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Home My WebLink About2000-P0218 - mechanical � . PERMIT CITY OF ORONO PERMIT TYPE: Mechanical 2750 Kelley Parkway - P.O. Box 66 Permit Number : ��a18� Crystal Bay, Minnesota 55323 Date Issued: O1/19/00 (612) 249-4600 SITE ADDRESS: 55 Goldenview Drive Orono, MN 55356 H.N.B. 33-118-55 43 0011 DESCRIPTION: Mechanical 1 Heating Make Tempstar REMARKS: FEE SUMMARY: Valuation $1,300 Base Fee $35.00 MAIL IN FEE $1.50 Surcharge $ .65 Total $37.15 Subtotal $ 35.65 CONTRACTOR: Royalton Heating & Cooling Co. OWNER: Van Erickson 4120 85t" Ave North Brooklyn Park, MN 55443 7'HE UNDERSIGNED HEREBY REQUEST P�RMISSION TO MAKE�THE REAL IMPROVEMENTS SPECiFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE�WITH�A�LL�'CITY OF ORONO ORDINANCES AND STATE�OF � � MINNESOTA BU[LDING CODE REQUIREMENTS. � � � 9 ��%"�r%�-�-� '� , % �'�'E%;,��') APPLICANT/PERMITEE SIGNATURE ` ISSUED BY: SIGNATURE � . . CITY OF ORONO APPLICATION FOR MECHANICAL PERMI'T Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION i. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within 2 working days. 2. Permit cards will be sent by return mail after 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 be presented on form provided. Identification of and specifications for water heating equipment sY:z?1 also be provided. rt. When any new construction or remodeling is involved, a separace buiiding perII-ut mu;t be chtaiaed. 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. INCO�iPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair _� Replace Residential Commercial JOFs S iTE: " �) -7�,��f'r'1 V'I t��;� ` I��;�= Zip: Owner's Name: �,,�,-� �r,c KS��r� Telephone Number: �:.�"15-/(��/� Mailing Address: City: Zip: Contractor's Name: � x Telephone Number: �/,��./_-h'� '� Mailing Address: �J�.� % - X`t`' .�,� /�,�C'• City: 1.� r'Cz.i'� ZiP� JJ�-,�� SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � �/TaL�P: Model: ��-'� Fuel: ,�,J;�f.. Flue Size: ,�•� Input BTUs: '`j.5, C:C;�r':� output BTus: ��,j, �� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power r � 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 Exhaust ducted recirculating cfm No. Bath Exhaust (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) __ �� f l, � �L X .�125 $ �j� � /�_aC-��- (contract price) 2. State Surcharee. ** Add the State Building Code Division Surcharge to each permit. j`�� C-,`=' x .0005 $ ,. (G� or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �3 rf, /,� * 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 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 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 $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the Ciry and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. --� __ . Applicant's Signature: ��'�` -'� ��' Date: �-/�'--� Approved By: Date: �' � g �� I NamnofRoom •Y••.r' - ••••... ~. 6ntire+l o ~•, •_v,V - T - ` 1 use �+Yiqle houge R�'$p�'�°1jw�� 160.0 Ft 16Q,0 FL Ft. Ft # Roo�D�mcrQivns.Ft 0.0 R 3 6.0 x 4 a.� F'E e , 4 Caiinep,Ft Cortdit.Op�.�� 16_p x FR x F�. d 16.0 fieat�ouly TYPfi OF CST H7M Aron Bt�F, nRp D�uh qrea Htuh q� �, L•7�'OSURfi NO. 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