HomeMy WebLinkAbout2004-P07498 - ventilation I/ �
PERMIT �
CfTY OF ORON�'J �
2750 Kelley Parkway- PO �ox 66 Permit Number: Po�a9s
Crystal Bay, Minnesota 5 23 Permit Type: 1�echanical Permits ;
(952) 249-4600 � Date Issued: siiai2ooa
SITE ADDRESS: 3155 Jamestown Rd
!I.ong Lake,MN 55356 /
PID: 28-118-23-33-0012 j
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DESCRIPTION:
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Proposed Use: �{esidenrial
Permit Class: General
Pernut Type: Mechanical Pernuts Perxnit Sub-type(s): Ventilation
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DETAILS: i
Approved per resolution#: //
Separate pernuts required: %
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NOTICES/R�MARKS: %
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FEE SU MARY: Permit Fee: $ 15.00 Valuation• $ 0.00
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State Surcharge Fee: $ 0.50 j
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Misc.Fee: $ 1.50 �
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TOTAL FEE: $ 17.00 %
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A�PLICANT: Ditter Inc.&Ditter Properties OWNER: Ian Gate use
820 Tower Drive 3155 Ja estown Rd
Medina,MN 55340 Long L ke MN 55356
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� THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPRO MENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF OR O ORDINANCES AND STATE OF
/ MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Revorts, 1-Assessins, 1- inance
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� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT ��' Page 1 of 3
�ITY 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 o�ces. Applications will be reviewed and a
permit will be issued within two 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-del�umidification, 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 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 Replace Residential Commercial
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JOB SITE•���� yJ�YYI.(7�IC�%1 Zip: `�`--> �'���;
Owner's Name: _�i v� (Y%�'C(�� aG Phone Number: �i_;�' - �:; y - �y��
Mailing Address: >u yy�.(� City: Zip:
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Contractor's Name: ( �'�'i_� Phone Number�� �� l=J ''�
Mailing Address: �'� G�,L r ��' Ci � (�
-`�� � K , ' t3'• ��b'!'�.�.4 Zlp: `SJ 3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
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COOLING SYSTEMS .
Quantity:
Make:
ModeL•
Tons:
H.Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
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
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Other Gas open�ng
PERNIIT FEE CALCULATION S
2002 State Statute Yes This Section Applies
The replacement of a Resi ix ure or app iance 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;excluding the cost of the fixture or appliance:
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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 -
�ve oes not app y, o ow gui e ines e ow:
1. Contract Price* is .0125°/a of job with a Minimum Fee of($35.00)
x.0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
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C1TY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3
• ' , (contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ ____
* 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 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,and certifies that all statements made on this application are complete,true and
correct. ;i �
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Applicant's Signature: lyi����(/� _� _______Date: G�' ___
Approved By: � ate:
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