HomeMy WebLinkAbout2002-P05120 - air conditioning CITY CaF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Posi2o
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�at Pe�ts
(952) 249-4600 Date Issued: s�i�2oo2
SITE ADDRESS: 2135 Colin Drive
Long Lake,MN 55356
PID: 03-117-23-21-0016
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernlit Type: Mechanical Permits Perniit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.10
APPLICANT: Royalton Heating&Cooling Co. OWNER: D R HEALY&L C Hi1NT HEALY
4120 85th Avenue N. 2135 COLIN DR
Brooklyn Park,MN 55443 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.
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APPLICANT PERMITEE SIGNATURE ISS BYSIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-AssessinQ, 1-Finance Page 1
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CIT"Y' O� OkON� Apl''LTCA7�TQN FOR �fECHANTCA]..PER.I�IIT
Box 64 (275Q Keliey Parkway)
Crystal Bay, M1V 55323
GENFR�.1. Is'V FOFtMATTON
1. You may apply for mechanical �its by mail �.»•in person a1 diz City of�'ices, ApgLcations will bc
reviewed and a permit will be issued within two��orking days.
2. Perniit cat�is v.ill be sent by ret.�m mail aRer a review is completeel. PEIZMITS AR�;NOT V,SLIZ)
UNTIL YOU KECEI`'�A PER`1IT. WORK!�'[[1ST NC�T BEGTN UN"CTr. THE PERT�IIT�ARD;S
POSTED�l T1-IE JC�B�I'TE.
3. Me � anical De�jg�-Complete cal�ulat;ons,details and specifications am required Tor eaeli f�eacing,
�entilation, humidifceation-dehumidifieazion, a.nd ais cunditioning installation including heat Ioss/heat
gain ca]culation, desi�temperatures,equipment ratings u�d identifi�tion as m type, manufacrurer ar.d
model.Dara s:ia11 be presented on form�ro��ided Identit;;�tion of and spetificaticros fur water heating
equipmr.nt shall also be providcxl
4. R'hen any new conscruction or rem�deling is in�olved, a separate building perniit rnusx be obtained.
5. AlI wnrk rnust be done in accordance with t�'�e L aiform Mechanical Code/Srate Building Code
requuements.
6. All work must bt inspected(roubr�-in and final). Call{9�2)2�4-�1600. 24-hour notice required.
7. H�>use Heating Test Reeord must be submi[ted before final.
Instructions
Com�+lec� all iterns on tlus apptication. CQmpw:e the permi� fee. Si�n and date tl,.e certifi�atior:.
I\TCqMPLETE, APPLICATYO'.�S ��`1LT,NOT !3L PROCESSED. If you have questions, call
(9�?) 249-4600.
Flcase chcck one: i! New ❑ Addition ❑ Rcpait �,Replsc� r1 Residential ❑ Co;n:��rcial
JOB SrTE: :��3 j���,�i � 1'^. . Zip: _ `_) `> ';C_�`L�
Owner's ltiame: ,�Yt V�<.l I ' c�1f �i Phone I�umber: �� 5� -�73/l: `��' __
;�Yailing Address: ��� City: __ Zip:
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ContrActor's Name; �L�c.. � - £��� Phone l�umber: / �-- � y-- ��-.��
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iti1ailino Address: ��'� � . . City: �,� � i'�i K �iP�_�_��.
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SYS7'Ebi DESC.RIPTTO�V
HEA'1'ING SYSTE�IS
Quantiry� --- — --- --__
�1aka.
`.lodel:
Fttel'
r'lue Size:
�nput B1'L's: _. ^
4utput 87Us: _ _ _
CFA�:
COOLTNG S'4'STEM5
QuanUty., —__--_�__—_ — �.�_
Makc: �S�_ ���_ _���
Mode': L�r-t��--'�l, -- —
Tor.s .�L��„_
H.Power ----- -- --- --
FIREPL.IC�.S
❑ Gas factory fircpl�ce
❑ Wood burning facton�ir�aplace with flue
❑ Wood Stovc
[] Wood stove with flue
Brand Name Modal No.
V�i'dTTY..A�'It�'_�I
L'o. Kitchcn ��chaust �iuct iccalcnlatin� cfm
No. �ath Exl:aust(-nust llave suct out;,ide} cfm
No' Other Fans: Locet�ons_ _____, ,_„cfm
F`C."�Y,S`?ORAGE(MUST BE fiPPRUVED BY 3'�tE MAkSHAL)
❑ Tnstallation or [] Ren�oval
❑ Fuel oil: gallons ❑ underground (] �nsidc ❑uutsi�c
❑ LP Gas: �allorts
❑ Other _ Gas op�ning
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FtE�t.�9T FF,E CA�.CUL.AT10NiS)
:'002 State Statute � Yes This SF�tico ,�pclies
TL�replacemr.nt of a Resid�r.tiaf fi.ture or applir�n�e tha:meets all threc��f the following requirements,
1 j Does not r;yuire modificai:on to e;.cvi�s] or gas sen�icc
?) Hns a totnt cost of�SDO UO or less; zxcludi�the cost of the fixture or appliarace:
an d
3) ls im�roved, ins�t371ed or replaced 1,�.�th�hom�o�rner or l�censzd contra�:.tor.
Skip next secrion; Ccst of Prrmit $ 15.00
�ture Slirc;�a oe $ 50
ti1�ii-Jn �ee $ 1.50
:I above does not appty, foliow�guidelir,cs below:
I. Contract�'rice" is .O l25% of jab with a blin.mum Fee of(S35•OQ)
_ I �f'C� .��-'x .ol�s � 3J. �>
icunc:act pr�cel (rn,nirrum S35.t�)
' State Surcharee. "k Add the 5tate Binlding�`o�le Cii�ision a Minimum �ee o2'(S .SU1
1�C�� �Z� ?; .000s � , �F' C;
(:antr�cc pncc,i �;rt:n:mum 5.SG)
� Posta�e and Handlin��Only rnarl-rn upplicUti��ns> � _ � 5�
�1 TOTAL PERI�IIT FL:E(Add lines t-3 ah,:vc) $ 1 y , ��/
•�O�TR�CT PRICE or JOB COST mcans tF,c actuul or escnatcd dollu amount chareed i�or the�ezmitte����ork incf��ding
a.a�crisl�,labor,prof:t.anj other fi:td coiTs.I�'.s iMc amo�in[co bc chargcd to thc customer for th:�work donc, If any n•�arcrial,
�.�uipmcnt,lshor,or instal'iation�;furni�hcd by thc ownc:,ter,anc or any o�hcr pam�the r�oaab�z mruktt�aluc of svch itcr.zs
must be adde�i to?h_es:in.ated cost or con�an price far pemi�t�ee purposes !n the even�tha[there is s di5pute on cfte an�.ount of
in�;�r co>t,the City ms}'requcst thc submission of n s����ed�op;�oftRe actual cuntrut.
•• Tl�c STAT'E SLRtCH.;..RGE is.OQOS of the con?ract pr�cc�r.cer 31,00QOG0 er 5.30-whic`icv:r is gr�er For ���laat�.on_over
�'.,OOC,��O�cs�ll tho DepaYtment ot Jns�ecti�nal serv�ces ior t:.c pricc.
Tht unc+er�igr.eC he�zby a�pi�as�o the Ciry far�j3U271Cc OPd;�:cChanic;u per.r.it,ag..s to c'o a'.l�.tier�:in saiCi a:curdance Nith
rh�orcinanc:s of[h:City::n�the regui.uions of the Minnrsota S[�tc Buildlrg Codc,and certifles th.at al s�aerments msdc on this
appli�acion are complctc,mic and cortect.
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�ppl�cant's Signature: ------ —:----- - .u�� ��------- Dnte: �3���
.�Pproved By. Date:
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