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Home My WebLink AboutPlmg permit denied � � C—N ��' 1 ERW1 �z- C•�,n� o w�c� ,C�-2 i ss u�� Lic�--� ��G Gd�7�4cca-v/� • FOR CITY USE ONLY City of Orono /¢�� P.O.Box 66 D e Received: Pennit# J��:�n� � 2750 Kelley Parkway �L�V'/ > �h ^?�'r C stal Ba MN 55323 ��y� �� "��-� Amount$: ��, .��j��, ,�--- ,�' n' Y, ��,*'��=��i�.�o~ (9�2)249-4600 '°7 �rsexo CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by tlie Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in persoii at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Peimit cards will be sent by reriu7i mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORIi MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbulg pemuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building pernut must be obtained. 5. All work must be done in accordance with State Code requuements. 6. All work must be inspected and air tested before it is covered. Call (952)249-4600. (24-43 hour notice rc��ired) TYPE OF PERMIT (Check All That A ply) � Residential ❑ Commercial(Approval Requu�ed) �,New ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior apnroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � y 3 ��`� �✓1� Owner: �P1�� -.�j h n�}�'! Mailing Address: `a y � �G�'�� `"?'`'' �� City: E'y,`��.� Q Zip: � � a �,.,, .F Home Phone: �ri� ��' ��`'"�� Altemate Phone: ��a'" � �� `�a Contractor Infornlation: �°�� `'�r�- m��`� Contractor: �� `' 'do�� Contact Person: Address: State Bond#: City: Ca�� V�J Zip: Expiration Date: Phone: ��1.5 y�g � `�� Alternate Phone: R ❑ Insurance— Current: "„'' ._.- - ..r'�_._ - ---"^�.-�.. _ ."'., 1 `'PLUIvIBING FIXTLTRES BE1NG INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory 1 � Sewer Ejector Bathtub � Laundry Tray 1 Shower ' Washer I Kitchen Sink I Water Heater I Disposal Water Softener I Dishwasher I Wet Bar Sillcocks Miscellaneous PERMIT FEE CALGULATION(S) ' _, ,.. ,: .:. : :>, ., , .: , "� BASED OFE -2'002 STATE'STATUE ` : ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all ttu�ee of the following requu�ements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$�00.00 or less;excluding 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 $ (Permit Fees Continued On Next Page) . 2 ...------ PERMIT FEE Cr�LCULATION(S)—JOBS OVER$500.00:' _ � If nUove does not apply; follow guidelines below: 1. CONTR�.CT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) cl� 5�� x .0125 $ 3� �. (contract price) (minimum�35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) �..0005 $ (contract price) (minirnum$ .50) 3. POSTAGE&HANDLING(Only oil Mail-In Applications) $ 1.50 G� 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � � � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemzitted 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 fumished 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 conn�act. ■ *� The STATE SURCHARGE is .0005 of the conh�act price under $1,000,000 or $.50—whichever is greater. For valuations over$1,000,000 call the Building Deparlment at(9�2)249-4600 for the price. � PLUMBING PERIVIIT APPLICATION AGREEMENT ' The undersigned 'nereoy applies ta ihc Ciiy for issuance of a Plu��bir�g Pe�-�nit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements m e on this application are complete, true and correct. Applicant's Signature: Date: '��D�� - _. _ � - � � FOR C►TY USE ONLY ' +: '\\ City of Orono � P.O.Box 66 Date Received: Pemiit# �" �', 2750 Kelle Parkwa "�� Y Y a ,'�}'i�'' P� Crystal Bay,MN 55323 Approved By: Amount$: �j'��,�r�r�,�}$6e (952)249-4600 `'�EesoB CITY OF ORONO—MECHANICAL PERMIT (Al]Commercial permiCs must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pern�it 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 Desi�—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). 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 Apply) �Residential ❑Commercial(Approval Required) `�New ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: �J y 7j QG�f�� .�G►v�� Owner: I 2 f r!� .,,�t��n�ca►rl Mailing Address: S4 me. City: �CO�C? Zip: S� �'�� Home Phone: �� " ��"'�� `� Alternate Phone: ta� a -� ��" �°�� Contractor Information: Contractor: �� Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Cunent: 1 .► MECHANICAL SYSTEMS BEING 1NSTALLED '. ' HEATING SYSTEMS ,� C�� ' Quantity: � E ( � �Micto bo�)�/1� Make: 1`jf t,�r�'� �n4CP Y/INCx'F 7�764�• � 77� l�'�'��fPS Model: 3�S v�v S -(r'6�;� �Ow�u.�11/►r5er fa �I�✓��'�-I Fuel: /�lCc�', �QS NG� (�Q�-� t�'��C.Tif��C_ Flue Size: � r✓►C, Input BTUs: �/� Ss��v Output BTUs: 7�� U� CFM: �Uf��hl� (G�Y� �►'�c� N� y�' ✓�N COOLING SYSTEMS Quantity: � Make: C��•� Model: � V Tons: � �� H. Power �,S! .7�''� FIREPLACES � Gas Factory Fireplace�l� Wood Burning Fireplace�a� ❑ Wood Stove ❑ Wood Stove With Flue ,o�a 3a- F�.�.� Brand Name�l� �MP k"�- Model No.: 3aW �''"�' Ca� l.�i I KL,'h�^ 3 N�S Ma�w F„�� '7�t.� � � t,.�� VENTILATION ''C�vd��nb��t�,w-rrt`� � No. ( Kitchen Exhaust duct recirculating �� cfm �C] No. �_ Bath Exhaust(must have duct outside) _�-�'Q cfm ❑ No. Other Fans Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) i(�J�� ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: �ur�'+�-e- — �`�P"^�Pn� Wcc� 1'��-4�! — S�PwnPn� �:�ir_.�'�Pv� �✓1`OvQ - IrY�c.��n ��' 2 ��,�,�,� _ a� St��. � . � PERMIT FEE CALCULATION(S) � BASED OFF-2002 STATE STATUE ❑ 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 elecfical or gas service. 2. Has a total cost of$500.00 or less;excludin�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 $ l 5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ : PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$35.00) O� x.0125$ � � (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ �� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 Cf� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3 � ' ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 pernut 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. ' ' `;;MECHANICAL PERIVIIT,APPLICATI0I�T AGREEMENT r; , ;, �,� ;< , . 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 al statements de on this application are complete, true and correct. ,�� ApplicanYs Signature: Date: 3