HomeMy WebLinkAbout2001-P04383 - mechanical ' �� PERMIT
CITY OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P04383
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9i2ii2ooi
SITE ADDRESS: 2477 Shadywood Rd
Excelsior,MN 55331
PID: 2o-t 17-23-11-0027
DESCRIPTION:
Proposed Use: Institutional
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
Updating Existing Heating,Cooling&Exhaust
FEE SUMMARY: Permit Fee: $ 56.25 Valuation: $4,500.00
State Surcharge Fee: $ 2.25
Misc.Fee: $ 1.50
TOTAL FEE: $ 60.00
APPLICANT: OWNER: Baywind Christian Church(Mr.&Mrs. Svoboda:
2477 Shadywood Rd
� 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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APP ANTPERMITEESIGNATURE ISSUEDBYSIGNATURE
Couies: 1-File(SiQnitures Reauired).1-Analicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHAl�1ICAL PERNIIT �
Box 66 (2750 Kelley Parkway) ;��
Crystal Bay, MN 55323 �
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GENERAL IlVFORMATION
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. Pernut cazds 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 aze 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. rz >,'
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 permit must be obtained. �,, '.:`
5. Rll werk me�st be done in accordance with the Uniform Mechanical Code/State Building Code `'; :`.
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final. t, ;
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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 473-7357.
� � � ���
j. Please check one: New Addition Repair Replace ��� � ��
.
� � `' � Residenti �Comm rcial � ���
� J...B SIT'E: " /�'� ` ��� � > Zip; -�'
Owner's Name: Telephone Number: ��- ` -
Mailing Address: � : City: '� Zip: " =
Contractor's Name� ` � ! Telephone Number:���,�j�s/
Mailing Address: j�����.�l,�a,.c�.� City: �'�� ��� = Zip: ,��1,-
SYSTEM DESCRIPTION
HEATING SYSTEMS , � , �� � y
Quantity: ��'a
Make: t � '
Model:
FueL• "`
_.<,: '.
Flue Size:
Input BTUs:
Output BTUs: �� LL
CFM:
COOLING SYSTEMS � ���
Quantity:
Y
Make: V
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Model: � <'
Tons:
H. Power
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WOOD BURNING EQUIPMENT
� 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 �w
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* or Minimum Fee ($35.00) / �
�,l�"� x .0125 $ jj lv s o� '-�
,......_ .. _ _ . _ (contract price) _..;
2. State Surchar�e. ** Add the State Buildin�Code Division
� Surcharge to each permit. �%��� � x .0005 $ �� �.�
r or $.50, whichever is greater (contract price)
� • �
µ 3. Posta�e and Handling (Only mail-in applications) $ 1.50
_ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �Jj,i��
* 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 installation aze furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
o:conuact price f�r permst fee p»moses. In the event chat 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.
Applicant's Signature: Date: �
Approved By: Date:
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