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Home My WebLink About2001-P04266 - mechanical CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Poa266 Cry��stal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: si3oi2ooi SITE ADDRESS: 100 Luce Line Ridge Maple Plain,MN 55359 P I D: 31-118-23-34-0009 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,300.00 State Surcharge Fee: $ 1.15 Misc.Fee: $ 1.50 TOTAL FEE: $37.65 APPLICANT: Air Quality OWNER: Mr•&Mrs.Passow 3910 Leslee Curve 100 Luce Line Ridge Excelsior,MN 55331 Maple Plain MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�REAL IMPROVEI�NTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. t (/�� o�V'� �'✓�C�'1 /�' � APPLICANT PE TEE SIGNATURE SUEDBYSIGNATURE Conies: 1-File(SiQnitures Reauired). 1-Aaalicant 1-Monthlv Reuorts, 1-Assessin¢. 1-Finance Page 1 , . ..... , . � . ,... . . �,. :{,: J �� .. � . ... .. � �[.��Rr��D S}� A'- � � �� z 7 2oot � ,�., ,;� ,,� ' CITY OF ORONO `-` ` �` ` " APPLICATION FOR MECHANICAL PERMIT �� Box 66 (2750 Kelley Parkway) „. Crystal Bay, MN 55323 ;' � GENERAL INF'ORMATION � 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 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 POSTED ON � THE JOB SITE. `` 3. Mechanical Desians - 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 � esidential Commercial ;`±� JOB SITE: � � Zip: �'3S(,o , . � Owner's Name: � ' o , Telephone Number: _ - � Mailing Address: p City: Zip: ,�' � � Contractor's Name: '� �,� � � � Tel phone Number: �,�- /-��v�j � `>' Mailing Address: v City: �' S�of Zip: ,/�,g��, � Q � •� �� SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Nlodel: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: � `�� COOLING SYSTEMS Quantity: Make: � -P�3 Model: Tons: � � H. Power �� :� .�a � � � � �r� � � � � � � � � � z � : � - } y.�� i F, � ,. -."I . . �� ... ... . .. .. . � , � YF�. _i ,.l�Fi...i*F..v�:�: ._.3�.*i,. �.., ,.z.:4 , t':.�'?._�:��...,tr. �3 . . . <;Ir_e.,�!`� �l�a° �,� `Y�� x} 1fl`#ij# ,r .•y-g g _ +rm+�.ry. ,..�..d.. ="�Cx?F' :tJ e . ,r� .,.,m-..,.....Fr. � f �,� 'i � � } ,y"�'� � - F+, ;` . � T�e., , . '� , � . ..•1`� .F .. .< � ., � . . . ' . .. i 1.� .�... .� . .. i ,i� ,,«3 FIREPLACES ` Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. 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 v 1. 1.25% of Contract Price* or Minimum Fee ($35.00) `' -'�� ?,�n� `� x .0125 $ ��. �� ; � "F :.� (contract price) =;f�� 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. �� == x .0005 $ l��J r or $.50, whichever is greater (concract price) ,� ' �� 7 = � 3. Postage and Handlin� (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 wark done. If any material, equipment, labor, or installation are 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. ,� z. 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: Date: �2 C� Approved By: Date: � : , �� I . , ;� � � i� :�� a �s.; .:, f �� ' . l �.. ��. �" }.� .' +�t �ur,..A,_.z�w.�1h,e t......,.:.s�3.at...:..sti.aa.t��w. - �_��.a�.��n<_` �_...°a .�._..s..s.��. .. .e...�.,,.�....�_ „4.�.1.�_ . . _.._ �_.�...- . ,..:�.d.rw��::.as.,,,:�° ��i� •x.+��'t`�.._.iL�:.,: ._.s�. .