ORONO APPLICA11ON FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GEN�R,AY��OR1�
1. You may apply for mechanical permits by mail or in person at the City offices.Applieations will be
reviewed and a penrit will be issued within two working days.
2. Permit cards will be sent by rerum Imai O rMUST Neo 131EGIN PE1�T HE ARE NOT SCARP IS
UNTIL y0U RECEIVE A PERM
POSTED ON THF 70� €
3 Mechanical Desl¢n9-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. Identification of and specifications for water heating
equipment shall also be provided.
4. When any new constructionorr remodeling
with the Uniform Mechanical Code/State Bu Idsng Code
requirements.5. All work must be done in a
requirements.
6. All work must be inspected r mustbebe submitted , Call(952)249-4600.24-hour notice required,
7. House Heating Test
Instruc 'ons
and date the
-Complete all items on this application. Compute��RpCE SED rmit fcc, 1If you have questions,ccailn
INCOMPLETE APPLICATIONS WILL NO
(952) 249-4600. -
Please check one: ❑New Q Addition ❑ Repair Replace Residential ❑ Commercial
Zip: �'�' —
JOB SITE: S Phone Number: Cl`� -q -
Owner's Name: a ��
zip: G �?� 1
YQ ty: r
Mailing Address: 5iL 'Nlb' t
Contractor's Name: 1in1^, C • Phone Number: n
Zip:
_
Mailing Address: IDC)ID old r,CVL. QVcl CYtC City:. ` k�
1
Jct-07-2002 09:55am From-CITY OF ORONO +9522494616 7-195 P.002/003 F-483
SYSTEM
HEATING SYS'T'EMS
Quantity:
Make: (��aV Y!,J2 --------� —-�— _.�--
Model: W ' LA�
Fuel:
Flue Size:
input BT'U,3:
Output BTUs: '
COOLING SYSTEMS
Quantity'
Make: —�-- —"—�
Model: �+--- —"—"
'Tons: -------
H.Power
FIREPLACES
Gas factoryfreplace
[J Wood burning factory fireplace with flue
[] Wood Stove
[] Wood stove with flue
Brand Name Model No.
Mojg;ATION
No. Kitchen Exhaust.duct recalculating
frn
No. Bath Exhaust(must have duct outside) -" cfm
cf
No: Other Fans: Locations
FIJEL STOWAOL:(MUST BE APPROVED BY FIRE MARSHAL)
[] Installation or ❑Removal
[] Fuel oil. gallons [:] underground ❑ inside []outside
[]LP Gas: gallons
[] Qas opening
Other
2
V
l %t-07-200Z 09:55am Frcm-CITY OF ORONO +9522494616 T-195 P.003/003 F-483
gERM1T FEE C LC=UX ATIO_NU
2002 State Stat to ❑ Yes This Section Applies
The replacement of a Residenti txture or aoDliance that meets all three of the following requirements:
1) Does—not require modification to electrical or gas service.
2) Has a total exlttdin cost of$500.00 or less; cthe cost of the fixture or appliance:
and
3) is improved, installed or replaced by the homeowner or licensed contractor.
Cost of Permit $ 15.00
Skip next section; State Surcharge$ 0
Mail-In Fee $ 1.54
if above does not apply,follow guidelines below:
1. Contract Pri * is .0125%of job with aMinimum
Fee of35.00 7 �� .
_x .0125
(contract price) (minimum$35.00)
2. State Surch ** Add the State Building Code Division a Mini Fee of $ .50
uree_•
x.0005 $
(contract price) (minimum S.50)
3. Posta t and Handling(Only mail-in applications)
$ l.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 permitted work including
materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer or the worblemarkdone.vali of any Mateems
equipment,labor,or installation is furnished by the owner,tenant or any other party
the tract price for permit fee purposes.In the event that there is a dispute on the amount of
must be added to the estimated cost or con
ssion of a signed copy Of the actual Contract.
thQ job cost,the City may request the submi
-The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or S.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance Of a Mechanical Permit,agrees to do all work in strict wcordance with
the ordinances of the Ciry and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
I D -
Applicant's Signature:ink
L Date:
Date:
Approved By:
3