HomeMy WebLinkAbout2002-P05792 - ventilation CITY OF R N PERMIT
� � � Permit Number:
2750 Kelley Parkway- PO Box 66 P05792
Crystal i�ay, Minnesota 55323 Permit Type: Me��an��al Pe�ts
(9�2) 249-4600 Date Issued: ioi3oi2oo2
SITE ADDRESS: 980 North Arm Dr
Mound,MN 55364
P I D: 07-117-23-11-0016
DESCRI PTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pemuts Pernrit Sub-type(s): Venrilation
DETAILS:
Approved per resolution#:
Separate perxnits required:
NOTICES/REMARKS:
Also,Trunkline from furnace to 2nd story addition duct work
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 1,125.00
State Surcharge Fee: $ 0.56
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.06
APPLICANT: Flare Heating&Air Condirioning OWNER' Mr.&Mrs.Bicknell
9303 Plymouth Ave N.Suite 104 � 980 North Arm Dr
Golden Valley,MN 55427 Mound MN 55364
THE 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 STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMTTEE SIGNATURE IS D BY SIGNATURE /�/�'/
Conies: 1-File(SiQnilures Re4uired), 1-Apulicant, 1-Monthlv Renorts, 1-As�essine, 1-Finance Page 1
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� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City o�ces.Applica.tions will be
reviewed and a permit 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
UN'TII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII,TF�pERMIT CARD IS
POSTED ON THE JOB SITE
3. Mechanical Desi�ns-Complete calculations, details and specifica.tions aze required for each heating,
ventilation, humidification-dehumidifica.tion, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipment ratings and identification as to type, manufaeturer and
model.Data shall be presented on form provided. Identification of and specificafions for water hea.ting
equipment shall also be provided.
4. When any new construction or remodeling is irivolved, 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(9�2)249-4600.24-hour notice required. '
7. House Heating Test Record must be submitt�i before final:
Instructions :
Complete all items on this application. Compute the pernut 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 ❑ Residential ❑ Commercial '
JOB SITE: R�(' ��r`�'h �-r-�,.� �r-i U F,� Zi : '
Owner's Name: � P
� Phone Number• _ GJ'S��Lj7(� �-f/�j�
Mailing Address: � �� 1��r--�-� rr,��City: �'��-�n r) Zip: �s � '
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Contractor's Name: u, Phone Number• 7��-- S�/�- %) �
Mailing Address: City: Zip• ,
LARE HTG. & A/C, lNC.
. _303 Plym�uth;Ave. No. i
. Goiden Valley, MN 55427
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SYSTEM DESCRIPTION
HEATING SYSTEMS '
Quantity: - .
' Y. P .
Make: k t ;,,�4 :
ModeL• � � � . ,_ s�� `�s: ..�,�
Fuel:
, Flue Size:
Input BTUs:
' Output BTUs: '
, CFM: ' :
COOLING SYSTEMS
' Quantity:
Make:
Model:
Tons:
H.Power _ _
FIREPLACES �
, ❑ Gas factory fireplace
� Wood burning factory fireplace with flue
Wood Stove
❑ Wood stove with flue
' Brand Name Model No.
:
VENTILATION �
� No. Kitchen Exhaust duct recalculating cfm
No. 15`'P��th Exhaust(must have du t o tside) cfm
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No: .�_ Other Fans: Locations J-�� ��'' S`'"�'� _ r�� ��
Tr�� �C ( ;h� -�r'ar. -�vrn�c� �}-� �- r-� �-f�.r • �t �- � ��`��or� . ����'c.v �r�
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) �
❑Installation or �Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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PERNIIT FEE CALCULATIOl'�T(S)
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or a�oliance that meets all three of the following requirements:
1) Does not require modification to electrica.l 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($35 001
f�1�- S. oC� x.0125 $ �.� GQ
(contract price) (minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($.50).
la 1 �-. .UO x .0005 $ , s�
(contract price) (minimum$.50) ' '
3.PostaEe and Handlin�(Only mail-in apptications) $ 1.50
4.TOTAL PERNIIT FEE(Add lines 1-3 above) $ 7� �. � ,�
*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 work done.If any material,
equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable mazket 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.
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do ail 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: � 02� ���, .-
Approved By: Date:
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