HomeMy WebLinkAbout2001-P03981 - ventilation CITY F R N PERMIT
O O O O Permit Number:
27��Q Ke�iey Parkway - PO Box 66 P03981
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 6�2i�2ooi
SITE ADDRESS: 2275 Longview Cir
Long Lake,MN 55356
P ID: 03-117-23-22-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Kleve Heating&Air OWNER: Steve&Debarah Buchholz
13075 Pioneer Trail 2275 Longview Cir
Eden Priaire,MN 55347 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.
A P I AN PERMIT E NATURE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), i-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
� �
r . b 3 �
CITY OF ORONO APPLICATIDN FOR MECHANICAL F�r
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 permi[ will be issued within 2 worldng days. '
2, Permit cards will be sent by retum 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 OI�1 THE JOB SITE.
3, Mechanical Desi2ns - Complete calculations, detaiIs and specifications are required for each hea[ing,
ventilation, humidification-dehumidification, and air condiuoni.ng installation including heat loss/heat gai.n
calculaiion, design temperacures, equipment ratings and identifica[ion as to type, manufac[urer and model.
Data shall be presented on form provided. Identification of and specifications for wa[er heating equipment
shall also be provided.
4, When any new construction or remodeling is involved, a separate building permit must be obtai.ned.
5, All work must be done in accordance wi[h the Uniform Mechanical Code/State BuIlding Code
requirements.
(, All work must be inspected (rough-in and final). Call 473-7357. 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, c,all 473-7357.
Please check one: � New Addition Repair Replace
� Residential Commercial
JOB SITE: ,��� S L_c���iP►�1 �' , rr Qo - �`'P'
Owner's Name: TelephoneNumber:
Mailing Address: City: _ Zip:
Contractor'sName• �;;�;� N��C' It�C__— _TelephoneNumber:gSZ-q�I•y�.l�
MailingAddress:� 2,•--'� �' � 1n„- _C1tY� ZlP' S�'`47
, �� � , � ,. ,
SYS'I'EM DESCRIPTION � � \
HEATING SYSTEMS
Quantiry:
Make: —
Model:
Fuel:
Flue Size: _
Input BTUs:
Output BTUs:
CFM: — .
COOLING SYSTEMS
Quantity: �
Make: �
ModeL• �
Tons:
H. Power
WUOD�BURNING E�MEN'T . . _ — .-
� 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. �
Ta#al
VENTILATION
No. �_ Kitchen E:�haust � ducted recirculati.ng �_ ��
No. �_ Bath Exhaust (must be ducted outside) �_ ��
No. Other Fans: Locations �� �
. 10�
FLJEL STORAGE (MUST BE APPROVED BY FIRE M.ARSHAI-)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
p�,RI���'I' FF,E CALCLTLATION
l. 1.25% of Contract Price* or Miriii�m�ce�e (�35_��� 0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. (____r(�(Y� .�Q_— x •�5 $ a
(contract price)
� or $.50, whichever is greater � 1.50
3. Posta�e and Handlin� (Only mail-in applications)
4. TOTAL PERMIT FEE (Add lines 1-3 above) � �7�M
� Cpti'I'RA�'PR:CE o:10B COST me�ns the actual or estimated dollar amount charged for the permitted
work including materials, labor, profi[, and other fixed costs. It is the amount to be charge�l io the
� customer for the work done. If any material, equipment, labor,or installation are fiirnished 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 che event that there is a dispute on[he amount of the job cost,
the City may request the submission of a signed copY of the actual contnLt-
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - wiuchever is
greater. For valuacions over $1,000,00� call the DePart�ent of Inspectional Servicxs for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accorda.nce with the o�inanem��die n this appl�.�ti are ompl�etrue
State Buildi.ng Code, and certifi that
� and correct.---------- :
_ .. .. �....-
....:.�.... _ . _ ... ._.. ... ..:_. _ -
_- - - Date:
_ Applicant'sSignatur .
� ._ Date:
. ,.- '. �'FProved By:..�:;.;.: ,