HomeMy WebLinkAbout2004-P07169 - mechanical CITY OF ORONO PERMIT
2750 KPII�y Parkway - PO Box 66 Permit Number: Po�169
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 1i16i2ooa
SITE ADDRESS: 2765 Kelley Pkwy
L.ong Lake,MN 55356
PID: 33-118-23-12-0002
DESCRIPTION:
Proposed Use: Commercial-Busines
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 2,700.00
State Surcharge Fee: $ 1.35
TOTAL FEE: $ 36.35
APPLICANT: Allied Fireside OWNER: Professional Prop Orono,LLP
DBA: Fireside Hearth&Home 835 Partenwood Rd
2700 Fairview Long Lake,MN 55356
Roseville,MN 55113
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHA.NICAL PERMIT
Box 66 (27�0 Ke11ey 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 permit will be issued within two working days.
2. Permit cards will be sent by retut-n mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�s - 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 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. Canlpute the pernit 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
.T�B S�'I'E: � ' �..� Zip:
Ownea-'s Name: � '� ' Phone Nurnbea-:
Mailing Address• City• _ Zip:
Ahied Firesitle
dba Firaside Hearth 8 HOm�i
Contractor's Name:���*���� Phone l�umber:
� � .
1Vlailing Address: Rosevilie.MN551ts �ity; �lp:
._-,ew��-���,,.
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SYSTEM DESCRIPTION -
HEATING SYSTEMS
Quantity:
Make:
ModeL•
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTENIS
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 g`dC.l�f ti ��=� Model No. �T-(�U
'VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust (must have duct outside} cfm
No. Other Fans: Locations cfm
FU�L STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Re7noval
❑ Ftiel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Appiies
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 $ I.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of(�35.00�
��u�.c�; x .0125 $ �:S QU
(contract price) (minimum 535.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
�,�%���� x .0005 $ - f ��
(contract price) (minimum$ .50)
3. Posta�e and Handlin� (Oiily rnail-iri c�pplications) $ -�,�
4. TOTAL PER'VIIT FEE (Add lines 1-3 above) $ ,��:�J—
*CONTRACT PRICE or JOB COST means the actual or estimated do]lar 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 sucti 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
thejob 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 Perniit,agrees to do a11 work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that alf statements made on this
app(ication are complete,true and co t.
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Applicant's Signature: '�c-�,:- ��, �.c. ,� ' Date: li L
Approved By; I Date:
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