HomeMy WebLinkAbout2002-P05876 - duct work PERMIT
CITY OF ORONO Permit Number:
2750 Ke�ley Parkway - PO Box 66 Poss�6
Crystal Bay, Minnesota 55323 Pe►-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: ii�2��2002
SITE ADDRESS: 2675 Shadywood Rd
Excel sior,MN 55 331
P I D: 21-117-23-24-0053
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Duct Work
DEfAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Installation of supplies&new trunks-duct work
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 1,183.50
State Surcharge Fee: $ 0.59
Misc. Fee: $ 1.51
TOTAL FEE: $ 37.10
APPLICANT: Flare Heating&Air Conditioning OWNER: Gary E Hogenes
9303 Plymouth Ave N. Suite 104 2675 Shadywood Rd
Golden Valley,MN 55427 Excelsior,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Cooies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 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. PERNIITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.,TI�PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi rg_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
:r:odel. L�at:j shall L�e presented on form provided. Identification of and specifications for water heating
equipment shall also be provided.
4. W1�en any new construction or remodeling is irivolved, 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(952)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
(952) 249-4600.
Please check one: ❑New (�] Addition ❑ Repair ❑ Replace� Residential ❑ Commercial
JOB SITE: �(o v�r.� - Kcct Zip: S S �=�� /
Owner's Name: V� � - �, � Phone Number: ��� 1 -� `1� -� S j$
Mailing Address: j2H�� X,�.,�,.,���� ,�uP.S d City: ��s Zip: ;SS3 7�
Contractor's Name: ' �r`� f l � . �"�� Phone Number: �7�� "s '-/ '�//
Mailing Address: City: Zip:
FLARE HTG. & A/C, INC.
9303 �lymouth Ave. No.
_ Goiden Valley, MN 55427 ��;������ru,
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: . f a°�``":.►� '�"�����'Y ���'� ��'���
• r;,��'' t. a�:.�4�f��;� ����` �f ' �
Make: 4.x�. ,i "1►x� +� _
k�°,�''��: ��,5.�° �.� 't�'�� i���'
Model:
Fuel:
Flue Size:
Input BTiJs:
Output BTUs: '
_--
CFM: �
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tons:
H.Power
FIREPLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
Na Bath Exhaust(must have duct outside) cfin 1
No: Other Fans: Locations cfm .��5���-�"��n D'�i�,ew'�r�� �
� ;n..� -� � a�l�-�;on , .�v�-5�1-a���c �ov. p � �- S,���pl, 5 ( 1�edroo� h��vrr � S�p/�l�'�s
FUEL STORAGE(MUST BE APPROVED BY FIl��✓�ARS�) � r,��v r�n i �. e N-`��r���`""�`-�
❑ Installation or 0 Removal r G 6 w--r
❑ Fuel oil: gallons ❑underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening �
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PERD�IIT 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 above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
�rj ��'� ,��� X .ol2s $ �3S, oU
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
� I �h , 5�' x .0005 $ . (r G ,�
(contract price) (minimum$.50) � �a
�t' 1
3. Posta�e and HandlinE(Only mail-in applications) $ 1.50 \~�
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4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ � �7, � C�
*CONTRACT PRICE or JOB COST means the actual or estimated doliaz 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,
equiomenT,labor,or instailation is furnished by the owner.tenant or any other oarty the reasonable mazket 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 accordarice 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: � .r� � Date: � l� ���"C��
Approved By: Date:
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