HomeMy WebLinkAbout2004-P07263 - mechanical CITY OF ORONO PERMIT
21 ,0 Kelley Parkway - PO Box 66 Permit Number: P07263
f crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2/25/2004
SITE ADDRESS: 1085 Tamarack Dr
Long Lake,MN 55356
PID: 26-118-23-31-0017
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
Other-(Double Fee-Putin without permit,per Bruce Vang)
NOTICES/REMARKS:
Water Softner
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 500.00
State Surcharge Fee: $ 0.50
rr jMisc.Fee: $ 35.00
TOTAL FEE: $ 70.50
APPLICANT: Commers Conditioned Water OWNER: Mr.&Mrs. Graham
9150 W 35W Service Dr 1065 Tamarack Dr
Blaine,MN 55449 Long Lake,MN 55356
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.
ICANT P ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin2, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 -
GENERAL 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 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 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 specifications for water heating equipment
- sNall-also be prol►ided: r -
4. When any new construction%or-remodeling is mvolved;a separate building permit'must be obtained.
5. All To-r-E must be done in accordance with the .Uniform Mechanical Code/State Building Code
requirements. '
6. All work must be inspected (rough-ia and final). Call 2494600. 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.
Please check one: X New Addition Repair Replace
Residential Commercial
JOB Snit iQ IQm�f acK 0 r� Q Zip: 3 S
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Commers" The Water Company Telephone Number: 763-252-7716
Mailing Address: 9150 W 35W Service Dr. City: Blaine Zip: 55449
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size: -
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
w
H. Power
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side rear min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. OlherF_._ms:_TLocatioz-_ --�- - cfm
FUEL ST---AGE (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) ��
, 5Z�Q. 06 x .0125 $ —2
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
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 thg- _
customer for the work done. If any material, equipment, labor, or installation 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 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
and correct.
Applicant's Signature: Date:
Approved By: Date: