HomeMy WebLinkAbout2001-P04617 - mechanical CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po461�
Cryst�l 13ay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 11�9i2oot
SITE ADDRESS: 690 Brown RdN
Long Lake,MN 55356
PID: 34-118-23-12-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 95.30 Valuation: $ 7,623.98
State Surcharge Fee: $ 3.81
Misc. Fee: $ 1.51
TOTAL FEE: $ 100.62
APPLICANT: Total Comfort OWNER: Eric&Andrea Larson
12800 Highway 55 690 Brown Rd N
Plymouth, MN 55447 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE T�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 I UEDBYSIGNATURE
Cooies: 1-File(Signitures Reauired). 1-Apolicant, 1-Monthlv Reoorts, 1-Assessin�. 1-Finance Page 1
Vav-06-2001 10:24am From-CITY OF ORONO +9522494616 T-122 P 002/003 F-82T
r:TY O�'ORON� APPLTCATTON FOR MEC��ANYCAL PERMIT
� Box 66 (2750 Kelley Paskway)
Crystal Bay, MN 55323
G _RAL lN'XOIZMATTQN
1. You 'mey apply for mechanical permi�s by n�ail or in person at the Ciry offices. Appiications will be
rcviewcd and a permi[will bc issued within :: working days.
2, Permit cards will be sent by retuna meiJ after a�eview is completed. PERMTTS ARE NOT VAi,ID UNTTL
YOU RECETVL A P8RM1T. WORK MUST NOT BEGIN UNTTL 7HE P�RMI CARD[S P�STFD ON
THE JOB SITE.
3. ,'�fechanical Desi�rts - Complete calculacioas, details and specifications are requited for each heating,
veotilation, humidification-dehumidification, :ind sir conditioaing installation including heat loss/heat gain
calculati�oa, design teciperatures, equipment r�tings and ideatification as to rype, manufacturer and model.
Daea shall be prescnted on form provided. Td�:atification of and spec�cations for water heati.ag equipmcnt
shall also be provided,
4, When any new construuion or remodeling is involved, a separau building permit must be obtaincd.
5. All work must be done in accordance with the lJ�focm Mechanical CodelSt2te Building Code requiremenu.
6. All work mtut be inspected (rough-in and fin:�l). Call 249-4600. 24-hour notice required.
7. House Heating Test Record must b�submitte�l beforo final.
Instruction.5 Complete all items on chis application. Compu[e the permit fee. Sign and date the certifica[ion.
INCOMPL6TE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, c�ll 249-4600.
Please chcek onc: New Addicion Repair �Replace
Residential Commerciat
JOB SITE:�� ' (��l,U Zip:5��5(0
Owner's Name: +( o.�,�r� �� ,�� -� Telephone Number: ?lo_yZ���q�i�
Mailing Address: City: Zip:
Contractor's Name:j'�}c�� (,,�Yy� ' Tele hone Number�7 3 �3����
Mailing Address: P� U,��� �� City:� UW � Zip.,��.i{�{L
SYSTEM D� CRIPTTON
HEATING SYSTEMS
Quantity: �
Make: N-�
Model: ��� �{ a'�`�U
ruei: . C7�C�S
Flue Size: '
Tnput BTUs: 0 ��
Output BTUs:
CFM:
CODLING SYSTEMS ,
Quantiry: i
Make: �
Model: "j"�'�` 1.��'�� Jv
To ns; -�
� H. power
Nov-05-2001 10:24am From-CITY OF ORONO +852Z484610 T-122 P 003/003 F-92T
�'�12EPLACES
Gas factory fireplace ' �
Wood burning factory fireplace with flue '
Wood Stove
Wood stove with flue
Brand Name Model No.
'VENTTLATTON � �
No. Kitchen Exhaust _ ducted recirculating cfm
Iv`o. Bath Exhaust (must be ducted outside) cfrn
No. Other Fans: Location; cfm
FLJEL STORAGE (MYTST BE APPROVEL� BY FIRE Mt�12SHAL)
Lastallation Removal
�el oil: gallons _., underground inside outside
LP Gas: gallons
.� Other Gas opening
�'����I'�' �TE CA�,CULA.TION
1. 1.25% of Contract Price* or t�tinimurr�Fee 35.00 �
�`l, a 3 , X .oi2s � _ J,�
(coiitract price)
2. Scace Surcharee. ** Add the State Buildi � Code Division
Surcharge to each permit. ���� `'t� x .0005 $ ��.� --�
or $.50, whichever is greater (comract pricc)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add ]ines 1-3 above) $ � :�J��o�
+ CONTRACT PRICE or]OB COST means th�:actual or estimated dollat amouat charged for the permitted
worl:including macerials, labor,profit, and oAur fuced coscs. It is the aawunt to be cha.rged to the customer
for the work done. If any ma[erial, equipmei�t, lehor, or installation aze furnished by the owner, tenanc or
any o[her party the reasonable mackec valuc of such items mus�be added Co thc escimated cost or contracc
price,for permi[fee purposes. [n the event tha�.chere is a dispute on the amount of tht job cost, the Ciry may
reques� [ne submission of a signc:d copy ot the ac[uai contract.
*` The STATE SURCHARGE is .0005 oP the coi�cract price under$1,000,000 or 5.50 -whichever is greacer.
For valuatio�s over 51,000,000 call the Depa,•�rnent of Inspectioaal Services for the price.
The undersigned hereby applies to the City fo►• issuance of a Mechanical Perrnit, agrees to do all
work in strict accordance wi[h the ordinances of che City and the regulations of the Minnesota
State Building Code, and certifies that all stat�ements made on this application are complete, true
and correct.
Applicant's Signature: �, - Date; J J�
Approved By: Date: