HomeMy WebLinkAbout2002-P05756 - mech PERMIT
CITY OF ORONO
2750 �'elley Parkway - PO Box 66 Permit Num er: Pos�s6
Crystal Bay, Minnesota 55323 Permit Typ : Mechanical Permits
(952) 249-4600 Date Issued io�23�2002
SITE ADDRESS: 4185 Bayside Rd
MAPLE PLAIN,MN 55359 ��
P I D: 06-117-23-14-0012
DESCRIPTION:
Proposed Use: Residential �
Pernut Class: General
Pernut Type: Mechanical Pernuts ernut Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
' �
FEE SUMMARY: Pernut Fee: $ 35.00
Valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 35.75
APPLICANT: City View Plumbing&Heating OWNE ; ALLAN E REZABEK ET AL
1880 B Wayzata Blvd W. 38 ADDRESS LJNASSIGNED
P.O.Box 150 MN 00000
Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� L IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CI OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� ,�.� ��'Y�t�c !1 ��
APPLICAN P ITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLI ATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in rson at the City offices. Applications will be
reviewed and a permit will be issued within 2 workin days.
2. Permit cazds will be sent by retum mail after a revie is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST OT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details d specifications are required for each heating,
ventilation,humidification-dehumidification, and air con itioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and i entification as to type, manufacturer and model.
Data shall be presented on form provided. Ideatification f 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 U iform Mechanical Code/State Buiiding Code
requirements.
6. All work must be inspected (rough-in and fina]). Call 73-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before al.
Instructions Complete all items on this application. Compute he pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSE . If you have ques[ions, call 473-7357.
Please check one: New Addition epair � Replace
Residential Commercial
JOB STTE: `�> � n�t �. � � ZiP: J }.��; '
i
Owner's Name: �` j J��-'t ���- �=' l elephone Number:
Mailing Address: City: Zip:
Contractor'sName: ' .+�� �� ��' � ! P' '�� - �- �-� TelephoneNumber: �� ^ �' ' ��
MailingAddress E' "� . �! `" `J City: ; , '^i�' Zip . �
SYSTEM DESCRIPTION � ,
,;--_.�� ', .; ^,?r� � �l U�1 ,�"h�a r �n �Ca,��l�
HEATING SYSTEMS -- � �
Quantity: 1
Make: !1'�� :.r.��C
Model:
FueL• �� �'v,��-������.
Flue Size: �-� � �
Input BTUs: �;> "� ? ' �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
WOOD BURNING E4UIPMEN"T
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ductecl recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
% ���� � �� x .0125 $
���— �
(cvntract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
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 are 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 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 City for issuance of a Mechanical Pemut, 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. %' ,
� � %__�-- // ,�_ �� � Date: r" � �- ���,
Applicant s Signature: , ,
� �
Approved By: Date: