HomeMy WebLinkAbout2004-P07605 - air conditioning PERMIT
CITY OF ORONO
2�50 Kelley Parkway - PO Box 66 Permit Number: Po�6os
Crystal Bay, Minnesota 55323 Per-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 6ii�i2oo4
SITE ADDRESS: 884 Dakota Ave
L,ong Lake,MN 55356
P I D: 26-118-23-3 3-0020
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 42.50 Valuation: $ 3,400.00
State Surcharge Fee: $ 1.70
Misc. Fee: $ 1.50
TOTAL FEE: $ 45.70
APPLICANT: Center Point Energy Minnegasco OWNER: Benway&Gasner
13562 Central Avenue NE 884 Dakota Ave
Anoka,MN 55304 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Covies: 1-File(Sienitures Required). 1-Anplicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
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• CITY OF ORONO APPLICATION 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 person at the City offices. Applications
will be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs ❑ Complete calculations, details and specifications are required for
each heating, ventilation, 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 (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 permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249❑4600.
Please check one: New Addition Repair�R�� esidential�� Commercial
�A� 1�
JOB SITE: � �� �_c��« N�r�_ Zip: SS 3`�C�
Owner's Name: �e � �--� ���,�- Phone Number:�5,� � ��(�• 7�- [�3
Mailing Address:�`6� (�c.�.k c,}-c` {�� �> City: Li� ����_; Zip: �`� ;5(,o
Contractor's Name:CenterPoint Energy Phone Number: 763-757-6202
Minnegasco
Mailing Address: 13562 Central Ave NE City: Anoka Z1p�55304
• SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: `
Make: �C�r r� �-'r
Model: �j� -T QQ(;3(�
.�
Tons:
H. Power
FIREPLACES
Gas factory fireplace
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) cfin
No. Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner 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 of($35.00)
3L(C�C)� O�� x .0125 $ �07. ��
(contract price) (minimum $35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
���UC�� ��' x .0005 $ �, ��
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail0in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1�3 above) $ � `f 5.7 0
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for
the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be
charged to the customer for the work done. If any material, equipment, labor, or installation is
furnished by the owner, tenant or any other party the reasonable market value of such items must
be added to the estimated cost or contract price for permit fee purposes. 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 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 far 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 correct.
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Applicant's Signature: �`��� Date: � ' �` �/
Approved By: Date:
DATE TIME �
. uRONO CALLED IN 3�
.�PECTION NQ�I,,C, E SCHEDULED ,-�
PERMIT NO. t'V O� COMPLETED �
ADDRESS g�� K�ta` �/� �
OWNER I�:�-t.�- CT�,,S'ntz(` CONTR. ili'�a�l�'�cc� asc� - �?�.P►' .
TELEPHONE NO. �S �^ yy �- � COcI o�r�
� DESCRIPTION �C
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING ��CHANICAL FINA� 19 LAKESHORE/WETLANDS
O 03 INSULATION 2 URNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL , / 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�/NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTOARRANGE ACCESS.
Call far the ne t inspection 24 hours in advance. (952) 249-4600
OwnerlContr o ite:
Inspector.
White Copylinspector's le Canary CopylSite Notice