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Home My WebLink About2005-P08959 - air conditioning PERMIT CITY i7F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08959 Crystal 8ay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 7/14/2005 SITE ADDRESS: 1153 Elmwood Ave Unit# Mound,MN 55364 PID: 07-117-23-14-0069 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: $ 35.00 va�uation: $ 2,575.00 State Surcharge Fee: $ 1.29 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.79 APPLICANT: Residential Heating&Air,Inc. (See Comrt OWNER: Scott Pearson 1815 East 41st Street Suite A 1153 Elmwood Ave Minneapolis,MN 55407 Orono,MN 55364 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. � �i� �J � APPLICANT PERMITEF,SIGNATURG S UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Qo ��5� � ' _ � , �3� �� CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT ,� Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GE�iERAL 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 2 working days. 2. Pernut cards will be sent by retum mail afrer a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN 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 he 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 (rougl�-in and final). Call 473-7357. 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 hav�uestions, call 473-7357. t �., ! �� Please check one: New Addition Repair Replace .✓Residential Commercial JOB SITE: i� . " C=.�..� ., - ZiP: Owner's Name: �-�, ,— Telephone Number: � �z �Z�z 3cc�� Mailing Address City: Zip: Contractor's Name:Z�.�,�y,t,,-;t,t,,.� �-�+�,�,�,�� Telephone Number: �,�Z�z,y-iF3`=c�1 Mailing Address: i�3�S_ c, ti i � 5 m- S ��r�h � City: M��,�.tir t��, i<<,ZiP: i 5�-tc � SYSTEM DESCRIPTION HEATING SYSTEMS � Quantity: � _ Make: ModeL• Fuel: Flue Size: Input BTUs: 9 Output BTUs: /� CFM: r� b COOLING SYSTEMS n'1 ; � , Quantity: � Make: ��:. ,� � Model: t�r: r1:.c_C i E: Tons: 3 H. Power '� � • ` � WOOD BURNING EQUIPMENT 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. VENTILATION No. Kitchen E�aust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Funs: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) 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) �.`�-7�� . ` ` x .0125 $ 3� r; � . ._. . . . . � ._ _._.._..___. (contract price). _ _ 2. State Surcharge. ** Add the State Building Code Division � � - Surcharge to each permit. Z h-z�� -'�= x .0005 $ I ' � or $.50, whichever is greater (contract price) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,�7 �`'� * 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 Che work done. Ii airy mateiiai, equiFment, labor, or installation are iurnished 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, an ertifies that all s ments made on this application are complete, true and conect. Applicant's Signature: � � Date: 7�� `-�`j Approved By: Date: