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HomeMy WebLinkAbout2005-P08616 - mechanical CITY �F ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Pos6i6 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 4ils�2oos SITE ADDRESS: 445 Brown Rd S Long Lake,MN 55356 P I D: 03-117-23-31-0001 DESCRI PTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-rype(s): Heating Systems DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,500.00 State Surcharge Fee: $ 1.25 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.75 APPLICANT: Ron's Mechanical, Inc.(See Comments) OWNER: Eric &Ivanette Smith 12010 Old Brick Yard Road 445 Brown Rd S Shakopee,MN 55379 Long Lake MN 55356 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. � ;�Z!�c� GT�C. ��yn�f� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 w J CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical pemuts by mail or in person at theLCity offices. Applications will be reviewed and a pemut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs - Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and r�iodel. Data shall be presentea on form provided. Identification of 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 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 ,�Replace ❑ Residential ❑ Commercial JOB SITE: 445 BROWN RD S Zip: 55356 Owner's Name: IVANETTE SMITH p�QnQ Na:nbe::952-473-6400 Mailing Address: 445 BROWN RD S City; ORONO ZiP; 55356 Contractor's Name: RON' S MECHANICAL, ztvCphone Number: 952/445-8585 Mailing Address: 12010 OLD BRICK YD RD City: SHAKOPEE Zip: 55379 1 �. � � SYSTEM DESCRIPTION HEATING SYSTEMS • � � -- � ' Quantity: Make: Model: ���L' _� Fuel: �� Flue Size: Input BTUs: � Output BTUs: CFM: -- COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power 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 Model No. VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(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 Gas opening 2 . 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; excludin�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 -- Mai1-In Fee $ 1.�0 If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) _X .oi2s $ _ 3� Q� (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ ` •��.J (contract price) � (minimum$.50) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ 3�.�'j ''CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including marerials,�abor,profit,z�d other iixed casts. It is the amouni�o�e cnarged to the customer Tor 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 permit fee purposes.In the event that there is a dispute on the amount of the job cost,the Ciry 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 S 1,000,000 cail the Depamnent 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 ceRifies that all statements made on this application are complete,true and correct. � Applicant's Signature: Date: {��j Approved By: Date: 3