HomeMy WebLinkAbout2002-P05258 - mechanical �
' , PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P05258
Crystal Bay, Minnesota 55323 Permit Type: Me�t���al Pe��
(952) 249-4600 Date Issued: 6i3i2oo2
SITE ADDRESS: 2455 Shadywood Rd
EXCELSIOR,MN 55331
PID: 2o-i i�-23-i i-ooi�
DESCRIPTION:
Proposed Use: Residential
Pemut Class: General
Permit Type: Mechanical Pernuts Pernrit Sub-type(s): Heating Systems
Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit Fee: $ 124.38 Valuation• $ 9,950.00
State Surcharge Fee: $ 4.98
Misc.Fee: $ 1.50
TOTAL FEE: $ 130.86
APPLICANT: Abel Heating&Air Conditioning OWNER: P M&J M ENGLUND
266 Water Street 2455 SHADYWOOD RD
Excelsior,MN 55331 EXCELSIOR MN 55331
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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APPLI ANT PERMITEE SIGNATURE IS BY SIGNATURE
Couies: 1-File(SiQnitures Required). 1-Auolicant,1-Monthlv Renorts, 1-A�essin¢, 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 2 working days.
2. Permit cards 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 Desi� - 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
shaIl also be 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 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 Additio Repair Replace
Residential Commercial
JOB SITE:�,E�(���� ��(, a�y,�� ���t�t,����� �,� Zip:
Owner's Name: �.9 v,� �N�GUN elephone Number: C)5�-��/--0 7"��
Mailing Address: �' ,-,�.� ! City: �'/�i,qp,��, Zip:
Contractor's Name: Telephone Number: �7�,/-��
Mailing Address: 1 (� /,J,a� -r City: 'L Zip: �33/
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: r�„v,v��
Model: ��3,�✓��/��'
Fuel: �C/�4 T
Flue Size: 3" �C.
Input BTUs: /��� ('jcf�
��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: �f,,✓,�/��
Model: /�S� (�� ..
Tons: �r-
H. Power
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FIREPLACES `�
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Gas factory fireplace ;;
Wood burning f ireplace with flue ;
Wood S
d stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted _.. reEirculating cfm
No. Ba e ucted outside) cfm
. Other Fans: I,�cation_c c�mf
FLTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: �underground inside outside
LP . gallons
Other Gas opening
PERMIT FEE CALCULATION re
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1. 1.25% of Contract Price* or Mini um Fee 35.00� �
�'`� x .0125 $ ,v� ;
(contract price)
2. State SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ '�� � �
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (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 instailation are rurnisl;ed by tlie owner, tznant 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 '.:R
request the submission of a signed copy of the actual contract. tx
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** 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.
Applicant's Signature: Date: `j� —OZ
Approved By: Date:
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