HomeMy WebLinkAbout2004-P07912 - mechanical !T�`'OF ORON PERMIT
� � Permit Number:
2750 Kelley Parkway- PO Box 66 Po�9i2
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 9/3/2004
SITE ADDRESS: 2680 Silverview Dr
I.ong Lake,MN 55356
PID: 33-118-23-42-0008
DESCRIPTION:
Proposed Use: Residential
Pemut Class: General
Permit Type: Mechanical Pemuts Pemut Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 60.00 Valuation• $ 4,800.00
State Surcharge Fee: $ 2.40
Misc.Fee: $ 1.50
TOTAL FEE: $ 63.90
APPLICANT: Center Point Energy Minnegasco OWNER: Speak the Word Chruch
13562 Central Avenue NE 515 Jersey Ave S
Anoka,MN 55304 Golden Valley,MN 55426
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.
-/�i�''�,
APPLICANT PERMITEE SIGNATURE D BY SIGNATURE
Conies: 1-File(SiQnitures Required),1-Acrolicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1
. sq��'
�� . • CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
�
Box 66 (2750 Kelley Pazkway)
Crystal Bay, MN 55323
GENERAL 1NFORMATION
1. You may apply for mechanical permits by ma.il 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. 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 are required for
each heating, ventilation, humidificationDdehumidification, and air conditioning installation
including heat loss/heat ga.in calculation, design temperatures, equipment ratings and
identification as to type, manufacturer and model. Data sha11 be presented on form provided.
Identification of and specifications for water heating equipment sha11 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 Mecharucal Code/State Building �
. Code requirements.
6. All work must be inspected(rough0in and final). Call (952)249�4600. 240hour notice
required.
7. House Heating Test Record must be submitted before fina1.
Instructions
. Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WII,L NOT BE PROCESSED. If you have questions, ca11
(952) 249❑4600.
Please check one: New Addition Repair Replace Residential Commercial
JOB STTE: a L,�(� S'��v e r �'�e�.,, �� Zip: S S3S(o
Owner's Name: �p�o,e r-�-c� V Y �r r�5o�n phone Number: �tS2�-�^1�-�O 38"
MailingAddress: o`�IQ�U ��`Jer V't,e..�, .�ity: bro�� o Zip: S�',5�
Contractor's Name:CenterPoint Enerr�v Phone Number: 763-757-6202
Minnegasco
Mailing Address: 13562 Central Ave NE C1ty:Anoka Zip:553(l4
SYSTEM DESCRIPTION �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size: �
Input BTUs:
Output BTLTs:
CFM:
COOLING SYSTEMS
Q�tiri� �
Make: 1�v vc� -
ModeL• v'AI�'�c'_Cj�7�Az
To�: a'I�
H. Power
FIREPLACES
- Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name � Model No.
r �
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
y 600�0o x .oi2s $ �oa� oo
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
��ScC�. Oc� x .000s $ �.�c�
(contract price) (minimum$ .50)
3. Postage and Handling(Only mail0in applications) $ 1.50
4. TOTAL PERMTT FEE (Add lines 1�3 above) $ �3 .ct Q
* CONTR.ACT PRICE or JOB COST means the actual or estimated�llaz amount charged for
the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be
chazged to the customer for the work done. If any material, equipment, labor, or installation is
fiunished by the owner, tenant or any other party the reasona.ble mazket value of such items must
be ad.ded to the estimated cost or contract price for permit fee purposes. In the event that there is
a d.ispute on the amount of the job cost, the City ma.y request the submission of a signed copy of
the acival contract.
** The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50 O
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 a11
work in strict accordance with the ordinances of the City and the regulations of the Min.nesota
State Build.ing Code, and certifies that a11 statements made on this applicatio�are comple#e, true
and correct.
, � � �- �
Applicant s Signature: � Date: g•3 I-��
Approved By: Date:
VENTILATION �
No. Kitchen Exhaust duct recalculating cfin
No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION(S)
2002 Sta.te Statute Yes This Section Applies
The replacement of a Residential fixture or appliance that meets a11 three of the followin.g
requirements:
1) ., Does not require modification to electrical or gas serviae.
2) Has a total cost of$500.00 or less; excluding 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