HomeMy WebLinkAbout2003-P06276 - duct work/ventilation � , . PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06276
Crystal Bay, Minnesota 55323 Permit Type: Mecha.nical Permits
(952) 249-4600 Date Issued: 5/6/2003
SfTE ADDRESS: 4330 North Shore Dr
Mound,MN 55364
PID: 07-117-23-42-0024
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Ventilation
YP Duct Work
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIAMARY: PernutFee: $ 35.00 Valuation: $ 600.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Advantage Air,lnc. OWNER' Eric Lopez
325 W. 130TH St � 4330 North Shore Dr
Shakopee,MN 55379 Mound,MN 55364
Tf�UNDERSIGNID HIItEBY 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
MIl�INESOTA BUII.,DING CODE REQUIREMII�iTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE �—
Copies: 1-File(Si�nitus-es Required),1-At�plicant,l-Monthlv Renorts, 1-A�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
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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 2 working days.
2. Permit 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 Designs - Complete calculations, details and specifications aze 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 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 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 473-7357. 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 473-7357.
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Please check one: New x Ad�it�iatf Repair Replace
Residential Commercial
JOB SITE• ��� /Uv/`��7 �.j'hG�`� �r i Y`'� Zip: ���r�"�j
Owner's Name: '' Telephone Number:
Mailing Address: . �Q O�-� 1 �S� r� r City:(�i Yc:;�']�-` Zip: �,5�3��
Contractor's Name: � v`C,�.y? f�l� r/,� c � Telephone Number: y,5�-�y5/��c�G
Mailing Address: %?C>. �?�:X � :��.`>" City:�S'/��-,�'G ��= Zip: 5.5��9
PtEASE NOTE N li
SYSTEM DESCRIPTION R E T U R N A D D R E S S
HEATING SYSTEMS
Quantity: `
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
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WOOD BURNING EQUIPMENT ����f � i���� �'?
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 ��
F'UEL STORAGE (MUST BE APPROVE� 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) �
(�C:�.C� x .0125 $ ��- � �
(contract price)
2. State Surchar�e. ** Add the State Building Cod Division , ��'
Surcharge to each permit. ��(,�(J,Q� x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 '
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ J`�. C'�' `
* 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 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 pemut 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. --
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� Applicant's Signature: � � � ' Date:�����
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Approved By: Date: