HomeMy WebLinkAbout2004-P07470 - mechanical L PERMIT
C�TY O F O RO N O Permit Num er:
2750 Kelley Parkway - PO Box 66 Po�4�o
Crystal Bay, Minnesota 55323 Pe►-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: si6i2oo4
SITE ADDRESS: 4465 Bayside Rd
Maple Plain,MN 55359 I
P I D: 06-117-23-21-0006
DESCRIPTION:
Proposed Use: Residential I
Permit Class: General �
Permit Type: Mechanical Permits ermit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required: �
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 3891 Valuation: $ 3,113.00
State Surcharge Fee: $ 1.56
Misc. Fee: $ 1.50
TOTAL FEE: $ 41.97
AppL�CANT: Standard Heating&Air Conditioning Inc. �WNE ; Robert Carlson
410 W Lake Street 4465 Bayside Rd
Minneapolis,MN 55408-2998 Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE RE L IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH AL�,CI OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNn'I'URE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Asse�sins, 1-Finance Page 1
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CITY OF ORONO APPLICATI N FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 j
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in p�erso at the City offices. Applications will be
reviewed and a pertnit will be issued within two working d ys. �-
2. Permit cards will be sent by return mail after a review is c pleted. PERMITS ARE NOT VALID
LTNTIL YOU RECEIVE A PERMIT. WORK MUST NO BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs -Complete calculations, details and s ecifications are required for each heating,
ventilation,humidification-dehumidification, and air condi ioning installation including heat loss/heat
gain calculation, desigr.temperatures, equipment ratings a d identification as to type,manufacturer and
nzodel. Data shall be presented on form provided. Iderltific tion of and specifications for water heating
equipment shall also be provided.
4. �Vhen any new construction or remodeling is involved, a s parate building pernut must be obtained.
5. All work must be done in accordance with the Unifor�M chanical 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 fina .
Instructions
Complete all items on this application. Compute th pe it fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WIi,L NOT BE �RO ESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New �Addition ❑ Repair ❑ Replace�Residential ❑ Commercial
JOB SITE: StC�Q� Zi :
P �
O���ner's Name: Ph ne Number: �'�]��
Mailing Address: G Zip:
Contractor' e; �}�e, • �. Ph ne Number:
Mailing A�R'��.�u���� REET 'Ci Zip:
MINNEAP4LI�a, MN 55�-
612-�i24-28�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: �
ModeL•
Tons: � �y
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 cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that me ts all three of the following requirements:
1) Does not require modification to electrical o 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 ho eowner 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 f $35.00
3 � l x .o�z5 $ �3g.� I
(contract pr ce) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Divisio a Nlinimum Fee of($ .50)
�� X .000s $ � ^ l'�
(contract rice) (minimum$.50)
3. Postage and Handling (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 dolla amount charged for the pemvtted work including
materials,labor,profit,and other fixed costs.It is the amount to be charg to the customer for the work done.If any material, �
equipmer.t,labor,or installaiion is furnished by the ohmer,ten:nt or an•y ther party the reasonable mark�,value of such items
must be added to the estimated cost or contract price for permit fee purpo es. 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 ctual contract.
**The STATE SURCHARGE is.0005 of the contract price under$1,00 ,000 or$.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 ermit,agrees to do all work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State Buil ing Code,and certifies that all statements made on this
application are complete,true and correct. «
Applicant's Signature: Date: �� �
Approved By: Date:
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