HomeMy WebLinkAbout2004-P07777 - air conditioning ITS"' F R N PERMIT
CO Permit Number:
27�b Kelley Parkway- PO Box 66 P07777
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 8/2/2004
SITE ADDRESS: 4075 Oak St
Long Lake,MN 55356
PID: 06-117-23-41-0096
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICESIREMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,898.00
State Surcharge Fee: $ 0.95
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.45
APPLICANT: Total Comfort(See Comments) OWNER: Bowman Gray&Karen Rieser
12800 Highway 55 4075 Oak St
Plymouth,MN 55447 Long Lake MN 55356
THE UNDERSIGNED HEREBY 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
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE AbSUED BY SIGNATURE
Conies: 1-File(Siknitures Reauked),1-AvDhcant,l-Monthly Revorts, 1-Assessin¢, 1-Finance Page 1
Aov-12-2003 0.1:07pm from-CITY OF ORONO +9522494616 T-409 P-002/004 F-902
CITE' OF ORONO APPLICATION POR MECHANICAL PERMIT
Box 66 (2 750 Kelley Parkway)
Crystal Bay, MN 55323
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MAL 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 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. Mec apical Desimg-Complete calculations,details and specifications are required for each heating,
r�::!ictia::,hi!`::ii3ifcatien de umidificatiotz,and air conditioning installation including)-nat 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.
INCOWLETE APPLICATIONS WELL NOT BE PROCESSED. If you have questions, call
(952)249-4600.
Please check one: ❑New ❑Addition ❑Repair Q Replace[] Residential ❑ Commercial
JOB SI'Z'E:c-1c>15 path s+rem-r Zip-. 553-A
Owner's Name: EOW CCQ0+ ►care n C-rr^A�) Phone Number: ca5;A.z4cy- -c L40
Mailing Address: ur»5 cxa -.�,+rct--+ City: nr��� Zip: --5
Contractor's Name: fAc l Phone Number: -ju
Mailing Address: ,2c)c> 14w,j E->5 City: p►Tn,6�� Zip: �Sti�-► I
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Nov-12-2003 01:OTpm From-CITY OF ORONO +9522494616 T-400 P.003/004 F-002
SYSTEM DESCRIPTION
BEATING SYSTEMS
Quandry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: I
Make: Trane
Model: -a T rrz Ac)an A iooc�)
Tons: 9.15
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Farts: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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Nov-11-2003 01:09pm From-CITY OF ORONO +9521404616 T-400 P.004/004 F-902
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PERMIT FEE CALCULATION(S)-
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service,
2) Hasa total cgg of$500.00 or less;excludin 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 S .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($35.00)
►16qa,0C' x.0125 $ G23.-1ad 35.00 r*-,in
(contract price) (minimum$35.00)
2.State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50)
116C429.CO x.0005 $ . X:2
(contract price) (minimum S.50)
3, Postage and Handling(Only mail-1»applieadens) $ 1.50
4.TOTAL PERMIT FEE(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,
equiprtrnt.labor,or installation.=furniched by the wmer,tensnt ar a^;r!he-patty the reasonable market value of such items
must be added to the estimated ost 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 S 1,000,000 or 5.50-whichever is greater.For valuations over
51,000,000 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.
Applicant's Signature:��r s bate: 7- -O
Approved By: Date:
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