HomeMy WebLinkAbout2003-P07064 (mechanical) C TY� OF ORONO PERMIT
27 0 Kelley Parkway - PO Box 66 Permit Number: Po�o64
C stal Bay;''iVlinnesota 55323 Permit Type: Mechanical Permits
(95 ) 2�-�-4600 Date Issued: 12isi2oo3
SIT ADDRESS: 3120 Sussex xd
I.ong Lake,MN 55356
P I D: 04a 117-23-32-0009
DES RIPTION:
Propo ed Use: Residential
Permi Clas�: General
Permi Typ Mechanical Permits Permit Sub-type(s): Gas Fireplace
DET ILS
Appr ed p r resolution#:
Separ te pe�tuts required:
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NOTICES/REMARKS:
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FEE UM ARY: Pernut Fee: $ 65.93 Valuation: $ 5,274.00
State Surcharge Fee: $ 2.64
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TOTAL FEE: $ 68.57
APP �C/4�T: Automatic Garage Door&Fireplace(See C pWNER: Brett&Stephanie Anderson
9210 Wyoming Ave.No. 11244 Cedar Pointe Dr S
Brooklyn Park,MN 55445 Minnetonka, MN 55305
TH UN ERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AN AG ES TO DO ALL WORK IN SI'WCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
M S TA BUILDING CODE REQUIREMENTS.
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A UCANT PERMITEE SIGNATURE �ISSUED BY SIGNATURE
Cop es: 1- i�e(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Pa e 1
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CI'1'Y OF ORONO APPLICATION FOR MECHANICAL PERMIT
�Box 66 (2750 Kelley Parkway)
Ctystal Bay, MN 55323
G�NERAL 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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEG1N 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 ca(culation, design temperatures, Pquipment 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 (952)249�600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
In�tructions
Camplete all items on this application. Compute the permit fee. Sign and date the certification.
INGOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(9 2) 249-4600.
Pl ase check one: [�1ew ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JO�B SITE:�3� 0�0 �;Q� Zip: J�3�C�
Owner's Name: Phone Number:G�a -��5--��c�-
Mailing Address: ' City: �Q,t,�-,,q Zip: ��y�(,�
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Contractor's Name: bp�� �F ' Phone Number: 7�-3�J-7��
Mailing Address: O L..�� �m.`� �City: o P ip: �S't/�/S`
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SYSTEM DESCRIPTION *
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HEATING SYSTEMS
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Outpat BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas factory fireplace
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No. I C,U�.�pv�
�VEI+ITII,ATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No: Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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. ERMIT FEE CALCULATION S
002 State Statute ❑ Yes This Section Applies
�he replacement of a Residential fixture or a� liance 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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
�o��`-�' x .0125 $ ` c�,"I��
(contract price) (minimum$35.00)
2.�State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .501
' � �1 x .0005 $ �. (.p�
� (contract price) (minimum$.50)
3. osta e and Handlin (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ( , j�
*C NTRACT PRICE or JOB COST means the actual or estimated dol(az amount charged for the permitted work including
ma rials, 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 fumished by the owner,tenant or any other party the reasor.able 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�ob cost,the City may request the submission of a signed copy of the actual contract.
**"Che STATE SURCHARGE is.000�of the contract price under$I,000,000 or$.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 prdinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
app 'cation are complete,true and correct.
ApjDlicant's Signature:���� k�lYL'YZQ1Tl'1.f'Zm Date: �� J�
Approved By: Date:
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