HomeMy WebLinkAbout2005-P08447 - mechanical �
�ITY OF OR N PERMIT
� � Permit Number:
2750 Kelley Parkway- PO Box 66 P08447
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernrits
(952) 249-4600 Date Issued: 2�is�2oos
SITE ADDRESS: 4215 North Shore Dr
Mound,MN 55364
P I D: 07-117-23-43-0006
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
Bsmt-Insta113 supplies adn 2 returns-gas pipe fueplace
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,400.00
State Surcharge Fee: $ 0.70
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.20
APPLICANT: �eve Heating&Air OWNER' Douglas Waldoch
13075 Pioneer Trail � 4215 North Shore Dr
Eden Priaire,MN 55347 Mound MN 55364
TI�UNDERSIGNED HIItEBY REQUESTS PERNIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN Sf RICT COMPLIANCE WI'I'H ALL CITY OF ORONO ORDINANCES AND STATE OF
MIl�INESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMTI'EE SIGNATURE D BY SIGNATURE
Couies: 1-File(Si�nitures Required),1-Atmlicant 1-Monthlv Reuorts. 1-Assessin�2,1-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
1. You may apply for mechanical permits by mail or in person at the City offices.Applications will be
reviewed and a permit will be issued within two working days. •
2. Permit cards will be sent by retum mail after a review is completed.PERMITS ARE NOT VALID
UNTII.,YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON TI�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 temperatures, equipment ratings and identification as to type,manufacturer and
model. Data shall be presented on form pror•ided. Identifica.tion of and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, 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 (952)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 permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑New ❑ Addition � Repair ❑ Replace 0 Residential ❑ Commercial
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JOB SITE: ��/ 5 r t h J �r�, ��� V� Zip: J� (Q�
Owner's Name: J�O l,9 W1r Q�C�O Phone Number:�'r�, — � '?Z _��
Mailing Address: ( City: Zip•
Contractor's Name: � �t ; ��(�° Phone Number: �1� —�ll�� — (�'�` �
Mailing Address,: /J � �1Q Clty; �C� ��p• GJ5 � �
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Mode(: �
Fuel: '
Flue Size:
Input BTLJs:
Output BTLJs: "
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
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►���.�'1P�lt �� �u.�5h - ; �.�-t.u �l C � 5u�p���� � ��) �ef �N,.�)
FI PLACES — Gj Cl� �1 ��� f �rep 1 C� e �
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❑ Gas factory fireplace
❑ Wood burning facto,ry fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct re�alculating 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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PERNIIT FEE CALCULATION(S)
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or a�pliance 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; excludins the cost of the fixture oF: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
� 1 � ��D.`� X .oizs $ .�5. �C�
(contract price) (minimum$3�.00)
2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of(�.501
� � � �
o x .000s $ . 7�
(contract price) (minimum$.50)
3.Postaae and HandlinQ(Only mail-in applications) $ 1.50
4.TOTAL PERNIIT F'EE(Add lines 1-3 above) $ �° �. ��
*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 installarion is fumished 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 appiies 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 correc�
Applicant's Signatur • Date: 02 � l � �
Approved By: Date:
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