HomeMy WebLinkAbout2000-P03031 - mechanical I PERMIT
C� �, • F O RO N O permit Number:
27}, el y Parkway- PO Box 66 P03031
Cry I B y, Minnesota 55323 Permit Type: Mecnanicai Pennits
(612 4 600 Date Issued: 9/26/200
SITE �D ESS: 3115 Sussex Rd
LONG LAKE,MN 55356
PID: (�4-1 -23-32-0015
DESC �P N:
Propose iJse: Residential
Permit a�s: General
Permit e: Mechanical Permits Permit Sub-type(s): Air Conditioning
Ventilation
Gas Line Inspection
oErai s:
Approve �er olution#:
Sepazate e�mi required:
1
NOTIC /R MARKS:
FEE SU Al�ll Y: Permit Fee: $ 35.00 Valuation• $ 2,137.00
State Surcharge Fee: $ 1.07
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.57
APPLIC I�IT DITTER OWNER: D M DELMORE&M D RASKOB
1�'IN 3115 SUSSEX RD
, LONG LAKE MN 55356
TI� GNID HEREBY REQUESTS PERMISSION TO MAKE TF�REAL IMPROVEMENTS SPECIFIED
AND A E TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE SOTA BUII.DING CODE REQUIREMENTS.
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SSUED BY SIGNATURE
Copies: it�,A licant,Assessor,Finance Page 1
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CTTY OF ORONO APPLICATION FOR MECHANICAL PERMIT
BQx 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
G �RAL 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 cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
IYOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. I Mechanical Desiens - 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.
Ins uctions Complete all items on this application. Compute the permit fee. Sign and date the certification.
IN MPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New �Addition Repair Replace
��Re�idential Commercial �
JOB SITE: � ,�v��..5� � � Zip: .�.S�6 � -
O ner's Name: .z �. Telephone Number: �(�- ��
M ' ing Address: .1 �,5.5�. -1 City: (,`�c�•4> Zip: -
Co ractor's Name: ..1- �� Tele hone Number: �
M ing Address• �v ��,,C.,c,'�2 ��2 City: � �'Ilr. Zip:
SY EM DESCRIPTION J J���' ' � � -� �(� (,,,�(,��J�jZ�
HE TING SYSTEMS ���I� � ��� � ��� ��� /'`�
,'
Q antity: "
M �Ce:
M ' el:
F 1:
Fl � Size:
In ut BTUs:
O tput BTUs:
C ]M:
CO�LING SYSTEMS
Qurantity:
M�ke:
Mqdel:
To .
H.�ower
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FIREPLACES
Gas factory fireplace -
Wood burning factory fireplace with flue
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Wood Stove ,{`
'`� Wood stove with flue
,. �:
`F � � �� �`�
' Brand Name Model No. ;� ,
_� ;�;
� .` ; VENTILATION „�
No. Kitchen E�chaust ducted recirculating cfm �' '
f :` No. 1_ Bath Exhaust (must be ducted outside) cfm �k
-<�
� I�1o. ^vther Far�s: Locations cfm
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#� FLTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �
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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) ��. `a
Z(;�� x .0125 $ � �- �
(contract price) �
S�: 2. State Surcharge. ** Add the State Building Code Division �F�., � �
� � �
Surcharge to each permit. x .0005 $ � �,,
- or $.50, whichever is greater (contracc price) ���
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3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 , t�',
,�, 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ d�7 •j 7 `�
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- * 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 �'
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for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or �f
T,4 any other parry 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 t 4 y�;
request the submission of a signed copy of the actual contract. ,�;
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** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or 5.50 - whichever is greater.
For valuations over $1,000,000 call the Department of Inspectional Services for the price.
:j?;.
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 certif'ies t at all statements made on this application are complete, true ��`
,
and correct.
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Applicant's Signature: � Date: t:.
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A' Approved By: (; Date:
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