HomeMy WebLinkAbout2000-P02185 - mechanical �` • .`
PERMI�'
�
�
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : !�b a l�
Crystal Bay, Minnesota 55323 Date Issued: Ol/19/00
(612) 249-4600 �
SITE ADDRESS: 3400 Norths Shore Drive
Orono, MN 55391
H.N.B.
08-117-23 43 0016
DESCRIPTION: Mechanical
1 Heating Make Janitrol
REMARKS:
FEE SUMMARY: Valuation $5,900
Base Fee $73.75 MAIL IN FEE $1.50
Surcharge 2.95 Total $78.20
Subtotal $ 76.70
CONTRACTOR: Golden Valley Heating & Air OWNER: Greatland Homes
5182 W. Broadway
Crystal, N1N 55420
� THE UNDERS7GNED HEREBY REQ�UEST�PERMISS�ION T`O MAKE THE REAL�IMPROVEMENTS�SPECIFIED�AND ��
AGREES TO bO ALL WORK IN STR[CT COMPLIANCT W I"�H ALL C[TY OF ORONO ORDINANC�S AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
. ,
��G�(�, '/��'(f �J'Ya'�,�-'���'-1
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE
���
r r _
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
''`����R�''`•,:. .
GENERAL INFORMATION
1. You may apply for mechanical pernuts 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 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 Desi�ns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temneratures. eauipment ratings and identification as to type, manufacturer and model.
Data snail 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 sepazate 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 pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
F�tease check one: New � Addition Repair Replace
Residential Commercial
JOB srrE: 3� a� cS rre z►p: 5�.�3
Owner's Name: Telephone Number: �j/—�7/- 3/
1�lailing Address: City: Zip:
Contractor's Name: .. _�. „�.�...� � �,�T� t� Aip __ Telephone Number:
Mailin� Address: �' Citv: Zip:
SYSTEM DESCRIPTION RYSTAI., MN 55429
612-535-2000
HEATING SYSTEMS
Quanti�y: / _
Make: �,�Zilt.�'l!G
Model:
Fuel: "
Flue Size: G•��5 �1
Input BTUs: (00�000
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Modei:
Tons:
H. Power
; , -
. ; _ -I .
' .- ti 1
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
' oD�O X .o12s � 7.3� ��
(co tract price)
2. State Surcharge. ** Add the State ui ding Code Division � q�
Surcharge to each permit. 04• � x .0005 $ �
or $.50, whichever is greater (c traci.price);,.;,-r, `�
. .. .., . �.� � ,
3. Posta�e and Handlin� (Only mail-in applications) ` � $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above). � $ •o�
* 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 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.
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.
� 000Z t i Ndr
Applicant's Signature: d Date:
Approved By: � Date: �' � 3—0�
. .. . . . ;