HomeMy WebLinkAbout1993-005221 - mechanical I , PERMIT
CITY OF ORONO PERMIT TYPE: MECHANICAL
2750 Kelley Parkway • P.O. Box 815 Permit Number 005221
Orono, Minnesota 55356-0815 Date Issued: 06/04P:743
(612) 473-7357
SITE ADDRESS:
585 OLD CRYSTAL BAY RD
CH
P . I .N. ; 04-117- 3-31-0006
DESCRIPTION:
HTC; SYSTEM
1 HEATING SYSTEMS CFM
1 ,60o FLUE SIZE 3"
FUEL NATURAL GAS MAKE C:i=MF►tRTMAKER
MODEL CGUA80 OUTPUT 64-,000
INPUT R0,000
1 AIR CONDITIONING MAKE COMFORTMAKER MODEL AEAO24
TONS: 2
REMARKS:
CITcE
Y OF ORONrO
FEE SUMMARY: 1313'300000 #
VALUATION $:3,20001 CE,' 40.00
ltitt
Base Fee $40.00 01 GEN 1.60
surcharge $1 .F.0 1313300000
Investigation 14 LQ�} ,: 01 GEM 4. 0
F.C} �•�,� r� �.
Total Fee $81 . „�4, ,�
,�fCfIPT-Tfi� Y0U
4830 0001 WROl T10:1
VVI V•'1'f T+.
CONTRACTOR: : - Applicant - E'EFaFit• N PAUL
RIPLE 0 HTG & AC =4730450
1870 W WAYZATA BLVD 585 OLD CRYSTAL BAY RD
LONG LAKE MN 55 '5F. ORONO MN 5535b
(F.12 i 473-0450)4.50 475- 0030
1
THE RSI HEREBY QUEST PERM I ION MSE 'THE. REALIMPROVEMENTS
SPECIFIED Ate: AGR E T .DO �I,�G:;°'WORK IN STRICT T
COMPLIANCE WITH ALL,` - IT .0 OF, y
TE OF MINNESOTA; BUILDING CODE REQUIREMENTS
L
&t.t.A..4L4....
APPLICANT/PER E IGNATURE 4 ISSUED BY:SIGNATURE ,
g/.c..o
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 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 Designs - 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 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 fmal). Call 473-7357. 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 473-7357.
Please check one: _ New Addition Repair X Replace
e i entiLL Commercial
JOB SITE: 5$0,4r (701' )w Zip: 5515-6 Owner's Name:' ,e, %., •�. Telep • e o 5 Numb•r: t - Q
Mailing Address: S`**h���,v It i j City: . ,ori _ . ! Zip: 1`� , 6
Contractor's Name: T' j1a ' - .c. i(I--I \ TelephoneNumber: .e7L 73--o430
MailingAddress: 1$'10tV;� �;ti , City:L t w\' Zip: 553 SC,
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: C - k.
Model: C'(�t' O
Fuel: IL__u-,
Flue Size: 3'' Ivo
Input BTUs: ,000
Output BTUs: x+ 1000
CFM: 100
COOLING SYSTEMS
Quantity: I
Make: tatireima.
Model: 1 gPk 02•
Tons: Tom,
H. Power
.1..G,p ,J 4o%L/s 3
t
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side_ , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum} Fee ($35.00)
x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. `f x .0005 $ I
(contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 4 3, i U
* 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, equipment, labor, or installation 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, and certifies that all statements made on this application are complete, true
and correct.
(•
Applicant's Signature: t`. ..) t� Date: C, k I l
-23
Approved By: Date: