HomeMy WebLinkAbout2001-P04134 - mechanical PERMIT
CITY OF ORONO
2750�I1ey Parkway - PO Box 66 Permit Number: Po4134
C�ystal Bay, Minnesota 55323 Per'mit Type: 1vlechanical Permits
(952) 249-4600 Date Issued: �i3o�2ooi
SITE ADDRESS: 1980 Sixth Avenue N
Long Lake,MN 55356
P I D: 27-118-23-42-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,793.00
State Surcharge Fee: $ 0.90
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.40
APPLICANT: Ditter Inc. &Ditter Properties OWNER: 7udy Pierpont
820 Tower Drive 1980 Sixth Avenue N
Medina, MN 55340 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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 SIGNATURE ISSUEDBYSI NATURE
Cooies: 1-File(SiQnitures Reauiredl. 1-Applicant. 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
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' CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323 �
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GENERAL INFORMATION �
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1. You may apply for mechanical permits by mail or in person at the City o�ces. 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 PERti1IT 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 speciTications 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. Si�n and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you ha��e questions, call 249-4600.
Please check one: New Addition Repair ,�'Replace >`
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� Residential Commercial _ '
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JOB SITE: ��f�, 't u r)f'\l ��� . (s Zip: .��.��- ,�!' '
Owner's Name: ��,��i�,� V� ��r��rj � Telephone Number: ��J l ���/J� - j���
Mailing Address: %�/��.� ('o , ��� . (� City: ��'y C�r�l�-' Zip: �`� 5� (,�
Contractor's Name:��j�)� � "_/ Gl( - Telephone Number: -T(�'?-� �/7�--jS���
Mailing Address: � ��j� �( �-l���G�,� i�,� City:_f,�,.��r�� l ZiP: �53�1(1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: � �
Make: �(� ^�'� ,��
Model: ��,E�,t��%�lll l�ll(�
Fuel:
Flue Size:
Input BTUs: ����', /.%1_��_:
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Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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U; FIREPLACES �
��.;: Gas factory fireplace
� r s Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
:,
A
> ;�� VENTILATION x�
`' No. Kitchen Exhaust ducted recirculating cfm �
���fl No. Bath Exhaust (must be ducted outside) cfm
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No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
s�� LP Gas: gallons
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Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* ar i�linimum Fee ($3�-.00) '
7� � � ,�y
� JI�J> �'� x .0125 $ �,"� ,
(contract price)
2. State Surchar�e. ** Add the State Building Code Division `�
Surcharge to each permit. x .0005 $ r 3��
or $.50, whichever is greater (concract price)
����� 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
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� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ J 1� �%_
* 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 thz tivo:k done. If any material, equipment, labor, or installation are furnished by the owner, tetiant 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 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
�t ` and correct. h - .
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-- �� licant's Si nature: r � � Date: I�� 1 C_
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Approved By: Date:
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