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HomeMy WebLinkAbout2003-P06963 - mechanical CITY OF ORONO PERMIT ?�750 r`�elley Parkway - PO Box 66 Permit Number: Po6963 rystal Bay, Minnesota 55323 Pet'mit Type: Mechanical Perniits (952) 249-4600 Date Issued: io�3o�2003 SITE ADDRESS: 3720 Jacobs Mill Rd I.ong Lake,MN 55356 PID: 32-118-23-24-0008 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate pernuts required: Other-(Some ventalarion also) NOTICES/REMARKS: Homeowner taking out pernut,recommended he have contractor- FEE SUMMARY: Permit Fee: $ 210.65 Valuation: $ 16,852.00 State Surcharge Fee: $ 8.43 TOTAL FEE: $ 219.08 APPLICANT: Owner/Self OWNER: Greg Carlson � 521 Willow Dr.N. #203 Long Lake,MN 55356 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. ,�---�c-���: � �'7'�'�. Ce� f'� f✓� ; � � APPLI NTPERMITEE G ATURE ISSUED YS[GNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 OCT-29-2003 15�03 � P:OG CiTY(!F ORONO , APP'L��CATION FOR MECA.ANICAL PERMIT 'Box 66(2750 Kelley ParlcwaY); , ':�ry�s�at Bay;�1�ilv 5�3Z3 , . ,� , . ��x�ti.'nvFoxMArt.o_K . . . 1: .Yau may apply for mechanical permits by mxil or.in person at the City offices.Applications wilt be reviewed and a permit will be issued within two working dz►ys, t. Pernut aerds will be seut by retu�mail af�er e review is compleced PERMtTS AR�?�+tOT VALID[JNTC[.YOU REGENE A P�RM]T..YyQ�1VIU5T�10T BEGIN i7��.T.�IE PERl,y.�T CARD IS POS�t�ON TH��7o$SITE, ,!. I��anical Desigt�s-Con�plete calcutations,details and specifications ar.e required foc esch heating,ventilation, 'hurivdificatzor-deh�idi�icatiott,aud air coziditioning installatinn including hcat loss/heat gain calculation,desi�4emperatures, ` .equipmdit ratings;end idci�ti�caticm as to typc,rs�sufacturcr aad model.Data shall be presetrted bn form provuied Ideastification vf a�nd specific2tib�s�oi wat�er hea�ng rquipment.shall alsar be provided� ` . � �Vhe�,ariy new co:istniction oi r�modeling ia invol�ed,a sepsrate b�uldimg p�rmit must be oUtained. , >, AIl work mus't b�done in accordence with the Uniform Mectzanical Code/Scate Building Cade requiremcnts. i, All work znust be inspacted(rough-in and finel).Ca]I(952)249-4600.24hour notico n:quired. T,.House Heating Te�t Recnrd muat be submitted bcx'ore fmaL tn�Ctucdqns ; �ompletc a11 items on this application. �ompufe tt�e permit fee. Sign and date thc certification.INCOMPLfiTE �PPLZCATIONS WILL NaT BE P�tOCESSED.If you havc questiona,call(952)249-4600. .ilease c�eck o�e: New Addition Repair Replace eaidenti Commcrcial tos szT�: 3�a o �J a.�v hs �, �� I ��I zip; S53�� �wne�'s Name: C-� �•�1so n Phane Number: ���-3�7�.7 t o� ��e.l �?6 3-'{39-�7S� Yiailii�ag Address: S � 1�/�ll ow b�-. � Cilty: Lo►4 Zil�lt rS3� � r, ��\`C� ��Ck-'���`�' ��-� wontractor's Na`ftk�le• l L� lw N i�S Phone Number: 87'7 — 5�7-�r 33 �ta�llung Address:' /qZ�B u Nw � �a� Sw City: ,�ok'a.t.o Zip: 5'S3 AZj iltSTEM DESCEtIP�'I91Y �IF�t#T�1G SXSTEM6 Ouantity: I I __._.. _. _ M��� 'cLEnle.r� ��iY�.e.a,n� Mod�t: c qAh�b i kr�P�i�C_ j����������c��� fuel: ivat�lu-r°-� �' NR�tucc�_� ..., � J Flue Sizec �.� ..._� Input BTUs: �.CL��"1� ��� �,... ._ o�,c�a�ru,: �a,�U 3tu.. '� t�oc� ,__ � c�,i: �4 a a � oo _. ittp://www.ci.ozono.mn.us/rnechaztical%20p�nit.httr�l. ]0/29/2003 .: . ,.,.. . . , pCT-29-Z003 15�03 P.05 �QOLING SXSTEM05 � . , , . , ' Q�t� �, ;--r=. .' �.----- f��j . , . ,I'. ,!Hla1cE: . . ' � �:lRZrCiY , l.N J;Q�i j� �'. � . ' , , r t'� U,��'/f� Moeei:� � ��Z�c'��n,.��4. . ��KC:S. - . . , r�.!— . J��7- . : Tons: . '. . ' � `,."' �—.'=.'.' H.Powa� __ � ..., P AC,.� , Gas factory 5rcplace ; ` . . :.; �:. Wood biumn�g factory firc�lact with flisa , . vV'ood Siove � . � , : �' 1�Vood stovE;with tlue Brand Nanr►e, _..r,..__ Model No. �v�rr�_]Q,A.�'I4rit No, Kitctfen Exttaust,,,,,__duat �reca3cvlating ofm /� i n�tr.l ' .No.„�:$ath fixhausE(must haye duct outeide) �^c�an �•!t2✓ ��U G�P/�7 SdZc.rG4/x' : No: dther Fat►s:Locatioua�. , cfm .�p ��ot�ru . . ��.���J FU'EL 3T0�(NNST BE A,P�'RO�D BY�RE MARSHAL) Installation or R�emm�val � flul oil: gallons undergi�ouad inside oartside . � LP.Gaa: gallons Other - - --Gas°p�►1»g . PE12NX�'�'F`F,E.��12��LY(� , �Z,._.S_tste Ltute Yes Tb�ie 4�on AppBes � Itie replacanc»t of a Ytesidci�tial_flxture or anbli��ti�t mects a1.1 tlu+ee of thc following rcquircnn�nts: 1) D�g t require x�dification to elecu�ica!or gas service. 2) Has a total coat�f$500.00 or less;accluding the cost of the fiatu�or apPliance: a».d ; 3) Is improvod,it�stalled or replaiced'by tho hameowucx or licer►s�l co�ntsactoi'• Skip ruact section; Coat o£Pcrmit ffi,�,,,,�,�.00 : State Svrc�arge S .50 Mait-In Fee $ 1.50 ,'f�bove does not apply,follow guidelincs below: l: Cont�act Price*is.0125%of job with a M{n�mq�n.Fe�,ot(S35•00) �,�P�a X.oin s a�o.(�5 (contract�nice) (minimunn$35.00} ;.��St�e��,"'�Add tl�e 5tate Building Code Di�►isxoz��Mioimmou._�'ee of(�.50), � ��Wi��aZ x.00Os $ 8''T 3 (contract pricc) (minimum S.Sa) � �ttp://www.ci.nrorio.tnn.us/mechanica]%20permit.httr►1 ]O129/20(33 •.�, , .. . , .:• : • pC'T-29-�03 15�03 . � � P.06: . �,post�e and A�adli,�n (Only�il-i,�ap�aticaqo�.$) $ -_. �:��--�.----. ': -. ; . _ . y �.,7C4?AL pERMiT IFEE(A�dd;lines l-3 abovc) � o�!9•�� . `. ►'. ' bl . prbfiG aod aha ' !CON'!'RACt PRIGE a 10�COS'C mans th�actad a csdrt►ated dollar smoiu+e chatgod for the pa�mitoed walc induding meteri e.labor, . ��:ixed cosa.:I�i�the'�mount eo li�e eherged eo the custamer faar,We wo�#c dona If aqy eq�ea�sl;�equiprnent,Isbor,ar instal]ation is furte�ed by tho owner,tu�ant . ;n,'►ny ot1i�'r'party rhe re�onable tt�atltet,vei�ie of.eucli iaerns must be�ddod W tltie atimakd cost ar cotthsct ptice f�}�m�£eq P�oees,I�I the event that dfete ..a��dispute oil tlid nn+aint of the joi!coet;the Ciry miyi�equent'd�a , ; subloisaion of s sigiaod copy of tha satud ccr►tr�ck ' � .'•'tt�e S7ATE SuttCElARGC ia,0005 of the conc�eot price wider 51,000�000 or 5.30;wbicheva is enater.�otvah+atiotie ave*S1,000,000 ea11 thc , , Tepiidmemc af lnsp�tia+al3orvi�es fa the price, [he anaersi�ed h�reby spplies to tt►e Cly for isni�nee af e btechenieal Permit,t�!lee�es tu do alt work in�trict�ee�rdanee wlth thr 6rdinancea of t1+c Ciry end' rc ,.�e r�gulaiions of the Minnesota 9tete ui{dit�p �nd c 'fies tbat Wl atatamenb noa►de oi�d+is eq►Plie�tion�e comple�tte,en�e a�d,eorreek' , , , . 3 i�:. „ :. r . ', �Dates � ;,.. . . . • .., ' ;�pplicadt s Sigr�tu�t!�: -__. ��r�� � i � 4PProYod�Y: ' ' Date � , , � .. . � i i � � ;. � � � . i � , ; � - � � ' j � ' � • i . i � � , � � � i i ittp://www.ci.orono.mn.ns/mechanical%20�ermit.hlml 10/29/2003 , TOTAL P.06