HomeMy WebLinkAbout2004-P07665 - mechanical LI�Y OF R N PERMIT
� � � Permit Number:
2750 Kelley Parkway- PO Box 66 P07665
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 6�3oi2ooa
SITE ADDRESS: 1374 Rest Point Rd
MOUND,MN 55364
PID: 07-117-23-33-0012
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fuel Storage
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
Abandon 1000 gal fuel storage tank
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,250.00
State Surcharge Fee: $ 1.13
TOTAL FEE: $ 36.13
APPLICANT: Dean's Tank Inc. OWNER: G R BLOOM&T A BLOOM
P.O.Box 22515 1374 REST POINT RD
Robbinsdale,MN 55422 MOLJND 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 ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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-� APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-At�nlicant, 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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. PERMITS ARE NOT VALID
UNTIL YOU R�CENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi r�is- 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 construction or remodeling is involved, a separate building pernut must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must be suUmitted before final.
Instructions
Complete all items on this application. Coinpute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE:__f 3 7�) R� � t Pc���l-F r2� , Zip:
Owner's Name: �eQ,���-e �;r�wr Phone Number: �� �� - �;/ �- !�!���J
Mailing Address: City: �v�c�r► 0 Zip: �
Contractor's Name: ��q i1 S '�j"cr✓J� Phone Number: "� �"� "'S�S- �� �C�
Mailing Address: �.G . �;'�(� 2� �; �' S� City: lZo u1�,��1"r)�;�_Zip: ��'�j Z.Z
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SYSTEM DESCRIPTION •
HEATiNG SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
�uel oil: 1,G�Ugallons .,�underground ❑ inside ❑outside
❑ LP Gas: gallons
�Other G;L3c;��tJ n�� r'�� � I G C �' Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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; excludin�the cost of the fixture or appliance:
and
3) Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
s���(1 . � � x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .501
x .0005 $
(contract price) (minimum$ .50)
3. PostaEe and Handling (Ortly�nail-irc applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
materials,]abor,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 is 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 City for issuance of a Mechanical Permit,agrees to do aR work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct. `;'
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Applicant s Signature: Date:
Approved By: Date:
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