HomeMy WebLinkAbout2001-P04362 - mechanical �
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PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poa362
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9i19�2ooi
SITE ADDRESS: 75 Stubbs Bay Rd N
MAPLE PLAIN,MN 55359
P I D: 32-118-23-34-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 66•2g Valuation: $ 5,302.00
State Surcharge Fee: $ 2.65
Misc. Fee: $ 1.50
TOTAL FEE: $ 70.43
APPLICANT: Total Comfort OWNER: DONALD BRUCE MALBY
12800 Highway 55 75 STUBBS BAY RD N
Plymouth,MN 55447 MAPLE PLAIN MN 55359
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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APP I NT PER IT E ZZNAT�RE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT �`
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323 � c�,��� �
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GENERAL INFORMATION �`"'`�i;;� °
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 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 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. �
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Please check one: New Addition Repair �Replace 4
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Residential Commercial ' '`'
JOB SIT�:7� ; � � . '� , Zip: ��� �
Owner's Name: �� - Telephone Number: !-��.�-�. � ��
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Mailing Address:�� � .� • City: c� Zip: t�j�_
Contractor's Name: (�i� Telephone Number: ��—�j7��j
Mailing Address: l (,� � City: n Zip:�-(
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: � OQ���'
Model:
Fuel: .
Flue Size:
Input BTUs: a 0 'a
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Output BTUs: `3
CFM: �
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COOLING SYSTEMS
Quantity: '?�
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Make: =�
Model:
Tons: . ' ' . .
H. Power � � '
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STOKAGE (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 /Jf� ' `
.I x .0125 �� V�'�"� �
� (contract price) � �
2. ` State Surchar�e. ** Add the State Building Code Division . �✓
' Surcharge to each permit. x .0005 ' .$ 2 •�"J
�or $.50, whichever'is greater (contract price} � . " � ,
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CCINTRACT 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 amou�t to be charged to the customer
for the work done. If any material, equipment, l�bor, or instaliatioh 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�amou�t 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$1,000,00�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
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F��' and correct.
: � a��; Applicant's Signature: Date: � �'//�
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� Approved By: Date:
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