HomeMy WebLinkAbout2004-P07907 - mech PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelle y Parkwa y - PO Box 66 Po�9o�
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9�2�2ooa
SITE ADDRESS: 3775 Bayside Rd
L.ong Lake,MN 55356
P I D: O S-117-2 3-24-0111
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Pernut Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 118.75 Valuation: $ 9,500.00
State Surcharge Fee: $ 4.75
TOTAL FEE: $ 123.50
APPLICANT: Architect Mechanical(See Comments) OWNER: Ross&Barbara Erickson
105 Old Hwy 8-#4 3775 Bayside Rd
New Brighton,MN 55112 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.
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APPLICANT PERMITEE SIGNATURE [ UED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�. 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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 pernut will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed.PERMTTS 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
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 perniit 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 pernut 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
Residentia Commercial
JOB SITE: -� � �/li -�l�C N/ Zip:
Owner's Name: S,"6�'dCE f�il� ��P6one Number: �/� 5�,�- 7,.571� f�4t,� ?'//Uit��
Mailing Address: �S'/ ,�,i,�p _� City: ����s��Zip: .�`,3.3�
Contractor's Name: ,�`t�Gff�TE����� Phone Number: ,�,..��-����'�Y��
Mailing Address: ��}S ��� /fw.��City:��w j.��'�li��ip: �iS//�
�y
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �_
Make: ��
Model: ��O1G� �d t�0 �0�� .
Fuel: IV��
FlueSize: Y�' OCS���O �L7M��ST"If��I ��'
Input BTUs: j a o,l��
Output BTUs: � ���G
CFM: �G�D�
COOLING SYSTEMS
Quandty: �
Make: �I��K���hi�'�Y
Model: D 31p C-FW�Lri
Tons: J
H. Power
FIREPLACES
Gas factory fueplace
Wood burning factory fireplace with flue
__ __ Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. 1 Bath Exhaust(must have duct outside) �D cfm �� ��r����"� s`���S
No. ( Other Fans: Locations i��2 �v a�-,�z �cc�,,,�t,�2 70D cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installarion or Removal
Fuel oil: gallons underground inside or outside
LP Gas: gallons
Other Gas opening
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) 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 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)
�
..so�_ �dX .�125 $ 1l U- ,S
contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50)
��-S��u x .0005 $ <-?�
(contract price) (minimum S.50)
3. Posta�e and AandlinQ(Only mail-in applications) $ 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.[f any material,equipment,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,thc Ciry 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
valua4ons over S 1,000,000 call the Department of[nspectional 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 mplete,true and correct.
Applicant's Signahue: � /G� Date: y� �y
Approved By: Date:
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