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Home My WebLink About2003-P07074 - mechanical ` PERMIT C I TY O F O RO N O Permit Number: 2750 Kelfey Parkway- PO Box 66 P07074 Crystal Bay, Minnesota 55323 Permit Type: Me�h��al Pe�ts (952) 249-4600 Date Issued: i2iai2oo3 SITE ADDRESS: 2705 Shadywood Rd EXCELSIOR,MN 55331 PID: 21-117-23-24-0003 DESCRI PTION: Proposed Use: Residenrial Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernrit Fee: $ 35.00 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.50 APPLICANT: Ron's Mechanical,Inc. OWNER: G O&J M FOX 12010 Old Brick Yard Road 2705 SHADYWOOD RD Shakopee,MN 55379 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. `)��`.rivv4 ,/" /U APPLICANT PERMITEE SIGNATURE D BY SIGNATURE Couies: 1-File(SiQnitures Required), 1-A�licant 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 1 � . a CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION `� 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be �. reviewed and a permit will be issued within two warking days. � 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN LTNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi ns -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. 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(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. ;?Y INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call ;; (952) 249-4600. �a Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace Q Residential ❑ Commercial JOB SITE: 2�05 SHPT��wOCD RD ZiP. 5.�331 Owner's IVame: GAYLORD FOX Phone Number: g52-471-8068 Mailing Address: ''H Yw � ' RD City; EXCEI SIOF Zip• 55331 Contractor's Name: RC.1�� ' S MECE�P1oICAI , IN�hone Number: 952-445-8585 MailingAddress: 12610 OL�I� BRICK 'YD FI. C��,: SHAKCsF�PP Zip: 55379 ;�:;: i a� � ,, .. :__ ... _.__.. . - I � ... _ __..i .. a 1 ; � ,, , i � � • �� _� ;� � � � � ��;-, + iy �a s I� ` ��r �; t� '"�. ' ' �,_. � � , �':: � � ' ' 5YSTEM DESCRIPTION �` ��: ; � ^' � HEATING SYSTEMS Y� . � � I' Quantity: ; . � I�,' Make: � � ' � �„ � ';� Model: 3 �V�3� �; � k� �i � �,� Fuel: � � _. �� I ..� ;��.'' Flue Size: ¢.�. � � �� Input BTLJs: � �;-; .x;. ;�±`: Output BTUs: �� ,,�. 3e��,:;�;,Ha{ ��.: :;s: ,� CFM: �.-; �' � �� COOLING SYSTEMS f� C�,i `F �r�~ Quantity: � €,:. `� Make: �� }; : �,.. , � Model: a:a� ` Tons: �� . �s ` �� ` H.Power � �r { 7 � ��.,<.;;; FIREPLACES GAS LINE ONLY �� ' ❑ Gas factory fireplace ❑ Installing a Gas Line Only � '�, �� Wood burning factory fireplabe with flue � � �+.' Wood Stove � ❑ Wood stove with flue � ° �� " �#,ry ,: Brand Name Model No. �:.':, `' `•=� 'VENTILATION � �; � �+ No. Kitchen Exhaust duct recalculating cfm � � No. Bath Exhaust(must have duct outside) cfm �` �` No. Other Fans: Locations cfm ��.. � �� FUEL STORAGE (MUST BE APPROVED BY FIItE MARSHAL) ,� ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside -. _ . ,:_.. _ ., ❑ LP Gas: gallons ❑ Other Gas opening . -��F�a�°��. : , , � � 2 �: ��,,; _ M1 �� ,.: �„ .x � , ' , � � _ � � ��. k�� . . � .. . . � , . . .. . . [ , .. . . • �. '. . ' .... , �4a_:.` . .:... . ... .:_s .. ... . . . .. � .. .. .�� ' .... � . . •'•, ' ' �£�1-..r : . � z . . � . . . . .. � � � �. . . � . . � � . . ... . . � � ...�� 5� PERMIT 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) �',� � a� � X .olzs $ �s�� . .�� (contract price) (minimum$35.00) � ,� 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ .501 ;� x .0005 $ � • V�' 'i� (contract price) (minimum$.50) �¢; ;�; 3. Posta�e and HandlinE(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 installation is 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 Ciry 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. ^� x� , � Applicant's Signatu • �� _ Date: ��"� �6'J f �,� �: Approved By: Date: :� � �� , 3 � .. ; , � .:s �; : t ;� � ; ; :�� ,� � v , . : � , _ . .n.__��a . ..,. . . „�� . ,. y;: ,.��