HomeMy WebLinkAbout2004-P07946 - mechanical PERMIT
CI�Y .OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07946
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9ii4i2ooa
SITE ADDRESS: 4210 Forest Lake Dr
MOUND,MN 55364
PID: o�-i i�-23-i2-oo2i
DESCRIPTION:
Proposed Use: Residential �
Permit Class: General
Permit Type: Mechanical Permits Perniit Sub-type(s): Multiple Mechanical Items
DE7AILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 68.99 Valuation: $ 5,519.00
State Surcharge Fee: $ 2.'7(>
Misa Fee: $ 1.50
TOTAL FEE: $ 73.25
APPLICANT: Standard Heating&Air Conditioning Inc. �WNER: ROBERT E MENZEL ETAL
410 W Lake Street 4210 FOREST LAKE DR
Minneapolis,MN 55408-2998 MOLJND MN 55364
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.
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APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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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 two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS E1RE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGiN 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
g;.i^calc�alat:�:., desibm��m.peratures, e�uipmcnt rat:ngs and identif catior�as to t-ype,rnanufacturer and
rr-.odel. Data shall be presented on form provided. Identification of and specifications for water heating
eyuipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building pernrit must be obtained.
5. All work must be done in accardance 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 �eplace�esidential ❑ Commercial
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JOB SITE: ��� O �Q r� � �;�.
Owner's Name: Phone Number: � 7y— �-�
Mailing Address: _�ra.y.�,Q / City• Zip•
�TAND9RD HEpil`ING&AIR CONDITIONING C0.
a10 WEST L.AKE STREET
Contractor's��• Phone Number:
Mailin Address: '
g E�1?A?�t-26� City: Zip:
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
ModeL• �2�
Fuel: ►�1ct�1�1�i.c C�S
Flue Size:
Input BTL1s: �4����-/
Output BTUs:
CFM:
COOLING SYSTEMS �
Quantity:
Make:
Model:
Tons:
t ,�
H.Power
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FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name M�de?N�.
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 ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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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
iviail-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)
� x A 125 $ ��` [
(contract pri ) (minimum$35.0
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $ � � �
(contract price) (minimum$.50)
3. Postage and Handling (Only nlail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 3� � �
*CONTRACT PRICE or JOB COST means the actual or estima±ed.dollar amawn!cha:ge�for the permit;ed work i;�cluding
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 fumished 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 pernut 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
$I,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. /
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Applicant's Signature: Date: C7 y
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Approved By: Date:
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