HomeMy WebLinkAbout2001-P03518 - mechanical . ; PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03518
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2iisi2oo�
SITE ADDRESS: 4225 Forest Lake Dr
MOUND,MN 55364
PID: o�-i»-23-i2-oo2s
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
YP Air Conditioning
D ETA I LS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SU1I�MARY: Permit Fee: $ 137.50 Valuation: $ 11,000.00
State Surcharge Fee: $ 5.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 144.50
APPLICANT: C& M HEATING AND AIR CONDITIO OWNER: KENNETH GERALD ANDERSON
6840 137TH Ave NW 4225 FOREST LAKE DR
RAMSEY, MN 55303 MOLJND MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF�D
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C1TY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNA'I'URE ISS ED BY S[GNATURE
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Copies: City,Applicant,Assessor, Finance Page l
�ab-a9-2�01 08�51am Frnm-C!?Y OF ORONC +952248d816 T-d94 P 002/00� F-6G7
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cr�r�c��oRc�rTo �P�acaa����F�r� �c�nc ��r�r
�ox 6b (2750 Kelley Pa�kway) �
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Crysta! Bay, MN 55323 � ��,�L; ,
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S�EIt�►L IN�C3RMA'Y7bN ' _.
1. You may aFp1,y�for mechanical permiis by cnaii os ua persou ai tl►e Ciry offiCes. Applicatious wal be
reviewed and a pemzit w�11 b�issucd witl�in 2 working days.
2• permit aards wil!bc sent by retum inai!afcer a review is complaced. P�,�tMITS Al�NOT VALID UNTiL
YQU REC�TV�A P�RMI a, �q�MUST NGT SEGIN UNTIL"FHB PERMIT CARD 7S PpST�D OI�F
THE JOB S1TE_ '
3. echanicai e•' - Cc�mplete calculatious, dotails and specitic��tioas axe required for eacb baating,
ventilation, humidifiration-dehumidsfication, and air coaditioning instaliation including heat loss/heat gaia
calculaticin, design tempesaNres, cquipment ratuags add ideati�'i�aiiou as to t�se, mas�ufaecurea and model.
D�ta�hali be preset�ted nn form pro��ided. ddentification o#aud sgec�catioas for water heating eq�siprr►eni
st�all also be pXo��c!ed. � .
4. Whea any iltw constru�tion or remodeling is iavalved, a separate bui2ding permit mu.�t be obtainrd,
5. A':1 vvork rnust be done in accordaztcc with the C1�if�rcu Mechanical�i>de/St�te$uilding CocTc reQuiraments.
6. A�I WOT�C IIlU56�3C 2nSpCC[Ed�XOU�1-in aad fir�al). CaII 249�6W. Za-haur nacice required,
7. HousP Heating Test Rccosd must be submitted befare fivai.
Tnstructians Compltte aIl iterns on this appiicntion. Computc the permit fee. Sigu �d date [he ceRification,
INCOMPL�TE APPLICA7XpNS WTI.L NOT BE PROC�SSED. If you hsvc qucstions, call 249-46t'lQ.
Pl�ase check one: New Addition Rcpair �Rcpiace �
�_ Residential Commecc'
JdB SI'I`E: 2, '--
+ � 'c.� _Zip:
pwner's Name: � � er5p n TeFephoaae Nwnber: �,�'��j
1Vlai�ling Address: City: (`X�'p� i� Zip:
Contractar's Na�me: � Telep one�Turuber: ���,/��
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1Vdailing Address: ��'I �City, � , Zig: -�—
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SYSTEM pESC�'P'PIQN
�EA'I'ING SYSTEMS
' Quantity: j'
Make: , `_"�.."_
Mad�l: ,. _P�C�v _E. ---�__,._._
Fucl: . ct � � ��' -
Flue Size: ��%i � � t --- `--
Input B�'�,`s: �� �� "�'"—
Output BTUs: � �j "
CFN�: r.i�U � L � -- � .
CO{)LING SYS"TEMS
Quantity:
Make: � „c .f- � � --�---�-_._
Model: ,� �. — - - �
Tons: _ � %�z /G�'? ___._ _...., ___.�..__
• H. Pow�r ��' -
�eb-09-2001 06:51am Frcm-CITY OF ORONO +9522494516 T-494 P.003/�03 �-607
. �
FIREFL�CES �
Gas fa�tory fireplacc
� Woa�d buruirtg facivry fireplace w�th flue
W ood Stove
WoOd StBve witti flue
Brand Name � Model No. �
�TTLATION � •
1'�Io. Kitch�ra.Exhaust ducted rt:circu.lating cfm
No. � Batli E�aust {must be ducted autside) cfiu
No. Ottier F�ns: I,vcations cfixi
FLJEL S'�'ORa E (MUST B� AFPROVEb BY FIRE MARS�iAL)
IustaYlatiGn ' 12emoval
l�uel ail: �� gailo�s undexground inside ovrside
I,�TP Gas: gallons
:Other � Gas oPeni�g
�ERMIT FE�__CA�,CULATI41�
I. 1.25°!o of S�.�ii[ract Price* or�VSin; um Fee �00�
� c`� x .c7I25 $ �� 7�S (,�
(contract price)
2. Stace urcharge. *� Add the State Bui�ding Code Division _
Surc�arge to each pezmiF.� � _ : x .(IOOS $ �, � �
or $.50, whichever is gr�ater (con act price) � .
3. Posta�,e and Handline (Only mail-in applic�cions) $ 1.50
4. TOTAL PERMTT FEE (Add lines 1-3 above) $ _� � c.��.,��
* CONTRACT PRTC�dr IOB COST means the actuai or estimated doUar amount cbarged for rhe perntiittd
work including mateiials,labor,profit,and other fued costs. It is the am�unt to be chazgcd to the Custamer
for tkte work do�e. If�y material, tqtiipmeat, labor,or insta)latioa are furniahed by the owner,tet�tlt or
any other parry the reasonable uiarkec va�uc of such icems must be acided to che estiu�at�d cast or conuacc
pricq far permit fee purposes. In the eveut thac there is a dispute oa thE,amount of the job coat,the City may
request Yhe submissinn of a sigaeci eopy of the actuul contract. ' '
W'� The STATE SURCHA1tGfi is .Of)OS of the contrset price tc�der$1,4p0,pOp or $.SQ-whichever is greater.
For valuations over$1,Ot)ii,00Q eali the Dep$rpuent of Inspee[ioa�t Strvices foc tha price.
The undersigned hereby applies to the City for issuance of a Iv��ec�anicai FercuiC� agrees to do all
work in strict aceorda.nce with the ordinances of the City and th�e regaIations of the Minne$oca
Scace Building Codr, and e�r�i�'ies that all statements macie on thi.z apgiication are complete, true
and correcc.
. APPlicant's Signature� � Date: 2— `� G��
Approved liy: Date: