HomeMy WebLinkAbout2003-P06913 - mechanical CI�Y OF ORON PERMIT
�.Y � Permit Number:
�L�50 Kelley Parkway- PO Box 66 P06913
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ioi2oi2oo3
SITE ADDRESS: 4345 North Shore Dr
Mound,MN 55364
P I D: 07-117-23-43-0032
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,650.00
5tate Surcharge Fee: $ 0.83
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.33
APPLICANT' Seasonal Control,Inc. OWNER' Lisa&Charles Dunn
� 7620 Lyndale Ave S � 4345 North Shore Dr
Richfield,MN 55423 Mound,MN 55364
TF�UNDERSIGNED HIItEBY REQUES I'S 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
MINNESOTA BUII,DING CODE REQUIREMINTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies:l-File(SiQnitures Required),1-Auplicant 1-Monthlv Reports,l-A�essin�,l-Finance Page 1
• S
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CITY OF ORONO APPLICATION FOR MECHANICAL PERI�IIT
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 2 working days.
2. Permit 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 heatin„
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
shal? a�so 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 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 249-4600.
Please check one: New Addition Repair Replace
Residential Commer 'al
JOB SITE: �3� -^ Zip: �5 3� �
Owner's Name:���� Telephone Number: `�s z��z �a n '�
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Mailing Address: ��� �Z,o�.�. uu. City: Zip: �5� b�
Contractor'sName: � ��/',� � � TelephoneNumber:� � 9a�: y���.�
Mailing Address:�Z �5'� City: �;�.�e�s �,r Zip: �-�/�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
:��u�.�: L�u�;�� ��z� -�o� -
Model: �� �y �c �.
Fuel: � �,
Flue Size: c� '' �- /,.�-- s�� ���"`�'�''
Input BTUs: � � �"
Output BTUs: ��a-o `
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 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
PERi'VIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�� �� �'� x .0125 $ 3S��`�"`
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. 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) $ 3 y ,�
_
* 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 clone. If any material, equipment, labor, or instailation 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, a e ifies that all st eme�ts made on this application are complete, true `'�
and correct. � {
Applicant's Signature: .i Date: �O � �
Approved By: Date: