Loading...
HomeMy WebLinkAbout2000-P02118 - mechanical L . { ' PERMIT . C�TY �F �RO N 0 Permit Number: 2750 Kelley Parkway- PO Box 66 Po2t ts Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits (612) 249-4600 Date Issued: 3i6ioo SITE ADDRESS: 560 North Arm Dr MOiJND,MN 55364 P ID: 06-117-23-31-0007 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 51.65 Valuation: $ 4,132.00 State Surchazge Fee: $ 2.10 TOTAL FEE: $ 53.75 APPLICANT: Ditter Inc OWNER: T& S MAZER 820 Tower Dr 560 NORTH ARM DR Hamel,MN 55340 MOUND MN 55364 TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF'IED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS. � �PP �������'E�f�iRA I� SUED BY SIGNATURE � . Copies:City,Applicant,Assessor,Finance Page 1 . �azl�S �t;�°;�`����D CITY OF ORONO ,,r��R 0 � ��j�PPLICATION FOR MECHANICAL PERMIT f� Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 �e1�Y Ur UR(3i'v� ,, , , _....<., j .,. . _ � GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within 2 working days. 2. Pernut 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 ON THE JOB SITE. 3. Mechanical Desiens - Complete calculations, details and specifications are required for each heating, ventilation, humidification�ehumidification, 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. ^.. «'hen any new construction �r remodei:ng is involved, a separate building permii must oe 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 pernut 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: �j(�:O - fb�l�l� 2. Zip:_ � )������ Owner's Name: Z- Telephone Number: �7,�— 7 Mailing Address: ,�� �.�_ �i�l ` ��- City: �'�'G�1��- Zip� �6 Contractor's Name: .��- Tele hone Number: y� "-(J 5 Mailing Address: �� Z� (62�.,�7�' �, - City: 1 ��L Zip: >>�3tfe SYSTEM DESCRIPTION II ^ �` i �U� l��,� �✓�L�t- 7�d-�-�-�- �' HEATING SYSTEMS CUv�,�' �� Quantity: / � � Make: � ��. Model: -?)= b�{�S'L Fuel: �l.' Flue Size: � Input BTUs: 7��bb Output BTUs: �';�; �c� CFM: /l-�;j"j{„ COOLING SYSTEMS Quantiry: Make: Model: Tons: H. Power ' ;, . =�: , �. � WOOD BURNING EQUIPMENT 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 35.00 �� /�Z � x .012� S �� (contract price) � 2. State Surchar�e. ** Add the State Building Code Division � ��'� Surcharge to each permit. c�(�'� � x .000� S or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) S �l-�6� 4. TOTAL PERMIT FEE (Add lines 1-3 above) S `7� 7� * 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 charged to the customer for the work 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 pernut 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. 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 ce 'fie�that all stateme ts made on this application are complete, true and correct. � � Applicant's Signature: Date: � Approved By: --- Date: �� � -vJ . �-•n:; -�.;.. �; • , ,~ _ w`�.