HomeMy WebLinkAbout2003 - P06711 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 KeI!ey Parkway- PO Box 66 P06711
Cfystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 8/29/2003
SITE ADbRESS: 845 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-44-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Radiant Floor Basement
FEE SUMMARY: Permit Fee: $ 77.50
Valuation: $ 6,200.00
State Surcharge Fee: $ 3.10
Misc.Fee: $ 1.50
TOTAL FEE: $ 82.10
APPLICANT: Angell Aire Inc. OWNER: RVC Homes
12243 Nicollet Ave S. 1003 Twelve Oaks Circle
Burnsville,MN 55337 Wayzata,MN 55391
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.
AP1T x:4107.o'rG •TURE ISSUED BY SIGNATURE
Copies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
Jul-08-2003 09:23am Frce-CITY OF ORONO +9522484616 1-764 P.004/006 F-784
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
C, �'i"1C?N
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 B 1 'UN.IL NI ' t►d e ; 'D IS
POSTED ON THE]CB STI,.
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 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 Tet Record must be submitted before final.
Ipstructia,f.
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) 2494600.
Please check ane ew ❑ Addition Repair Replace❑ Residential ❑ Commercial
JOB SITE:tIf Lod6,.v✓iw VYvatea Zip:
Owner's Name: 6 --7- 4 r Phone Number: 7 6-5— 78o-S7S le
Mailing Address; _/S .i gyliA. !ate_ '"A- - City: 6l ..•u, Zip: s sy Y4
Contractor's Name: 1[ Phone Number: 952.-7VL-z z�
Mailing Address; , . City: .BLk,,s v.76 Zip: S 33
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Jul-08-2003 09:29am From-CITY OF 070N0 +9522464616 T-765 F.006/006 F-T84
SYSTEM DESCRIPTION
HEATING SYSTEMS 4.Q 4.4' h40,.< k)41 e
Quantity: /
Make: /5-.. ii."a;/t
Model: /0LCW07j r/ae./
Fuel: �oei— --.
flue Size: 3" eV C.
Input BTUs: 7 S,v o0
Output BTUs: Si,0O' �.
CFM: ,
COOLING SYSTEMS
Quantity:
Make: _.
Model:
Tons: _ —
-
B.Power .
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
11
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
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or I]Removal
0Fuel oil: gallons [J underground 0 inside Doutside
RLP Gas: gallons
Other Gas opening
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Jul-08-2003 09:29am Free-CITY OF ORONO 4522494616 T-765 P.005/008 F-784
PERMIT EEE CALCUL6TION(S)
2002$1.pte Statute f Yes This Sectim Applies
The replacement of a Residential fixtpre 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 $ J 5,00
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($35,00l
G"Laic)-- x.0125 $ 7 7. 50
(contract price) (minimum$55.00)
2. State Surcha.rQe. **Md the State Building Code Division a Minizuum Fee of($.50)
4'Lazo x .0005 $ 3, /6
(contract price) (minimum$.50)
3. Posta a and Tixndling(Only mail-in(applications) $ 1,$_0
4.TOTAL PERMIT FEE(Add lines 1-3 above) $ Z. i
'CONTRACT PRICE or JOB COST means the actual or cstinated dollar amount charged for the permitted work including
materials,labor,profit,and other fixed costs,It is the arrotmt 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 muy request the submission of a signed copy of the actual contract.
••The STATE SURCHAR(a.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,
The undersigned hereby applies to the City for issuance of a Mc hunical 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,t:ue and correct.
Applicant's Signature: _ _ — — Date: 4/�1/J j
Approved By: ,..,_.___ Date:
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