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HomeMy WebLinkAbout2000-P03354 mechanical- Heating System � � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3�s4 Crystal Bay, Minnesota 55323 Permit Type: tvlechanical Permits (612) 249-4600 Date Issued: �2isi2oo SITE ADDRESS: t94o country club Rd LONG LAKE, MN 55356 PID: 27-118-23-42-0018 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: Mechanical NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 1,829.00 State Surcharge Fee: $ 0.91 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.41 APPLICANT: DAVE'S APPLIANCE HEATING&AIR OWNER: M J W SMITH & M F SMITH 1601 37TH AVE NE 1940 COUNTRY CLUB RD COLUMBIA HEIGHTS, MN 55421 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC[FIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICAN7 PGRMI'I�EE SIGNATURL ISSLTED BY SIGNATURE Copies: City,Applicant, Assessor, Finance Page 1 Nov-29-2000 12:27am From-C1TY 0'r ORONO �9522494616 T-054 P.601/002 F-5T6 + , .. , . . ' : ' „ :;. , ,. , , - ;� . - . , � � : ,;. ,; ': . , . � ' .'� � : - - ',, ,' ;.. '�� : . . .: �.�CITY''OF QR4NQ ; - �AP�T;TCATI4N�'Q�t 1VY�C�TANIG�T.�P�RN�'P�_:�'': . � '�ox�bb•���7SO Kelley P�kway)� . - � , . CrystaT$aY��MN' �553�3 , -. � � , .. � ,�`� � . . - _ � . � �CENF.I�AL�TFO�A_TION . . .. ;- <; ,. . _ 1. ``' Yoa may applY.'for mechssucal�perszuts;.by mail Qr in persap ar it�e Cie� of�►ces Appbc�tto,►is w�7t�b'e . -"�,reviewea'�nd a;permic�vv�i,beassued within:2��worlong days... - � , . ,< r., w: • , � 2. 'Pe�it cai�ds'will`be seiitby returA'mail a#tex'��eview is completed P�R�iT4'S AYtE NOT�VALiD UNT�1: , ; � , ::`Yfa't7�RECF,IY�.A�P�RMI'�'. .W�RKMIIST NO'C.B�GII�L7NTII.'1'�'�t��YLMI'T,T CARD'��POSTED�?l[ % '.:TIX�'7�B STT£. - - : � , ; - r" , `.�. ,g '�Z,�nicai:Des:�ns - �omploce calculacions,,�details and speciYtc�t►o�: a�e requim.� �q� ea�h�hes�u�g,_ °�•enpladon; hutz�idification-dehtua;dfficauan;�a�r coaiditionir�install��aop�ticludu3$fh6af 1OS31beat�g�A .calculaziasi,;design.temp��aS�es;equipmen�'ratia89 iind 4deriafic�tiari as:c��ype; ;nanitfaecur�;aud model: � . -Da�a.slia2l be pre&euted'on forni providtd..Idencifieation of and spe�Y�cst�qu�.�or wacei^'heat�,g�equip�t . '�sh��ll.also..be.pr4vided. ' , . .: -.' a -VJhea�as�y:aew Couau�ictioA or remod�ling sa'irlvolved>.�se�aa:ate b�di,•8 PerAut must�ba abtain�d � . � °s.� . 'aU,Work niust be donc..ui accordaace�wit��Che.UNforszi Mesb'aaual Cade/a�'�usldu�':eodG nq�irement� - � � �'6 ;: AI!work must be.iz�speece��(rough-iA and'fu�al). Calt 249�600: 2a�Ao�r naas�req�Sred ; . . " � �� ry :� ,Hause=f�sating'Test Rccord msut be�submi�tod b�forc t'uoal ' � ., . ' .- .'. f � . . ,',.. . '!',' ` _ ;Ynstrno�ens ,Cozs�pleid all.items oA��his applicauon.=Compute The'per�st fee; Stgti..�;date�Sho cei�uficatiba . :3NCO�LET�APP�;I�-ATIONS:W1T�i;NOT BE PRQCESSED. I4.you�have Ot'•eepoAs', Ca11,?�9-4600. , • � , ;• � . . �. . . - '� , � -.Please,check'one ,,�_,' -1�'ew Addiuori �tcpa�r � �'k�place � . , . ReSldeAual CoulmexCiai�, _; -, �. � �y �� � - . c7r�, ti :� � � _ . ,.., ,.'�.' La�R�. . r . ��(7$��7ia�':r,:� `� '�t'' .�.,-9.;�+h•r:.C�3... _ � � :. �,.�.._._.-r.,:..—�----a--�-�-'-•• . .,. . C�wne�'s�ame.. -.r�1r�..:�� .� _ '�� � Telep�onel`�'�b�r � _ . : . . 2� :" . �::'�Iailing�A,ddress '��I f�D C-� - 1 Tet --�-r-� p D -�� T , = ---,--�--- , _, } —�---- ., . , c-` ephane 1+�ubnber.� � �ontra�tor,s I'��ame:�,�__���._:� _ .. .� , ; . . ' ,��g. . �� � - �ddres�- ,_.�._;- '' .�:;_.� C�ty: ;���g: _�.�....�...-, � - . . . �� , , ; , > SYSTEA�•D �R�P�.Lt . . , � , :, , `> �° . . . �� � `. , • . , . , �� -, ���_ � . i�. � =' '� . . J F�EATING SYSTEMS . � ,` , , � � � ryQuanUry ' - .�--�-�-----� ` �--�-�----;�- d �, , - 1VTalce �.���. _ ,�._..�.-,.--i., , , - -Modc1. r> � , .: .,_ , i � , � � .�:_.�.�-.,-.,...:.^ ����e�:} _ — , - . �, . � 'Flue Size: , . . . � ;� , - �; . X�put BT�1s , . ,".c� �„�l�d..� ' � . - --..�.,;--- . . - , Outpat BTEJs: . -----�-� , . • „y CF�VS - : _;.:�_____ ,��,...�:�- =.-_==---�---,�� CS3(�7�NG�SYSTEIIQS , . -. . 4 , , � ;Qu�Ct�3� . ' .� . . . .�^---��=-�--------�-T �'Niake _ �----=�--, _ - ` � Moiiel _ ; , ?. ,.'r , ,, .Toris. - ' - :-�- ��---�---=--� r ,,I�:'Po'�e��' ' -,--^'--�,� , �' ., _ , ' < . < . � , I . � . ' - i Y, A - ' �r` ;. . �� . . .^ � _ . . , " '�. . t �`� ' ../ ,. . ' .. ' , . . ' . . ' � • ' ` .. . ,. . � � -, . . . . . �l V: Nov-29-2000 11:�8pm Prom-CITY Of ORONO +8522494616 T-D5Q P.002/042 F-5T6 f . ` FIR�PL�S � � Gas fact��ireplace • ` 'Woad bzu�ng faccory �replace with flue � � �T Wood StUve � � Wood stove with flue � � ' Brand Narde . Mode:ivo. 'vENTII.ATY0;�1 - . NQ. �'.itchen E7chaus: ducted recirculating cFm No. �3ath�xhaust (must be ducted outside) � .�,cfm � Na. Other �ans: Locations :r cfm FUEL��RAGE (1VSUST BE APPRUVET�BY FIRE NxAYtS�H�%:.�} . Yrlstallstion Re�oval ; �__ Fuel oil: _ gallons �_� anderground i_ __ inside outsiAe � �p C`ras: �__ �ailons - � Othex ��_^,�..., __ � _ _. Gas.opening PER��T FEE CALC�'�I� 1. . �..25% of�nn'act Price* or � " um���,� j� ` ��� �. X-.01��5 $ ��,;�C' ���.1� ; ...__ .- (conuacC price)� 2, Scate Surch��_ *'" Add the State Build.ing C�ie Aivisibn � l Surcharge to each permic. ___;,�,�TC%�-�`_._ x .�� $ �° �' } _ � or $.�0, whiCh�vCr is greater (contrace price} 3. �psta�e and Handli� (Only mail-in apptic�tions) $ __.._. � q. TOTAL P�RMT'Y'FEE (Add Iines 1-3 abave) , $ � + CONTRAC7 PRIC�or 308 CUS i means the ac[ua1 or estimatccl do:I�:amount aharged for the permitted � work including materials,laoor,profit,and other fixed costs. It is the a�r4Wi[to be c�Zged to che custoiner for the work done. IP any material,eq�ip�uent, labor,oc�nscallaaon are fus�shed by the owner;iepan�oc any othec parry°.h�:reasoqable markec value of such i�ema must be add�d'tn the estim�ted tost or conuac� � price for permiz fee purposes. In the event[hat ttzere is a dispu�e on.the v.maunc of ihe job�cosc,che Ciry may . requess�he sub�z►ission of s signed capy �f the actval couuact. . +� 7Ae STATE SURCHARirS is.Ou05 oFtiie contraet ptice undeT$i,000,�300 or �.50-wai�hever is greaur. For valuations over$1,000,000 eatl the Dtparcrnent of Iuspec�ional Se:vices for the priee. The undersigned hereby appli�s to the Giry for iss�ance of a Mect�a�ical Permit, agre�s xo do all work in strict accordanc� wich tho ardinances of the Ciry and th: r�gulations of.che�Minneso�a Sta[e Building Code, and certifies chat all stacemeucs snade�an tt�is applicarion-are complete, crue and correct. � . , � , " � ��� Aate: -� ' i Applicant's Signacure: � . - . ApQroved By: _ Date: '