HomeMy WebLinkAbout2004-P07906 (Mechanical) CITY OF R PERMIT
O O N� Permit Number:
2750�Kelley Parkway- PO Box 66 P07906
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9/2/2004
SITE ADDRESS: 2380 Abingdon Way
Long Lake,MN 55356
PID: 03-117-23-23-0016
DESCRIPTION:
Proposed Use:
Pernrit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 93.18 Valuation: $ 7,454.00
State Surcharge Fee: $ 3.73 ,
Misc.Fee: $ 1.50
TOTAL FEE: $ 98.41
APPLICANT' Standard Heating&Air Conditioning Inc. OWNER' 7ohn&Carol Busacker
� 410 W Lake Street � 2380 Abingdon Way
Minneapolis,MN 55408-2998 Long Lake,MN 55356
TI�UNDERSIGNED HEREBY REQUESfS PIItMISSION TOMAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMIIVTS.
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APPLICANT PERMITEE SIGNATCTRE SUED BY SIGNATURE
Couies: 1-File(Si�nitures Required),1-Auplicant,1-Monthlv Revorts, 1-Assessing, 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 pernuts by ma.il 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 ma.il after a review is completed.PERNIITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT.WORK MUST NOT BEGIN UNTIL TI�PERMIT CARD IS
POSTED ON T'HE JOB SITE.
3. Mechanical Desi�ns-Complete calculations,details and specifications are required for each heating,
venrilation,humidification-dehumidification,and air conditioning insta.11ation 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
equiprnent 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 WII.,L NOT BE PROCESSED.If you have questions,call
(952)249-4600.
Please check one: ❑New ❑ Addition ❑Repair�] Replace�Residential ❑ Commercial
JOB SITE: �� �[ Zip: �
Owner's Name: t'� Phone Numb r: ��� �`Z,,�— ��
Mailing Address• i r Zip: .
STANDARD HEATIHG&AIR CONpITIONING C0. �
Wf ST LAKE STREET
Contractor's� : Phone Number:
Mailing Address• ' City: Zip:
'—�t vE4.���
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: � . .
Make: 'J G�,•,,
Model: �
Fuel: / CL�
Flue Size:
Input BTUs: ���
Output BTCTs:
CFM: I
COOLING SYSTEMS
Quantity:
Make: 'J �'�vv�
Model: �
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood buming factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VEN�ILATION
No. Kitchen Exhaust duct recalculating cfin
No. Bath Eachaust(must have duct outside) . cfm '
No. Other Fans:Locations �� . •
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑Installation or ❑Removal
❑Fuel oil: gallons ❑underground ❑inside ❑outside
❑LP Gas: gallons
❑Other �op�g
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PERMIT FEE CALCULATION(Sl
2002 State Statute ❑Yes Tlus Section Applies
The replacement of a Residential fixture or an liance 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;excludine 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
� � x.0125 $ �.�
(contract pric ) (minimum$35.00)
2. State Surchar�e.**Add the State Building Code Division a ' imum Fee of($.501
7 ` � x.0005 $ �y
(contract price) (minimum$.50)
3. Postate and Handlin�(Only mai[-in applications) $ 1.50
4.TOTAL PERMIT FEE(Add lines 1-3 above) $ Q � �
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernritted 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 esrimated 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
$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry 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
applicarion aze complete,true and correct.
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Applicant's Signature: N�-L''�^� Date: � � ��
Approved By: -Date:
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