HomeMy WebLinkAbout2003-P06303 - ventilation � PERMIT
CITY OF ORONO Permit N
2750 Kelley Parkway- PO Box 66 umber. P06303
Crystal Bay, Minnesota 55323 Permit Type: MechanicalPermits
(952) 249-4600 Date Issued: s�i2i2oo3
SITE ADDRESS: 4365 North Shore Dr
Mound,MN 55364
PID: 07-117-23-43-0031
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Ventilation
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,250.00
State Surcharge Fee: $ 1.13
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.63
APPLICANT: St.Marie Sheet Metal Inc. OWNER' Nicholas&Sandra Suminers
7940 Spring Lake Road � 4365 North Shore Dr
Spring Lake Park,MN 55432 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERNIISSION 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 BUILDING CODE REQL�IREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies:l-File(Si,�nitures Required).1-A�licant 1-Monthlv Retmrts,l-Assessine, l-Finance P�1
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CITY OF ORONO APPLICATION FOR MECHANICAL�PERl�t''T��,',�;y,_;
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 o�ces.Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cazds will be sent by return mail after a review is completed.PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII,THE PERMIT CARD IS
POSTED ON TI-�JOB SITE.
3. Mechanical Desi n�s-Complete calculations,details and specifica,tions 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 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(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 [I]�Residential ❑ Commercial
JOB SITE: 3b�� /Vd�/�" � � t�� Zip:
Owner's Name: � � hone Number:
Mailing Address: City: Zip:
Contractor's Name: �%/��i� 3 " /yi��hone Number: �� — 7� �—.��5!
Mailing Address: � D � � ,,City• S l.,�! � �
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SYSTEM DESCRIPTION
` i T�EEATING SYSTEMS �
Quantity:
Meke: •
, � �'l�'Z,""��"'� � � - � � �� � � �
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Flue Siza: �""�"�"
Input BTUs:
Output BTLTs: �
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FII2EPLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct,�_recalculatin ��� � �����5
No. Bath Exhaust(must have duct outside) g � � ���GilZ�J j' ,��1' fl�T
No: Other Fans: Locations ��
! ��Tff �o9—a� /�l
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) �7--
,�/���/�6 r
❑Installation or ❑Removal
❑ Fuel oil: gallons ❑underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Ga.s opening
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PERNIIT FEE CALCULATIONtS)
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or an lU iance that meets all three of the following requirements:
1) Does not require modifica.tion to electrical or gas service.
2) Has a total cost of$500.00 or less; excludine the cost of the fixture or 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 Fea $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
�d��'i�� x.0125 � $ ,�S'v�
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Bpilding Code Division a Minimum Fee of($.50)
x .0005 $ ��/.3
(contract price) (minimum$.50)
3. PostaEe and Handlin�(Only mrril-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ 3 /` �3
*CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted�vork 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,
eqcipment,labor,or installation is 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.
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Applicant's Signature: Date: / � o�
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Approved By: Date:
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