HomeMy WebLinkAbout2000-P02443 - mechanical � �► PERMIT
CITY OF O!RONO
2750 Kelley Park ay- PO Box 66 Permit Number: Po2aa3
Crystal Bay, Minn sota 55323 Permit Type: Mechanical Permits
(612) 249�600 Date Issued: si9ioo
SITE ADDRESS: 1360 Railroad Ave
CRYSTAL BAY, NIN 55323
P I D: 10-117-23-31-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
YP Air Conditioniing
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMAF�KS:
FEE SUIIAMARY: Permit Fee: $ 6338 Valuation• $ 5,070.00
State Surcharge Fee: $ 2.54
Misc.Fee: $ 1.50
TOTAL FEE: $ 67.42
APPLICANT: S ANDARD HEATING&AIR CONDIT OWNER: TIMOTHY J PATTRIN SR
410 WEST LAKE STREET 1360 RAILROAD AVE
MINNEAPOLIS,MN 55408-2998 CRYSTAL BAY MN 55323
'TI�UNDERSIG HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND
STATE OF MI SOTA BUII..DING CODE REQUIIZEMENTS.
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ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
� Crystal Bay, MN 55323
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GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be _
reviewed and a pernut will be issued within 2 working days.
2. Permit cazds 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 Designs - Complete calculations, details and specifications aze required for each heating,
ventilation, humidification-dehumidification, and air conditioning instailation 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 construction or remodeling is involved, a sepazate 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fmal.
, Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New Addition Repair �Replace ��
Reside ial Commercial
JOB SITE: � . C� < c, � Zip: �S ���- �'
_ Owner's Name: n � �, (� ! r Telephone Number: r � L ' > — � � "
Mailing Address: J 3 �� r�, .:�;, �-fi,�.���j �`�,,�,�,-City; �7��,--,�� Zip: �"" �—y-
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Contractor's Name: Telephone Number:
Mailing Address• City: Zip:
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SYSTEM DESCRIPTION
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' - HEATING SYSTEMS "� s,
Quantity: �
Make: - c -,�
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, Model: ���
Fuel: z.. ���r�:
Flue Size:
Input BTUs: �-p ���
Output BTUs:
CFM:
'" '``° COOLING SYSTEMS
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Quantity: /
Make: / c9�
Model: -� � ��
' Tons: �- ,�
H. Power — 1�,��:
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WOOD BURNING EOUIPMENT - .�
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Wood stove with flue �
Wood combination or add-on
Factory fireplace with flue ;�
� Factory Fireplace (s) Freestanding Masonry '�'
Wood Stove (s) Franklin, other �;
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia. �
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons -
Other Gas opening -
PERMIT FEE CALCULATION
^ 1. 1.25% of Contract Price* ar Min�um Fee ($35.00) ..� /
;:;�. � � -����7 C� , c��� x .0125 $ �P J�� �S�
:. (contract price) -�'
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. �r��L . N'7 x .0005 $ � �� ��
or $.50, whichever is greater (contract price) `�
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3. Postage and Handling (Only mail-in applications) $ 1.50 �i
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��% . '(�' '��
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 installation 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 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 contract price under $1,000,000 or $.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 Ciry for issuance of a Mechanical Permit, agrees to do
all work in strict accordance 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. !
Applicant's Signature: /� � G��.�- Date: �- C—�
Approved By: Date: 5 •� '�v
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