HomeMy WebLinkAbout2007-P10786 - mechanical PERMIT
,�ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10786
Crystal Bay, Minnesota 55323 Permit Type: 1vlechanical Permits
(952) 249-4600 Date Issued:
2/23/2007
SITE ADDRESS: 1200 Phillips Dr Unit#
Long Lake,MN 55356
PID: 27_118-23-32-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 57•75 va�uation: $ 4,620.00
State Surcharge Fee: $ 2.31
TOTAL FEE: $ 60.06
APPLICANT: Countryside Heating&Cooling OWNER: Christian&Beth Johnson
6511 Hwy 12 1200 Phillips Dr
Maple Plain,MN 55359 Long Lake,MN 55356
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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LICANT PERMIT ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, ]-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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'' FOR CITY USE ONLY
���< City of Orono
P.O.Box 66 Date Received: Permit#
����,.�,. ��"� 27�0 Kelley Parkway
.� ��" �- � Cr stal Ba ,MN»323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or I'ire 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 return mail after a review is completed. PERM[TS 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). 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 I )
�Residential ❑ Commercial(Approval Required)
T�
❑New ❑ Additional ❑ Repairs ❑ Replace
Job Site /Owner Information:
Site Address: ��C7C� �� '� �� �'�r ��',
Owner: C�<<'S ���+�S��' Mailing Address: % '�
City: C� (O�l 0 Zip: ss���
Home Phone: 9Sa� y��"7��`l Alternate Phone: 9'r�� ��� 9/�
Contractor Information:
Contractor: L��n�'vs d a /�T6'�`'�� Contact Person: ��Q'f�GI � ��°"
Address: ���� ��l �a State Bond #:
City: �9��� ��a`� Zip: ff�� Expiration Date:
Phone: 76s-�i79'"16�' Alternate Phone:
❑ Insurance—Current:
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MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
� No. �_ Kitchen Exhaust�_duct recirculating 9�G cfm J/�as-�-
❑ No. Bath Exhaust(must have duct outside) cfm ,�
❑ No. Other Fans: Locations cfm �U`"
A���`ol
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
. ,
' PERMIT FEE GALCULATION(S) `
BASED QFF -2Q02 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance 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 $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT'FEE CALCULATION S —JOBS OVER$SOQ.00
If above does not apply;follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� y v � %
�a X .oi2s $ S�
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
���/ �l
x.0005 $ �
(contract pnce) (minimum$ 50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
06
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
U �
• * 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 SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 Farm
, 3
7 �
Date: 1/19/2007 Revision Date: 1/19/2007 Existing Construction: 1994 and after(7670).
Site information
Address 1: Project#:
Address 2: Lot: Block:
City: County: Subdivision:
Application Information
Business Name: MN Contractor License#:
Contact Person:
Office Ph: Fax: Cell Ph:
Address 1:
City: State: Zip Code:
Sauare Feet
Square Feet: 4000 sq. ft.
Combustion Appliance
Water Heater: Natural Draft Input BTUs: 65,OQ0 Common Vent
Fumace/Boiler: Fan Assisted Input BTUs: 120,000 Common Vent
Other Combustion Aapliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Po��rer Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fuel Ap�pliance(s): No
Exhaust Eauipment
Exhaust Fan Rating ( : 900 - ��1-0.1�,.1
Make-Up Air
Total Make-Up Air Required (cfm): 600
Power Make-Up Interlocked With Largest Exhaust System. (cfr�4��
Passive Make-Up Required: Round Rigid: 10 inches or Insulated F ex: 11 inches.
Motorized damper shall be interlocked with largest exhaust system.
Applicant Name (print): Signature/Date:
Code Official (print): Signature/Dai�e:
Cc�20()4(;enterPnint F.nerQv Minneeascci. 20Q4 Mechanical(;cxje CTiiicieline�. Paee 1