HomeMy WebLinkAbout2002-P05362 - air conditioning G�TY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos362
Crystal Bay, Minnesota 55323 Permit Type: Me�nani�al Pe�ts
(952) 249-4600 Date Issued: 6�2�i2oo2
SITE ADDRESS: 1265 Elmwood Ave
MOUND,MN 55364
PID: 07-117-23-41-0017
DESCRI PTION:
Proposed Use: Residential
Pernut 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 Valuation: $ 1,900.00
State Surcharge Fee: $ 0.95
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.45
APPLICANT: River City Sheet Metal Inc. QWNER: JOHN A PERKINS JR ETAL
9928 Bluebird St NW 1265 ELMWOOD AVE
Coon Rapids,MN 55433 MOLJND MN 55364
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.
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APPLICANTPERMI'I'GESIGNATURE [S EDBYS[GNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, IVIN 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 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU kECEIVE 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 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 sepazate buildir.g permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical CodelState Building Code requirements.
6. All work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required.
7. House Hea[ing Test Record must be submitted before fmal.
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.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: \a� S �.�rn c 1 ��� (�u Zip:
Owner's Name: �Z; Telephone Number: G S a _�a�_ �U c�
Mailing Address: �A � City: Zip: 55 3�y
Contractor's Name: Telephone Number: �
Mailing Address:_ �a�A a��ebi1'd�Strf� W City: Zip;
SYSTEM DESCRIPTIONCoon Rapids, MN 55433
�(�'�-754-2199
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: �
Model: 5�3 C_ti ti. �p
Tons: a a
H. Power .
• t
�
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�chaust (must be ducted outside) cfm
No. Other Fans: 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)
��oo � nc� X .oi2s $ 3 S, Q a
(contract price)
2. State SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. �� 0 0 • 0 0 x .0005 $ . � �
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) $ 3�, �{ ��
* CONTRACT PRICE o:JOB COST means the actual or estimated dollar amount charged for the permitted
work includinQ materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer
for the u��rk done. If any mate.:al, equipment, labor, o;installatian are 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 amoun[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: � �>--
Ap�roved Bv: Date:
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