HomeMy WebLinkAbout2003-P07077 - duct work � PERMIT
���� �F �R�N� Permit Number:
2750 Kelley Parkway- PO Box 66 Po�o��
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 12/9/2003
SITE ADDRESS: 455 Sussex Lane �
Long Lake,MN 55356
P I D: 04-117-23-3 2-0011
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernrit Type: Mechanical Pernuts Pemrit Sub-type(s): Duct Work
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Repairing Duct Work for Heat Zones in Basement
FEE SUMMARY: Pemut Fee: $ 35.00 Valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT' Heating&Cooling Two Inc. OWNER: Bruce&Carol Crawford
� 18550 County Road 81 455 Sussex Lane
Maple Grove,MN 55369 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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T PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Reuorts, 1-AssessinQ, 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 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 Desi�-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 far water heating :�
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building pernut must be obtained. ''
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5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code '�;
requirements. `"`i
6. All work must be inspected (rough-in and final). Call (952)249-4600. 24-hour notice required. "'
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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 '�
(952) 249-4600. "'�
Please check one: ❑ New ❑ Addition �Repair ❑ Replace [�Residential ❑ Commercial
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JOB SITE: � � 5 � Zip:
Owner's Name: c�v' ' Phone Number:
Mailing Address• City: Zip:
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HEATING b COOLWQ 1W0�C. .
Contractor's Name: 185����'81 Phone Number: �
� 9231
Mailing Address: nb3�428,�677 City: Zip: `
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
� Wood burning factory fireplace with flue
Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION �
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No. Kitchen Exhaust duct recalculating cfm �U� ���.,
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm �p� ��E?��
FUEL STORAGE (MUST BE APPROVED BY FIItE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
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2002 State Statute ❑ Yes This Section Applies }j
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The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�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 Pernut $ 15.00
State Surcharge $ .50 �
Mail-In Fee $ 1.50
4;
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
�l�' x .0125 $
(contract price) (minimum$35.00) `�
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2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .501 �
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handling (Only mail-in applications) $ 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 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 is 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.1n 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 actua]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 and correct.
Applicant's Signature: c� Date: �Z O
Approved By: Date:
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