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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. ���`�-(� �.�.� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies:l-File(SiQnitures Required),1-Auplicant 1-Monthlv Reports,l-A�essin�,l-Finance Page 1 • S ► 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 '� � 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: