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HomeMy WebLinkAbout2002-P05913 - mechanical CITY OF ORONO PERMIT 2750 Kel,�y Parkway - PO Box 66 Permit Number: Pos9i3 Cry`stal Bay, Minnesota 55323 Permit Type: 1vlechanical Permits (952) 249-4600 Date Issued: i2ii�i2oo2 SITE ADDRESS: 3445 High La Long I.alce,MN 55356 PID: OS-117-23-12-0025 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DEfAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 36.00 APPLICANT: Superior Contractors Inc. OWNER: Micheal&7eannie Baden 6121 42nd Ave N 3445 High La Crystal, MN 55422 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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. , �� APPUCANT PERMI E SIGNATURE IS ED B SIGNATURE Copies: 1-File(Siunitures Requirecl). 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 � . . � 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 pernut will be issued within two warking days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECENE 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 fcr 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 [�f Replace�Residential ❑ Commercial JOB SITE• ��`��� /�/C�.�{ ,��� .' Zip: �5<3.�C.. Owner's Name: S�� (-�.!�-��,v Phone Number: ��5� — �f�)�; - (���9 Nlailing Address: .�yy�- 1-��� �-f ��r�� City: G�c,�:�c� Zip: 5�;�� Contractor's Name: ����'�:.-��' �o� �'�,�r„�,����hone Number: 7L.�-- �,��y —$�q� Mailing Address: (a!`�1 ��,•�,4-c,;� ,�:� City: C'`�;s";� Zip: .5���2 � � � � , . . . . . . � ..�e.,�.�v��...r'v G..� ��i: 1 7 ?�'�� �fTY Ot=Oti0N0 1 . 4 w- , SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � Make: l, ��Q��� Model: Jr�t'�L AU 7� Fuel: /L��'t- G l4� Flue Size: Input BTIJs: �s(v,Q��'`v Output BTUs: � �E� 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. VENTII.ATION 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 �- � , 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; excludin�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) � �'�"� x .0125 $ �=�<<%� (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .501 x .0005 $ I�0�= (contract price) (minimum$.50) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �3(;. G G "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 vaiue of sucn 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�I,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 co ct. Applicant's Signature: � Date: �,�—/!a��� Approved By: Date: 3