HomeMy WebLinkAbout2004-P07649 - mechanical C�TY �OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�649
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 6�3o�2ooa
SITE ADDRESS: 1586 Long Lake Blvd
Long Lake,MN 55356
PID: 26-118-23-33-0030
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Space heater wall type w/blower
FEE SUMMARY: PermitFee: $ 35.00 Valuation• $ 1,712.00
State Surcharge Fee: $ 0.86
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.36
APPLICANT: Dependable Indoor Air Quailiry Inc. OWNER: Steven Gronwall
2619 Coon Rapids Blvd 1586 Long Lake Blvd
Coon Rapids,MN 55433 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.
!,� '`�`"—, `�CiVt, C9��{,(.�-�,t
APPLICANT PERMITEE SIGNATURE SSUED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�-���► � � -��-��t�� �
�
CTTY OF ORONO APPLICATION FOR MEC�iANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 . � .�: � '.. _.- � � _ ,i'
,'� ;
E
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pennit 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 i�
,� 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 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 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 249-4600.
Please check one: New Addition Repair �_Replace
� Residential Commercial
JOB SITE: 1� � l,� i,�,r �it l ��i.�; �'',I:�-<I � Zip. �
Owner's Name: � �e,�:�°_ C��,�r�F��<< �� � � Telephone Number: �" i '.�-; <'��,�, � ;�.;�,-r,,
Mailing Address: , -.� � , � ,,� City: Zip:
Contractor's Name• • (N� Telephone Number: � i�•-, ;�, �� A ����.
Mailing Address: . 2619 COON RAPtD B ity: Zip:
COON RAPID .
SYSTEM DESCRIPTION
HEATING SYSTEMS
�
Quantity:
Make: � ��:,i��c�i,.���t�L- —
ModeL• (���,,u � l ��:;��� ;
FueL• �� 1-,►,.�,,,���-�- +z�
Flue Size: ��c��- ���tc..�l�-.'
Input BTUs: ��L���titi-� r
z� 011�Ui BTUS: l;�r :-t� _ �`�-
% CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
WOOD BURNING EOUIPMENT
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 ($35.001 •
i- i ��:� c -c:� x .oi2s � .�-I . �l �, 35.�o m�►�
(contract price) "
2. State Surchar� ** Add the State Building Code Division r $�
Surcharge to each permit. !-";,"'i �=��- x .0005 $ ; `]L`.
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applicafions) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,� -�. �SL /
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted ���
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work�one. If any material, equipment, labor, or installation aze 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 pemut 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 .OQOS 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. .
Applicant's Signature� ���'�'��' ��'�-�=��"E'L�l �, Date: �• � ��
Approved By: Date:
. . . . .. � � . :4'.-'.. •�x- � .. . '�" � .. � .
� .. , . . ' . � � - . -. . . .. � - . �. . � .��
.iR