HomeMy WebLinkAbout2004-P08239 - mechanical � PERMIT
. CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos239
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernlits
(952) 249-4600 Date Issued: iv3oi2oo4
SITE ADDRESS: 2730 Pheasant xd
Excelsior,MN55331
PID: 21-117-23-23-0053
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: � 35.00
Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Owner/Self OWNER: �'�'illiam Smiley III
MN 2730 Pheasant Rd
Excelsior MN 55331
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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� PPLICANT �ERM GNA"CURE IS ��ED BY SIGNATURE �
Copies: 1-File(SiQnitures Requiredl. 1-Aoolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL 1NFORMATION
1. You may apply for mechanical permits Uy mail or in�erson at the City offices. Applications will be
reviewed and a pennit will be issued within two working days.
2. Permit cards will Ue sent by retuin mail after a review is completed. PERMITS ARE NOT VALID
LTNTIL 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-dehuinidification, 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�rovided. Identification of and specifications for water heating
equipment shall also Ue provided.
4. When any new construction or remodeling is involved, a separate building permit must Ue obtained.
5. All work must Ue done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must Ue submitted before final.
Instructions
�'� Complete all items on this application. Compute the permit fee. Sign and date the certification. r
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
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Please check one: ❑ New � Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial {s
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JOB SITE: �,�3c� Q�1� A S � r.7� R� t,X GtL 5 �L• '('�,�",)Zip: '� ti 3 �i i
Owner's Name: �'�� ��,. 5 r� �� F.,� Phone Number: �, �,"�� '� � ` ,- 'i �i I i
Mailing Address: �� �t, ,^i-�� a ;,,,; r�,� City:T k ��_ ,��; Zip: � � '7, �
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Contractor`�s ame: �;���, �, r� ,LC�l Phone Number: ���� ��� q�1 � i
Mailing Address: '�,� 3 0 �' �a�, a �; ,�, � ; ht1 City: �,"���L s Iu r�_ Zip. �; �� -� 3 i
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SYSTEM DESCRIPTION '
HEATII�'G SYSTEMS
Quantity: I
Make: �� � `i S �!� f�.q (U� �\ C A T i, �
�`�=" Model:
$;,
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�;; Fuel:
�„°
Flue Size:
r<• Input BTUs; ��
�<<,': Output BTUs:
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x CFM:
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��': COOLING SYSTEMS l
T Quantity: 3;
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* Make:
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�.�; Tons:
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'�'`�" H. Power
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`�µ FIREPLACES GAS LINE ONLY
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��° ❑ Gas factory fireplace (� Installing a Gas Line Only �
�gg ' ❑ Wood Uurning factory fireplace with flue
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�" ❑ Wood Stove '�
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Wood stove with flue
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��� Brand Name Model No.
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�`�=' VENTILATION
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` No. Kitchen Exhaust duct recalculating cfm
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;;<, No. Bath Exhaust (must have duct outside) cfm
r�';; No. Other Fans: Locations cfm
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� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
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���. ❑ Installation or ❑ Removal
" ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
� ❑LP Gas: gallons
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,��,. ❑ Other Gas opening
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PERMIT FEE CALCULATION(S) � � ` r'
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 ar less; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Ski�next section; Cost of Permit $ 15.00
- State Surcharge $ .50 `
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines Uelow:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
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'� C�C1� x .0125 $ � � � oU -�
(contract price) (minimum$35.00) �`.;�
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of'($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Posta�e and Haudlin� (O»ly r�iai[-i�l npplicatioris) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*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 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 purposes. In the event that there is a dispute on the amount of
the job cost,the Ciry 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: �� Date: 1\— 3 U ' O 1.+
Approved By: / Date:
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