HomeMy WebLinkAbout2004-P07773 - mechanical CITY�.�F ORONO PERMIT
275b�Celley Parkway- PO Box 66 Permit Number: Po���3
Crystal Ba�, Minnesota 55323 Permit Type: Mechan�ca�Pe�its
(952) 249-4600 Date Issued: si2i2ooa
SITE ADDRESS: 2482 Sandstone La
L.ong Lake,MN 55356
PID: 33-118-23-11-0025
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DEfAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 91.25 Valuation• $ 7,300.00
State Surcharge Fee: $ 3.65
TOTAL FEE: $ 94.90
APPLICANT: Plymouth Plumbing&Heating OWNER: Dahlstrom Development LLC
12270 43rd Street NE 7745 Polaris Lane
St.Micheal,MN 55376 Maple Grove,MN 55311
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 I D BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-AvnlicanL 1-Monthlv Renorts, 1-Assessine. 1-Finance Page 1
,
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INF'ORMATION
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 2 working days.
2. Permit cards will be sent by retum 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 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. Wheii any new construction or rema�eling is involved, a separate bui:�iing permit must�e o;:tained.
5. All work must be done in accordance with the Uni_orm 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 final.
Instructions Complete all items on this application. Compute the permit 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
!/ Residential Commercia
JOB SITE: � r�• ' �-�--��- Zip:
Owner's Name: � � ��Y2.� vlC� elephone Number:
Mailing Address: City: Zi�:
, — �PLYMDU�1 PLUMBING INC. , c
Contractor s Name:. �Telephone Numbe��(,' 7=� �`��.,r/cx�
Mailing Address: : �22�0 43rd Sireet N.E. _ ity �ip: ; ^ �
- - ��tt�►�,..w..�� ra�l �5376-971I _. � , ;-�,=`�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: ��
Make: n C3
Model: ,- � G G U
FueL•
Flue Size: "
Input BTUs: � c�, b�'
Output BTUs: ( z:;
CFM:
COOLING SYSTEMS
Quantity: � � � �
Make: ��rl nv�
Model: / i�f}C�3(�,
Tons: ��_
H. Power
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
a
C-�C��� ���.�'��1;�..-C.�.. �- �.r6-�,��_s_.
VENTILATION
No. ' Kitchen E�aust ducted recirculating cfm
No. 3 Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ��
FiTEL STORAGE (MU� BE APPIZO�ED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PER�vIIT �EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
� �U�-x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building.Code,Division
.,
Surcharge to each permit. ` x .0005 $
or $.50, whichever is greater (contract price)
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3. Postage and Handlin� (Only 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 uistallation 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 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 all
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: � .3c�
Approved By: Date:
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