HomeMy WebLinkAbout2003-P06905 - mechanical CITY OF ORONO PERMIT
2750 K,�ley Parkway - PO Box 66 Permit Number: Po69os
Cry���l Bay, Minnesota 55323 Pe�mit Type: MechanicalPermits
(952) 249-4600 Date Issued: io�iv2oo3
SITE ADDRESS: 405 Oxford Rd
L.ong Lake,MN 55356
PID: OS-117-23-41-0022
D ESCRI PTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Pernuts Pernut Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 281•78 Valuation• $ 22,541.60
State Surcharge Fee: $ 11.27
Misc.Fee: $ 1.50
TOTAL FEE: $ 294.55
APPLICANT: Total Comfort OWNER: Robert&Mary Ann Brandenburg
12800 Highway 55 405 Oxford Rd
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.
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APPLICANT PERMI EE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Oct-04-2002 09:07am From-CITY OF ORONO +A52Z4A4616 T-182 P 002/004 F-452
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' CI'�Y OF C3�tON0 APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Cryscal�3ay, MN 55323
' GENERA.L INFORMATI�N
1. 'You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will be
teviewed and a permit will he issued within two Working days.
2. Permit cards will be sent by return mail after a rc�iew is completed.PERMMTTS ARE NOT�ALIU
UNTCY.YOU RECEIVE A PEYtMIT. WORK MUST NOT BEGW UNT1L THF PERM.I'I'CARI� ':�
POSTED ON"l'1-�E IOB SITE. '
3. Mechanical Designs-Complete calculations, details end specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipment ratin�s and identification as to rype, manufacturer and
modei. Data shall be presented on torm provicied.ide��,::,�:aiia� �f dnd speci,`►Cdti07S for w�a.er heating
equipment shall also be provided.
4. When any new construction or remodefing is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the CJniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call (952)249-4600, 24-hour notice required.
�. House Heating Test Record musc be submined befoce final.
Iustructions
Complete all items on this application. Compute the permit fee. Sign and date the cenification.
TNCUMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-46Q0,
Please check one: ❑New ❑ Addition ❑ Repair �Replac�Residential [� Commercial
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.TOB�SITE: � �1��� �� Zip:�--L�`�L�.
Owner's Nar�ne: � Phone Number���5�-) �-I��-��
Nlailing Address: City: Zip:
- � �
Contraetor's Name: � _ � �'� Phone Number: t ` `
Mailing Address: � City: Zip: C`L
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Oct-04-2002 04:Oiam Froa-CITY OF ORONO +8522494616 T-182 P.003/004 f-452
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SYSTEM DESCRIPTION . '
HEATTNG SYSYEMS I , � _
Quantity:
Make: • Y�,N�- � ��
Model: I V ,\��� ' �� l��`�_1
Fuei: ��l �� ���
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Flue Size: , —.
[nput BTUs: �� � L� 1 �
oucput a�rus: ��J �"l,J.�
CFM: .
COOLING SYSTEMS I �
Qu9tttity: �
Make: —�-���.`�' �-1-�a/�'
Model: P'
Tons: � �
H.Power
FT�tEPLACF S
❑ Gas factory fireplace
❑ 'Wood burning factory fireplace with fl��e
❑ Waod Stove
❑ Wood Stove with flue
Brand Name Model No.
VENTTx.ATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath�'sxhaust(must have duct outside) cfm
No: Other Fans: I,ocations cfm
FUEL STOYtAGE(MiJST BE APPROVED BY F1YtE MARSHAL)
❑Installation or ❑Rcmoval
• ❑Fuel oil: gallons ❑underground ❑ insidc ❑outside
❑LP Gas: gallons
❑ Other Gas opening
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Oct-04-2002 09:08�m From-CITY OF ORONO +9522d04616 T-182 P.004/004 F-452
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PERMIT�'EE CAY.CULA7ION(S1 �
2002 State Statute ❑ Yes Thi� Section Applies '
The replacement of a Residential fixture or appliance that me�ts all chree of the following requirements:
l) Does not require modiftcation to olectriwl or gas service.
2) Has a tota) cost of$500.00 or less;excludinc the cost of the fixture or appliance:
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and '
3) Ts icnproved, insralled or r�placed h3�the homeowner or licensed conQactor. •
Skip next section; Cost of Permit $ 15.00
State Surcharge$ �.SO
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
l. Contract price* is .0125%of job wich a Minimum Fee of($35.00)
s�� , �X .o�25 $ a� l � �� .
(c ntract price) (minimum$35.00) - � . •
Z. State SurcharQe. ** Add the Srate Building Code Division a Minimum Fee of(S .50)
�LJ`"�� ,lX l� x.0005 $ � /
(concracc pricc) (minimum S.50)
3.Postagc and Flandling(Otr/y Mai!-irt applicalions) $ ].SO
4.TOTAL PERMIT FEE(Add lines 1-3 above) $ _� �`� + �
•CONTRACT PRfCE ur JOB COST mtans thc aetuai or atimated dollar amount chugcd for tht permiacd work includirtg�
materials,lnbor,profit,and othtr fixed co�ts.Ic is thc amount to be charged to the cu�iomer for thc work done.If any materiai,
equipment,labor,or instnUation is fumisned by the owner,tcnnnt or any othar parry thc rtasonable merket vnlue of such items
mus[bc nddtd to tht tstimattd cost or cer.�ra+c:arice;or r r^+�!fce¢u►posts.In the event th8t thtre is a dispute on�hc amount of
th�job cast,[he Ciry may rcqutst the submission of a signed copy of the actual contract.
"'Tht 57ATE SLfRCFiARGE i�.0005 of thc cont�act pricc under 51,000,000 or 5.50-whichever is greater.For valuntions ovcr
51,000,000 eall the Dcpurtmenc of Inspeaional Services for the price. .
The undetsigncd hereby aQplies to the Ciry for issuance of a Meehar+ical Petmit,agrces to do all work in strict accnrdance with �
ihe ordinonces of the Ciry and the eegula�ions oC the Minncsots Stott Buildin�Code,nnd ccrtifies that ell ytnttmenis madc on this�
npplicncion are complece,true and coacc� '
A licant's Si acure: Date: � �
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Approved By: Date:
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