HomeMy WebLinkAbout2005-P09223 - air conditioning PERMIT
CITY OF ORONO
27�0 l4elley I�arkway- PO Box 66 Permit Number: p09223
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952)249-4600 Date Issued: 9/26/2005
SITE ADDRESS: 2715 Pence La Unit#
Excelsior,MN 55331
P��� 21-117-23-32-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pernvt Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 45.00 Valuation: $ 3,600.00
State Surcharge Fee: $ 1.80
Misc.Fee: $ 1.50
TOTAL FEE: $ 48.30
APPLICANT: Cronstroms Heating &Air Conditioning OWNER: Steven Synder&Sherryl Stem
6437 Goodrich Avenue 2715 Pence La
St.Louis Park,MN 55426 Excelsior,MN 55331
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 ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
� , ��-'�'��, City of Orono
/�� �Q�ti� P.O.Box 66 Date Received: Pennit#
�� y,�� }i 2750 Kelley Parkway
�.� 11�'�� �r Crystal Bay,MN 55323 Approved By: Amount$:
'����a�of' (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Ofticial 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 permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VAL[D UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are reyuired 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,n�a7ufacturer and model. Data shail 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 A 1 )
�esidential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Zeplace
Job Site/Owner Information:
Site Address: �� l � �-K��' l C.�� ��' I
Owner: ���-`� 1� Mailing Address: �� � -� ` ���
CitY: —I�L���� 7ip: `�j��� �
Home Phone: ' `�f�' v� �l�nate Phone:
Contractor Information:
Contractor: l� Contact Person: � L
Address: �`T ����tate Bond #:
City: lJ'� ��� Zip: ��Expiration Date:
Phone: ���' �/� � 't.-�(.,E'��Alternate Phone:
❑ Insurance-Current:
1
• MECHANICAL S�STEMS BEINGTNSTALLEI� �¢' �; �� '1
HEAT[NG SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: I
Make: �r��,
Model: l �
Tons:
N. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENT[LATION
❑ No. Kitchen Exhaus. duct recirculating cfm
❑ No. Bath E�aust(must have duct outside) cfm
❑ 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:
2
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PERMIT FEE CALCULATION(S)
I 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 electrical or gas service.
2. Has a total cost of$500.00 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 $
,
PE��1?T FEE CAI.GLTLATION(S)-J(�BS Q:JF,.�$5Q�3.Gq `��,`u . "�''''
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$35.00)
���,Q i-�`-s . VV x.0125 $ �S % ��
(contract price) (min�mum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
��C,b . a� X.0005 $ 1- g a
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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 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 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 SURCHARGG is .0005 of the Building Department at(952)249-4600 for the price.
; p MECHANiC PERMIT��'����.A'T��? .4;��REEMET�-`�����;�� �� ' �' '° �'
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: Date: ��
��� �� Reset Form
. 3
AT TIME V
CITY OF ORONO ca�� _�
INSPECTION N T CE SCHEDULED �
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PERMIT NO. COMPLETED
ADDRESS �,7�5 ������
OWNER ����1. �S�C.r�_.CONTR.
TELEPHONE NO. g�Z �'Z � �(o�IC�
� DESCRIPTION I��� �/ C--
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFiEE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAI.L. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W WORK SATISFACTORY:PROCEED ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. +�
Ca�1 for the n t inspection 24 hours in advance. (J52� 249-4600
OwnerlCon s e:
Inspector.
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