HomeMy WebLinkAbout2002-P05724 - ventilation PERMIT
CITY OF�RONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos�2a
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: toiio�2oo2
SITE ADDRESS: 4750 Creekwood Tr
MAPLE PLAIN,MN 55359
P I D: 3 0-118-2 3-3 3-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Perniit Sub-type(s): Venrilation
DE�AILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 38.75 Valuation: $ 3,100.00
State Surcharge Fee: $ 1.55
Misc.Fee: $ 1.50
TOTAL FEE: $ 41.80
AppL�CANT: Sedgwick Heating&Air Conditioning Inc. OWNER: D M JELLISON&S L JELLISON
8910 Wentworth Avenue S 4750 CREEKWOOD TR
Minneapolis,MN 55420 MAPLE PLAIN MN 55359
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 PERMITGE SIGNATURE I ED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI,INFORNIATION
1. You may apply for mechanical permits by mail or 'in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days: . �
2. Permit cards will be sent by retum 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 Desi�ns - Complete calculations, details and specifications aze required for each heating,
vencilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented 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 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 249-4600.
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Please check one: � New Addition Repair Replace
. � Residential Commercial
� JOB STTE: �"1 � ' � _ Zip: � ��.��
Owner's Name: . Telephone Number: ��,�',,,�,�ll,l4.-G��1J
Maili.ng Address: Cit3': ZIP;
Contractor's Name: ,��,, ,,,._, ,�elephQne Number:
_, , ����.., __ . Zip:
Mailing Address: � ���n�5,�p►,+,;,p1�;;;��.,. ��
Mi�neapolis, h��! �;a420
SYS1'EM DESCRIPTION (952)881-yG00
HEATING SYSTEMS
Quantity:
1V�ake:
Model:
Fuel: .
Flue Size: �
Input BTUs:
Output BTUs:
CFM:
.
COOLING SYSTEMS
Quantity:
Make:
Model: �
Tons:
H. Power
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WOOD BURNING EOIJIPMENT t
Wood stove with flue `
Wood combination or add-on
Factory fireplace with flue
• Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) � Franklin, other � �
Brand Name Model No. �
Mfgr's Min., Clearances, side , rear , min. flue dia.
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VENTILATION � =i
No. Kitchen Exhaust ducted recirculating cfm .,
No. Bath E�chaust (must be ducted outside) cfm
No. I Other Fans: Locations !/� m�✓ �� cfm
A-�i� �xchg-r��-j �'
FUEL STORAGE (MUST BE APPROVED BY FIRE IViARSHAL)
Installation Removal .
Fuel oil: gallons underground inside outside
LP Gas: gallons �
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/Ud � x .0125 $ � � 70�
. (contract price) ,
� 2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ f-�,�
or $.50, whichever is greater (contract price)
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3. Posta�e 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 dollar amount charged for the pernutted
work including materiaIs, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor, or installation are fumished by the owner,
tenant or any other party the reasonable mazket value of such items must be added to the estimated cost
or contract price for pemut fee purpcses. In the event thai there is a dispute on the amount of the job cost,
� the City 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 $1,000,000 call the Department 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 certifies that all statements made on this application are complete, true
and conect. �
Applicant's Signature:`--�/ � , Date: �� � l�v�
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Approved By: Date: