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Home My WebLink About2001-P03874 - mechanical PERMIT CITY��F ORONO Permit Number: Po3g�4 275� Kelley Parkway - PO Box 6 ,: Crystal Bay, Minnesota 55323 ` P rmit T Mechanical Permits (952) 249-4600 :E'u�if r�c��c��_ YP�I`C/l_ G'G�f: ��..c Date Iss ed: �,�cCc-� si3ii2ooi ;J i �_r C'! o��` �� ...� z SITE ADDRESS: 2795 Shadywood Rd ' EXCELSIOR,MN 55331 Q�� P ID: 21-117-23-31-0002 �� !-r'�r�r�� DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 68•25 Valuation: $ 5,460.00 State Surcharge Fee: $ 2.73 Misc. Fee: $ 1.50 TOTAL FEE: $ 72.48 APPLICANT: Countryside Heating&Cooling OWNER: S R& P A BECK 6511 Hwy 12 38 ADDRESS UNASSIGNED Maple Plain, MN 55359 MN 00000 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. � � � H ��/ 'i ��`�� ,�_/'_ �_ �� ` ��j„ ��n �� i�- /°.'Z' A PL[ ANT P RMITEE SI NATURE � UED BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 �, � CI�Y �F ORONO PERMIT �z�� Permit Number: I 2750 Kelley Parkway - PO Box 66 P03874 . � ` , Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits �� (952) 249-4600 Date Issued: s�3ti2ooi J �� SITE ADDRESS: 2675 Shadywood Rd � � `'' � ' �: . . / ,� � � � r/ � ,�;�'� Excelsi,or,MN55331 �'��/�!� ' `L I �(, PID: 21-117-23-24-0053 � �^ DESCRIPTION: �� '1 ��(,� �� Proposed Use: Residential � Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICESlREMARKS: FEE SUMMARY: Permit Fee: $ 68•25 Valuation: $ 5,460.00 State Surcharge Fee: $ 2.73 Misc. Fee: $ 1.50 TOTAL FEE: $ 72,48 APPLICANT: Countryside Heating&Cooling OWNER: Gary E Hogenes 6511 Hwy 12 2675 Shadywood Rd Maple Plain,MN 55359 Excelsior,MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURF. Covies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1 : g7 : - � � ' CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 �s�1 �� GENERAL INFORMATION l. 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�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 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before fmal. 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. � s i Please check one: New Addition Repair Replace � .�—Residential Commercial # JOB SITE: a1 q�' S��o� w��p 2� Zip: O�vner's Name: t3 E t��_ Telephone Number: -�� i - c;�; � � Mailing Address: �q � � City: Zip: Contractor'sName:c_c,uti-��'s�oC�c'r>�,+�c:.-:c�c.c r�ephoneNumber:?�3-�7�c - t ��`� Mailing Address: G>�� .a. �,`,��c r�_ City:a�n2�e 4�a�ti Zip: s s 3Sq� SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: � � �� Input BTUs: � Output BTUs: `'� CFM: :� COOLING SYSTEMS Quantity: Make: Model: Tons: - H. Power _:_, .. . .. . rfF' ..�.:• _ ,. .. . . I. 2M1 �' � .� , ' -. .� . . . . . :.. . . ' " . n:' .d . '_..,/.. . . . .. ` . . �.. � . . '. . . ` ' r `, . _�t�, . . • � f ~ I ,5 � '1+ . , FIREPLACE�S � � '�_ �/ Gas factory fireplace .; �; Wood burning factory fireplace with flue Wood Stove Wood stove with flue L ;�. �F; ��>� �. Brand Name tcoZ`: �-� �� Model No. `�� --_ � ,:;,t '�� -�;: .`' "; Y,�� ` � � ,� VENTILATION � x� `� `'`: ;;; No. Kitchen Exhaust ducted recirculating cfm '� 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 PERI�IIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) 5�-� �.c , �,� x .0125 $ � � . �-� .`, (contract price) 2. State Surchar�e. ** Add the State Building Code Division ` Surcharge to each permit. 5 �� C-�c� . U �x .0005 $ �- � �3 or $.50, whichever is greater (contract price) - ��;�� 3. Postaae and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `7 �. . 4 � * 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 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 �if ,�. 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. i 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: � Zf O I �;,,., ''; Approved By: Date: � � _ �'; _ . _ .;:._.'. , , _ ..