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HomeMy WebLinkAbout2003-P06022 - heating system PERMIT CITY OF ORONO 2750 K�Iley Parkway - PO Box 66 Permit Number: Po6o22 Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts (952) 249-4600 Date Issued: 2i�i2oo3 SITE ADDRESS: 744 Dickey Lake Dr Long Lake,MN 55356 PID: 27-118-23-33-0007 DESCRI PTION: Proposed Use: Residenrial Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,600.00 State Surcharge Fee: $ 1.30 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.80 APPLICANT: River City Sheet Metal Inc. OWNER: Gerald&Alice Pettis 9928 Bluebird St NW 744 Dickey Lake Dr Coon Rapids,MN 55433 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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. ,� / � � � ��� � APPLICANT PERMITEF SIGNATURG ISSI��D BY SIGNATURG Cooies: 1-File(SiQnitures Reciuired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION l. 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 LJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns -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 0 Addition ❑ Repair �Replace ❑ Residential ❑ Commercial JOB SITE: ��� ' c�, L <e �J� Zip: S 5 3 S� Owner's Name: Phone Number: �I 5 a-- ��3 - ��1�$ Mailing Address: S Am� City: Zip: River City Sheet Metal, Inc. Contractor's Nam • Phone Number: Mailing Address: � � � CiTy: Zip: ��3-754-2199 1 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � -�1� � Make: ZU�nM • Model: U!D(L1�O�o�,1�11a�,5 Fuel: � , /a S Flue Size: Input BTLJs: �D�� S C�� I- Output BTUs: � n 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 Model No. 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 r � 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; excludinQ 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 IVlaii-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) o��vOO.Od x .0125 $ ��j� Q� (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) a� oo. o d X .000s $ I . 3 v (contract price) (minimum$.50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � �. S D *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 chareed to the customer foc the werk done.If ar.y material, equipment,labor,or installation is fumished 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 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 correct. Applicant's Signature: Date: o�^4'���j Approved By: Date: 3 ;. i DATE Tlt� CITY OF ORONO CALLED IN �" `-� ��' � INSPECTION NOT GE SCHEDULED 3-SJ -��5 i� �'S. PERMITNO. � �ZCOMPLETED ADDRESS -� ' �- ► . : �C_ Lri- (� • , .r OWNER CONTR. .��-'1�/t i?,�1��C� U ,�, .,,_, TELEPHONE N0. �1_� �'1 �7�� �����-h'� � DESCRIPTION ? �1-��— �--<-- ll� 01 FOOTING 11 ylEGHAtiI RI 18 EXCAV/GRADING/FILLING Q02 FRAMING (��3 MECH-A--NICAL FINAL.. 19 LAKESHORE/WETLANDS y 03 INSULATION 24/2b WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 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 tU PLUM NG FINAL 36 FOUNDATION/REMOVAL ��OWNER/ NTRACTOR TO MEET YOU:�ES_NO � COMMENTS: � a � � � 0 a � 0 � W � Q � z W � W � � � d W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next�spection 24 hours in advance. (952� 249-46�0 OwnerlContrac�t�dn s�t Inspector. � v White Copyllnspector's File Canary CopylSite Notice