HomeMy WebLinkAbout2003-P06333 - mechanical I�Y F R PERMIT
C � � �N� Permit Number:
2750 Kelley Parkway- PO BOX 66 P06333
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Perniits
(952) 249-4600 Date Issued: s�i9�2oo3
SITE ADDRESS: 2660 Mapleridge La
Excelsior,MN55331
P I D: 21-117-23-24-0051
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 62.50 Valuation• $ 5,000.00
State Surcharge Fee: $ 2.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 66.50
APPLICANT' �ver City Sheet Metal Inc. QWNER: Karl&7ulie Yeager
� 9928 Bluebird St NW 2660 Mapleridge La
Coon Rapids,MN 55433 Excelsior,MN 55331
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 Reouired), 1-Atrolicant, 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMt'I`-'�•.,,:
Box 66 (2750 Kelley Parkway) `
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person af the Gity offices. Applications will be
reviewed and a pernvt will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed:PERMITS ARE NOT VALID
UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs-Complete calculations,details and specifications are required for each heating,
ventilation,humidificarion-dehumidification,and air conditioning installation including heat loss/heat
gain calculation,design temperatures,equipment ratings and identificarion 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 pernut 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. �
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Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WII.,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace Q Residential ❑ Commercial �
JOB SITE: ��(�0 '��lan�e ����b,Q,� Zip:
Owner's Name: ' Phone Number: S���l 1 -3y�
Mailing Address: St��criE City: (���v Zip:
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�Zfver City Sheet Metal, Inc.
Contractor's Na�2$ g���ph��� St N W, phone Number:
Mailing Address��R�;dS, MN 55�?.� City: Zip:
�1b3- 754-2199
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make:. � �
Model: �J�C..�Oq0-1—l4�
Fuel: S
Flue Size:
Input BT'Us: �
Output BTUs: bv
CFM:
COOLING SYSTEMS
Quantity:
Make: '
Model: �T�A Q��}
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 Model No. � �
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans:Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑Removal
❑Fuel 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 Applies
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 $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
o , ov X .0�25 $ �a, s�
( ontract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $ a..S �
(contract price) (minimum$.50)
3 P��+��e and u�n�lin� (Only n:ail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �(p, S U
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
...,,:c,ials,labor,profit,and other fixed costs.It is the amount to be charged to the customer far the work done.If any material,
equipment,(abor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items
must be added to the estimatad cost ur contraet price for permit iee purposes.In tne even�tna:[nere is a d�spute 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$I,000,000 or$.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 Pemut,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: �3
Approved By: Date:
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