HomeMy WebLinkAbout2001-P03561 - mechanical - � ' " PERMIT
C�i�i�-O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03561
Crystal Bay, Minnesota 55323 Permit Type: 1v�echanical Permits
(952) 249-4600 Date Issued: 2�23i2ooi
SITE ADDRESS: 1525 Sixth Avenue N.
Long Lake,MN 55356
PID: 26-118-23-33-0033
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
YP Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 85.00 Valuation: $ 6,800.00
State Surcharge Fee: $ 3.40
Misc. Fee: $ 1.50
TOTAL FEE: $ 89.90
APPLICANT: ELARE HEATING AND AIR CONDITI OWNER: S B& S G MORRISON
9303 PLYMOUTH AVE N. SUITE 104 1525 - Sixth Avenue N.
GOLDEN VALLEY,MN 55427 Long Lake,MN 55356
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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APPLICANT PERMITEE SI NATURE � ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MEC�IANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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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 2 working days.
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE 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, 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 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 249-4600.
Please check one: New �Addition Repair Replace
Residential Commercial
JOB STTE:�� I�� ��1u�� � ZiP� ��35t.�
Owner's Name:���- �v'i���,�ww'1 Telephone Number: �(�(( -o(o I
Mailing Address: City: Zip:
Contractor's Name: 'C�:��; ' �i,�.'v��� �-1�t V Telephone Number:-1 l�3'�I Z-I f(��(��
Mailing Address: i���%� i�l�imc��n '(�vt.��. City:�IcL:���1,`:�i��; Zip: �-'=�Z"�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I
Make: l.C�,+�ri�.�"
Model: S�tX,W��--t�
Fuel: ►�r.�- �tS
Flue Size: %
Input BTUs: �C,���`-�;
output BTUs: 31�2 '��� �
�,:.,
CFM:
COOLING SYSTEMS
Quantity: �
Make: (c�,�CV��'
Model: �C�.����
Tons: 1. �
H. Power
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i
� h '+7'
WOOD BURNING EOUIPMENT
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
No. Bath Exhaust (must be ducted outside) cfm
� No. Other Fai�s: 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) � � �
(�5���; , �� x .0125 $ ;�`�� �-,�'
(contract price)
2. State Surchar� ** Add the State Building Code Division `� ��
Surcharge to each permit. �ZC- � ��l% x .0005 $
or $.50, whichever is greater (contract price)
fi�' 3. Posta�e and Handling (Only mail-in applicafions) $ 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
rv� work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
Ci1StUIIleC i0i Ifie iNOTh(IUIle. lt flIiy Ill'dtel'i3i, eq�:ipmcni, iB�iJi, Gi liLSi2iidii'vil%SZ iUrI'iIS11c,u �"iy iric GWIIei,
�., � tenant or any other party the reasonable mazket value of such items must be added to the estimated cost
':';r: 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.
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��' Applicant's Signature: _ �,� '����,� '� Date: �—�Q�-�)
Approved By: Date:
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