HomeMy WebLinkAbout2000-P02021 - mechanical �.
� - � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Po2o2i
Crystal Bay, Minnesota 55323 �����'•'ypg: Mechanical Permits
(612) 249-4600
Date 2nsioo
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SITE ADDRESS: 1435 Park Dr
MOLJND,MN 55364
P I D: 07-117-23-42-0020
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
YP Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit Fee: $ 35.00 Valuation: $ 1,865.00
State Surcharge Fee: $ 0.95
TOTAL FEE: $35.95
APPLICANT: Ditter�nc OWNER: MICHAEL JOHN KELLEN
820 Tower Dr 1435 PARK DR
Hamel,MN 55340 MOLJND MN 55364
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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�`\]� ` TEE�T�AT� UED BY SIGNATURE �
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
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GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will be ;c
reviewed and a permit will be issued within 2 working days. ".
2. Pernut cards will be sent by retum 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 DesiQns - 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. ti�'Y��er. any new canstnction �: remode?ir.g is invoived; a separate building oermit 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 249-4600. 24-hour notice required. `
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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 249-4600.
Please check one: New Addition Repair �Replace
V Res' ential Commercial
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JOB SITE• J c.� �. Zip: ��1.,�6 �
Owner's Name: e �,v Telephone I\Tumber: 4'7�-�p 3
Mailin Address: ) �.° � - Cit ��nG,��; Z��
g � Y� �i� P� � �l0 5�
Contractor's Name: ��t �Z ��.- Telephone Number: �(�-�J S�'
Mailing Address: �C �'c;��c.`1Z �(Z. City: ��te_�- Zip: 6' j�"�c�c�
SY5TEM DESCRIPTION
HEATING SYSTEMS �� �� `;��
Quantity:
Make: �
Model: �'�p��
Fuel: /�/-v.
Flue Size:
Input BTUs: Gf 2,co�'
Output BTUs: '7��coo
CFM: i�0�
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must l� ducted outside) cfm
No. Other Fans: Locations cfm
FUEL ST'ORAGE (MUST BE APPRO`�ED 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 .00 ���
�� x .0125 $ �
��ontract price)
2. State Surchar�e. ** Add the State Buildina Code Division
Surcharge to each permit. ��) � x .0005 $ ��3
or $.50, whichever is greater ��ontract price)
3. Posta�e and Handlin� (Only mail-in applications) $ -�56—'
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� ,'g;�
* CONTRACT PRICE or JOB COST means t�e actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, �.d other fixed costs. It is the amount to be charged to the
customer for the work done. If any materi�. equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable �{zt value of such items must be added to the estimated cost
or contract price for pernut fee purposes. I�:he event that there is a dispute on the amount of the job cost,
the City may request the submission of a s:`�ned copy of the actual contract.
** The STATE SURCHARGE is .0005 of�.�.e contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 :�'1 the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciri- for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinar�:es of the City and the regulations of the Minnesota
State Building Code, and certifies that all stat�ments made on this application are complete, true
and correct.
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Applicant's Signature: Date: / ��U
Approved By: Date: Z-) `�� �o