HomeMy WebLinkAbout2003-P06659 - mechanical ` PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06659
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemuts
(952) 249-4600 Date Issued: siiai2oo3
SITE ADDRESS: 2684 Lydiard Ave
Fxcelsior,MN 55331
PID: 21-117-23-23-0032
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pemut Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 284.50 Valuation• $ 22,760.00
State Surcharge Fee: $ 11.38
Misc.Fee: $ 1.50
TOTAL FEE: $ 297.38
APPLICANT: Total Comfort OWNER: Stephen&Carrie Parente
12800 Highway 55 2684 Lydiard Ave
Plymouth,MN 55447 Excelsior,MN 55331
TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENfS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND Sf ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Coqies: 1-File(SiQniCures Required),1-Auvlicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
Oct-04-2u02 OA:07�m From-CITY OF ORONO +6522404616 T-182 P.002/004 F-452
�?,'i Y OF ORONO APY'LICA.TION FOR MECHANICAL PERMX'Y'
` Br�x 66 (Z 750 Kelley Parkway)
Crystal Bay, MN 553Z3
. �E�t�t�L nvF.�x�tp►�
1. You may apply for mechanical permits by mail or in ptrson at the Ciry offices. Applications will be
reviewed and a permit will be issacd within two working days.
2. Pertnit cards will be sent by return mail after a re�iew is completed.PERMYTS ARE NOT�A�,ID
UNTLY.YOU RECETVE A PERMTI'.WORK ML1ST NOT BEGW UNTTL THF PERMi'I'CARD IS
� POSTED ON YHE JOB SITE. '
3. Mechanical Designs-Complete calculations,details end specifications ate required for each heating,
ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat
�ain calcu!ation, de.sigi tcmperatures, equipment ratin�,and identification as to rype; mAnufactuXer and
model. Data shall be presenced on form provided.Idencification of and specifications for wacer heating
equipment shall atso be provided.
4. When any new construction or ranodeling is irivolved,a separate building permie must be obtained.
5. All work must be done in aceordance with the Uniform Mechanical Coda/State Building Code
requirements.
6. All work must be inspected(rough-in and final).Call(952)249-4600. 24-hour notice required.
7. House Heacing Test�tecord must be submitted before ftnal.
I nstructions
Complet� all items on this.application. Compute thc permit fee. Siga and date the certification
TNCOMPLETE APPLICATIONS W1LL NOT BE PROCESSED. If you have questions, call
(952)249-4600,
Please check one: []New ❑ Addition ❑Repair �Rcplace�] Residential ❑ Commercial
� �
� �� �
J�B SITE. ��1 L d �o�-r� � �ip: _�,
Owner's Name: Phone Numb�r: � � ( - c� 3 _
Mailing Address: _ City: Zip:
Contractor's Name: �l V� �� Phone Number ��3 �g3 �g3
Mailing Address: — Clh'� P�—�.Zip:� l
r• 1
1
Oct-04-2002 OA:OT�m Froa-CITY OF OROWO +g522494616 T-181 P.003/�04 F-452 ' � �
SYSTEM DESCRIPTION �
.►
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HEATfNG SYS'�'EMS �
Quancity:
Malce: •
Model: ���,'_,�q�" `
Fuel: �"��' �
;
Flut Size: ,
[nput BTUs: a
Outpuc BTUs; '
CFM: .
COOLING SYSTEMS I
Quaetiry: �
Make: �`'� 1��►�-'
Model: ��uy��I�
Tons:
H.Power
FT�tEPLACF S �
[] Gas factory fireplace
❑ 'QVood burning factory fireplace wich flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
V.ENT�..A�.TION
No._,,,,_Kitchen Exhaust duct recalculating cfm
No. Bath��xhaust(must have dttct outside) cfm
No: Other Fans: Locations cfm
F'iJEL STOYtAGE(MUST BE APPROVED 8Y FII2E MARS�AL)
❑Installation or ❑Removal
❑Fuel oil: _,.,_gallons ❑ underground ❑ insidc ❑outside
❑T.P Gas: gallons
❑ Other Gas opening
. 2
OCt-04-2001 OA:08am From-CITY OF ORONO +A522494616 T-182 P.004/004 F-45Z
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' PERMIT k'EE CAT..CULATYON(S) �
2D02 State Statute ❑ Yes Thi� Sect:on Applies �
The replacement of a Residential fixture or appliance that meots all three of the following requirements:
l) Does not require modiftcation to electriwl or gas service.
2) Has a total cos of$500.00 or less;excludine the cost of the fixture or appliance:
a
and '
3) Is iinproved, insralled or reptaeed h3�the homeowner or licensed conQactor. •
Skip next section; Cosi of Pcrmit $ 15.00
Stnte Surcharge $ �.SO
Mail-ln Fee $ 1.50
If above does not apply, follow guidelines below:
1. Cor�tract Price* is .0125%of job wich a Minimum Fee of($35.00)
aa��� ��X .o�25 $ ��-1, s� �
(co �ract price) (minimum 535.00) - , •
2. State SurcharQe. ** Add the State Building Code Division a Minimum Fee of(S 501
�-� x .00�5 � .—�3� _
(contract pricc) (miaimum S.50)
3,�'ostagc and Flandling(On/y r,rail-in rtpplicalrons) $ 1.50
4.70TAL PERMYT FEE (Add lines 1-3 above) S �� > J�
•CONTRACT PRFCE or JOB COST mtans thc aetual or estimattd dollar amount chugcd for tht permincd work including
mnterials,labor,p�ofit,nnd other fixcd costs.ic is the amount to be chnrged to thc cu3iomer far thc work dona.If any matetial,
equiomenr,labor,or insta[lation iy fumished by tht owner,tcnt►nt or any othtr parry thc rtnsonable merket vnlue of such items
must bc nddtd to thc tstimated cost or eonuact priee for permit f::e purposes.In:he event:hat thtre is a dispute on the amaunc of
[h�job cost,�he Ciry may requtst the submission of a signed copy of the aecual coneracc.
•'Tht$7ATE SUItCHARGE iy.00OS of thc eontract pricc under S1,000,000 or S.SO-whichever i�gren�er. Fo�valuacions ovcr
S1,000,000 call the DcpuRmenc of Inspectiooal Servica fo�tht price.
The uttdersigncd hereby applies to the Ciry for issuance of a Meehanical Permit,agrecs to do a1t work in shict acco�danee with
the ordinnnces of the Ciry and the regulacions of the Minncsotn Stott 8uildin�Code,nnd ecRifies that nl)stnttmenis madc oo this�
npplicntion ere completq true an orrcc� '
Applicant's Si�rtature: Date: �
Approved By: Date:
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