HomeMy WebLinkAbout2005-P08919 - air conditioning PERMIT
CITY �F �RONO permit Number:
2750 Kelley Parkway- PO Box 66 P08919
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952)249-4600 Date Issued: 7/6/2005
SITE ADDRESS: 875 Partenwood La Unit#
Long Lake,MN 55356
P��� OS-117-23-34-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Pemuts Pernvt Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,700.00
State Surcharge Fee: $ 0.85
Misc.Fee:
TOTAL FEE: $ 35.85
APPLICANT: River City Sheet Metal Inc. OWNER: John&Elizabeth Bechdol
8290 Main St.NE 875 Partenwood La
Suite 39 Long Lake MN 55356
Fridley,MN 55432
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.
`G' '�'v`�'"' � ��'Y�
APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, � 55323
GENERAL INF'ORMATTON
1. You may apply for mechanical permits by mail or in person at the City o�ces. 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. PERI��ITS ARE NOT VALID
UNT'IL YOU RECENE A PERMIT, WORK MUST NOT BEG1N UNT'II.,THE PERNIIT CARD IS
POSTED ON TI�JOB SITE.
;. Mechanical Desisns-Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning insta.11ation 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 sepazate 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.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑New ❑ Addition ❑ Repair �Replace ❑ Residential ❑ Commercial
JOB SITE: ��l s �GLV�CV1W�oOf L�VI,( Zip: �� 3 S"(o
Owner's Name: t.e���t,t�f,�l� f`�i U��^�� � Phone Number: �5 L — K?I —O`I 4e 3
Mailing Address: SGWYI�P City: ���YL� Zip: s S 3 5�
�iver :;i�y �i�eet l��i�i�l, e�c.
Contractor's Name: �,vW►S (LGI,�j/�p Phon��� �t IEI F �„ft��
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Mailing Address: City: Fridley, fVlh! ti�.��
�'�3) 754-219�3 Fax (7Fi:�} 75"�_2z;��s
River City Si�eet Metal, Inc.
8290 Main St. N.E., Suite 39
Fridley, MN 55432
(763) 754-2199 Fax (763) 754-2908
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H.Power
FIl2EPLACES
❑ Gas factory fireplace �
❑ 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 Fans: 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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SYSTEM DESCRIPTION �
HEATING SYSTEMS
Quantity:
Make:
Model: ,
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make:
Model: U�'�L I�S"U'-�I l5
Tons: �__
H.Power
FIREPLACES
❑ Gas factory fireplace °
❑ 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 Fans: Locations cfm
FLTEL 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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PERNIIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of t�e following requirements:
1) Does not require modification to electrical or gas service.
2) Has a tota( cost of$500.00 or less; excludins the cost of thF 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 b idelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of(�35.00)
� � Y.0125 $ �is •�O
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50).
I �, ��� x .0005 $ . ��
(contract price) (minimum$.50)
3. Posta�e and Handlin�(Only rnail-in applicativns) $ -�—
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ �j 5 -�s
*CONTRACT PRICE or JOB COST means the actua(or estimated dollar amount chazged 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 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 purpo�es.In the event that there is a dispute on the arrtount 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: l�.l'/YItiQ � Date: � Z� �S
Approved By: Date:
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