HomeMy WebLinkAbout2005-P08460 - mechanical C�fY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Poaa6o
Crystal Bay, Minnesota 55323 Pe['mit Type: Mechanicai Pernuts
(952) 249-4600 Date Issued: 2i22i2oos
SITE ADDRESS: 835 Partenwood Rd
I.ong Lake,MN 55356
PID: OS-117-23-34-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Pernuts Permit Sub-type(s): Gas Line Inspecrion
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Gas line hook up in greenhouse to cooktop
FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 500.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Dependable Indoor Air Quaility Inc. QWNER: Mr.&Mrs.Kottenmann
2619 Coon Rapids Blvd 835 Partenwood Rd
Coon Rapids,MN 55433 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK TN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND S'I'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERD�IIT
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, permic 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 Desiens - 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 construcdon or remodeling is involved, a sepazate building,permit must be obtained.
5. All work must be done in aceafdance with the Uniform M�haaical Code/State Building Code
requirements. ,
6. All work must be inspected (rough-ia and final). 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.
,w:. �
Please check one: New Addition Repair � Replace
Residential Commercial -' {.�r(.e.+'►�
, JOB SITE: ,, f �( �P�
Owner's Name: �`y��A-tn.��r c.v✓�-�-Iv'u r�-- Telephone Number: �lc�3-�f�� -7�37
MailingAddress: �rn�.�n��� r I�It�MD AID AltAl_iC�LI�tY� �P�
Contractor'sName• —'i�D����-�"���'��� TelephoneNumber: -
MailingAddress: City: Zip:
.
SYSTEM DESCRIPTION � � •
HEATING SYSTEMS � 1��'�u"� � ��� ��2'1 I �`� I �
Quantity: �� �DU �D � � �C �.S
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
� CFM: -
COOLING SYSTEMS
Quantity:
Make: _ .
Model: � .
Tons:
H. Power
. �:
WOOD BURNING EOIJIPMENT
Woc�d 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
VENTII.ATION
- No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations � ��
. 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 ($35.001
�t;r� — x .oi2s $ C��25
(contract price)
2. State Surchar�e. ** Add the State Building Code Division �7-�
Surcharge to each permit. �`C�— x .0005 $ , .�v
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,��,"i ,(.�C�
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for che pemritted
work including materials� labor, profit, and other fixed costs. It is the amount to be chazged 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 conuact 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. `
� e�'t-CI) � � Date: �
Applicant s Signatur �� v Yl..� 2_.C����
Approved By: Date: