HomeMy WebLinkAbout2002-P05202 - mechanical PERMIT �
�ITY OF ORONO Permit Numb r:
2750 Kelley Parkway - PO Box 66 Pos2o2
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issu�ed: s�2i�2oo2
SITE ADDRESS: 4455 Bayside Rd
MAPLE PLAIN,MN 55359 '
PID: o6-ii�-23-2i-0002 �
DESCRIPTION:
Proposed Use: Residential '
Pernut Class: General
Permit Type: Mechanical Permits � ermit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#: �
Separate pernuts required:
NOTICES/REMARKS:
_ 1
FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 2,100.00
State Surcharge Fee: $ 1.05 �
TOTAL FEE: $ 36.05
APPLICANT: Allied Fireside Inc OWNE : M&P 70HNSON
2700 Fairview 4455 BAYSIDE RD
Roseville,MN 55113 MAPLE PLAIN MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE �AL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� '
� ��� �-� ��z'',,x�' �'
� � � � -� ..�-? t��� � iN,
, �
APPLICANT PERMITEE SIGNATURE � ISSU-ED BY SIGNATURE ,�
Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reoorts, 1-Ass�ssin �, 1-Finance Page 1
CITY OF ORONO APPLICATI N FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in perso at the City offices. Applications will be
reviewed and a pernvt 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
UNTIL YOU RECENE A PERMIT. WORK MUST NO BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns -Complete calculations, details and s ecifications are required far each heating,
ventilation,humidification-dehumidification, and air condi ioning installation including heat loss/heat
gain calculation, design temperatures, equipment ratings a d identification as to type, manufacturer and
model. Data shall be presented on form provided. Identific tion of and specifications for water heating
equipment shall also be provided.
4. When 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 Uniform 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 final
Instructions
Complete all items on this application. Compute the pe it fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PRO ESSED. If you have questions, call
(952) 249-4600.
Please check one: � New ❑ Addition ❑ Repair ❑ eplace�Residential ❑ Commercial
JOB SITE: .S�" L�a, ,'� Zip: SS�'�.59
Owner's Name: /�!�-f f( --�`�, �{��� Ph e Number: �:.z - �/7�����
Mailing Address: Y�/S�" ,c�ys,o(�c ,c�! Cit ��-�,2�, Zip: ��=�3s�
Contractor's Name: j���'� � �,��5�`� Pho e Number: �si-�33-�S�i
Mailing Address: �7vr> /U �;,-,,,'�;,� �.�� Ci �o�c ✓-/l Zip: �S/i�
1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTLJs:
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 /[v-z y /�-/�G.-� Model No. 9��1`L
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
2
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 or as service.
2) Has a total cost of$500.00 or less; excludin� he cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the hom owner or licensed contractor.
Skip next section; Cost of Pernut $ 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 $35.00
/� x .0125 $
(contract pri e) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Divisio a Minimum Fee of($ .50)
x .0005 $
(contract p �ce) (minimum$.50)
3. PostaEe and HandlinE (Only n:ail-in applications) $ 1.50
4. TOTAL PERivIIT FEE (Add lines 1-3 above) � $
*CONTRACT PRICE or JOB COST means the actual or estimated dotlar mount charged for the permitted work including
materials,labor,profit,and other fixed costs. It is the amount to be charge to the customer for the work done.If any material,
equipment,labor,or installation is furnished by the owner,tenant or any o er party the reasonable market value of such items
must be added to the estimated cost or contract price for permit fee purpos s. 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 a tual contract.
**The STATE SURCHARGE is.0005 of the contract price under$1,000, 00 or$.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 Mechanucal P rmit,agrees to do all work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State Buii ng Code,and certifies that all statements made on this
application are complete,true and correct.
, �
Applicant's Signature: Date: .S—oZ/ O
Approved By: Date:
3