HomeMy WebLinkAbout2002-P05122 - mechanical PERMIT
C�T�Y GF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 posi22
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemuts
(952) 249-4600 Date Issued: siii2oo2
SITE ADDRESS: 520 North Arm Dr
Mound,MN 55364
P I D: 06-117-23-31-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,400.00
State Surcharge Fee: $ 0.70
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.20
APPLICANT: Royalton Heating&Cooling Co. QWNER: Timothy Pellizzer
4120 85th Avenue N. 520 North Arm Dr
Brooklyn Park,MN 55443 Mound 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 ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE IS Y SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Atrolicant 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
' CITY' O� OkONO A�'l''LTCA1"ION F(7A MECHANYCAI.PERI�IIT
Hox bb (2750 Keltey Parkway)
Cryscal Bay, MN 55323
��vTR�]�.i�Fo.�LL��
l. You may apply for mechanical neimits by mail nr io person at tlie City offices,Apglications will bc
review-ed and a permit wi!!be issued within two wotking days.
2. Permit cards will be sent by retuTn mail after a re�view is completed.PERMITS AI2,E NOT�ALID
UNTIL YOU FLECENE A PER1v1IT.WORK I�Z[JST NQT BEGTN'UN'Y'TY. THE PERT�tTI"�i5
POST�D ON 'fHE JOB SITE.
3. (�te�yanical Dcsigp�-Completc calculations,decails and specifications are required ior each heacing,
ventilation,hurr�idifieation•dehumiclifieation,arn�air conditioning instullaition including heat lusslhzat
gein calculatian,desigi temperetures,eqnipment ratings u�d identification ets to type,manufacrurer and
model.Data st�all be presented on form provided Identifi�tion of stld spetifica.ti�ms for wAt�r heatin�
�quipm�nt shall also be providad.
4. Wfien any new consuuc2ion or remodaling is in�olved, a separate building pern►ii must be obtained.
5. All work must be done in accordance with the Lniform Mechanical Code/Srate Building Code
requirements.
6. All worlc must be in�pected(roug}',-in and fina!), Call(9�2)349-4600.24-hour notice requirrd.
7. HAuse Hearing Test Record must be submitted before final.
Instructions
Complec� all items on tlus application. Compw:�the permit fe�. Sign and date the certific�cion.
I:�TCOMPLETE APPT.TCATYONS W"TL�,I�+"OT f3�pROCESSED. If you have questions, call
f9�2) 249-4600.
Plcase check one: ❑New ❑ Rddition ❑ Rcpair �Replacc[� Residential ❑ Cornrn�rcial
�OB STTE• 50�0 �� �=, "Gip:
Owner's hame:�'"` Z �Pr►— , Phone h'umber: q,'�,�o�-c.�"]�,-��}�
MailinC Address:.-���g,�,� _ �. i�l. City: .�I�O�'10 Zir:
r
CoatrActor's Name; �� Pbone Number: 7(r��3-�a�-�33.3
Mailing Address: / ' City:,�,�,�',� �ip: _
l
� . _
�1 STEM DESG�tIPTTON
AEA�7ING SYSTEMS
Quantity: ,�,��
Mako: Q 1�,� _
Model: U<-��l�
Fuel: � .
filae Size:
�
Input BTUs: � � �� �—
Output 87'�s: ��
CFMe
CO�Y�YNG S'YSTEMS
Q��� --
Make:
Modei:
rons:
H.Power _
FAtEPLACES
❑ Gas factory fireplace
❑ Wood burnin�factory frrcplace with flur
❑ Wood Stove
❑ Wood stove with flue
Brand Name_ _"Model No.
'V�N'Y'Ii.ATION
No. Kitchen Exhanst duct rec;alculating cfin
No. �ath Exhaust(must have�iuct outsid�} cfm
No; Othet Fans:Laoeuor� cfm
�'Yl'�Y.S'T0�2.AGE(MCtST BE AFPROVED BY P�E MARSHAL}
❑Ynstaltation or Removat
❑Fuai oil: gallans under�round (]inside []outside
❑LP Gas: p.allons
❑Othar Gas openin�
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F�ER:�T FF.E CA�.CU�.AT10N(Sl .
?OOZ State Statute ❑ Yes Tbia Sectioa.�►pr.,lies
The replacement of a Residential fiature or apj�fiance tha�mec�s al1 three of tha following requirements:
1) s n t r�quire modification to electri:al or g�s scrvicc.
2) �Ias a tot�i cost of�504,00 ar less;e 'n the cost.of the fixture or apptiance:
and
3) Is improved, ins'23lled or replaced l�y the homeownec or licensed contractor.
�Skip next secuon; Cosi of Permit $ 15.00
Sc�ce Surcharge$ SO
�4ail•]n Fee $_ 1.50
lt above does not appty�fultow�guidalincs belaw:
1. Contract Pric�* is .0125%of jub wich a N1in;mum Fee of(535.001
�1 .dZ� X .o i�s $ ,�S cSZ�
IeonusM price) (minimum 535.00)
` Siato Surcha�ee. "'" Add the State Building�n�le I7ivision a Minimum�et of lS .SOI
_/��x.0005 $ •��
(cantract pricc) (min�mum S.SG)
� Posta�e and Haadling(Only nrail-in pppllcAtiuns) $ ;,5�
4 TOTAL PERMIT FLE(Add lines 1-3 abcvc) $ 3 �. a�
•CONTR4CT PRICE a JOB CG5T mcans�t�t actuul or esei:natcd dollar amuunt ct�arEed for the pern:ittcd work inefuding
a:atcrial�,labor,prof G an]oth�r fistd co�ts.It u t;+z nmount co tx chargad to the cu�t�mcr for th=work donc.If:�ny marcrial,
�quiprnent,labor,or instnliation i�furnish�by the owne:,ter,ant or any other party the re+�oaab:Z mtu�kZt�nluc of such iteris
rnust be addui to rhe es:icr.ated cos�or con�en price far�rni�i:ee purposcs In the evenc tha�Thcrt is a dispute on�he amounc of
th�•jon cost,the Ciry ma}�requcst thc submission of�s�b�ne��opy oitAe aecual ountract,
'•Tht STATE SURCH.#RGE is.4Q05 of the contract pr;ct under S1,000,000 or 5.30-whic`�cvcr is gtr.a[er.For valuat�un�ovar
5:,000,09�coll the D�parcrnenc of Jnspectl�nal Services ior tt.c pricx.
Tht undarsignei�hereby a�plizs to the Ciry for issuenec of a:�:e:hanic�l Permit,aYrccs co do all werk in sttict accordaace�i�h
ehc ordinanccs of thc Ciry and the rcgut:uions of the Minnrsoia Stair Buildlr.g Code,and cenlfles that al!stacementa made on chis
applicacon ara complctc,truc an�corteet.
, ����� ;.?' � /�?
�pplicant s Signature:_^__ —_--- �— -- Date: 7" .JQ�a
,�pproved 8y. Date:
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