HomeMy WebLinkAbout2004-P08243 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P08243
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12/3/2004
SITE ADDRESS: 500 Tonkawa Rd
Long Lake,MN 55356
PID: 05-117-23-32-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Mechanical Undefined
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Install 3000 gallon water tank
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,891.00
State Surcharge Fee: $ 0.95
TOTAL FEE: $ 35.95
APPLICANT: Pump&Meter Services OWNER: Mr.&Mrs.Nelson
11303 Excelsior Blvd. 500 Tonkawa Rd
Hopkins,MN 55343 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.
A41VANT PERMITEE SIGNATURE D BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessin2, 1-Finance Page 1
�108a y�� i
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
I. 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 Designs-Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification, and air conditioning installation
including heat loss/beat 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(952)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 (952) 249-4600.
Please check one: ✓ _New Addition Repair Replace
✓ Residential Commercial
JOB SITE: 500 Tonkawa Rd Zip: 55323
Owner's Name: Phone Number:
Mailing Address: 301 City: Zip: SSaoS
Contractor's Name: Pump & Meter Sery Phone Number: (952) 933-4800
Mailing Address: 11303 Excelsior Blvd City: Hopkins Zip: 55343
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 factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
9MIM STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation ✓ or Removal
W 14TEIL gallons underground inside or ✓ outside
LP Gas: gallons
Other 3,000 gallon water tank meg..
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
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; excluding 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)
1,891.00x .0125 35.00
$
(contract price) (minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a Minimum Fee of $.50
g g ( )
1,891.00 x.0005 $ 0.95
(contract price) (minimum$.50)
3. Posta„a and Handling (Oniv mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $
35.95
*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.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: 11/30/04
Approved By: 0Date:
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