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Home My WebLink About2000-P02664 - air conditioning PERMIT C!TY iOF ORONO Permit Number: Po266a 2750 Kelley Parkway- PO Box 66 Crystal Bay, Minnesota �5323 Pe�mit Type: Mechanical Permits (612) 249�600 ' Date Issued: �il�i2oo SITE ADDRESS: �800 Pheasant Rd EXCELSIOR,MN 55331 P I D: 21-117-23-3 2-0004 DESCRIPTION: Proposed Use: Residential Permit Class: Gener�a� Permit Sub-type(s): Air Conditioning Permit Type: Mechanical Permits DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 36•88 Valuation: $ 2,950.00 St�te Surcharge Fee: $ 1.48 TOTAL FEE: $38.36 APPUCANT: COUNTR SIDE HEATING AND COOL OWNER: �LPH D BURGESS JR 65ll HWY 12 2800 PHEASANT RD MAPLE PLAIN,MN 55359 EXCELSIOR MN 55331 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED 'AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI"IY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. �i��%`'L�Yt/ /y/� T I UED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 INSPECTION RECORD � . CITY OF OROMNO 2750 Kelley Parkway- P�O Box 66 permit Number: Po2664 Crystal Bay, Minnesota 55323 (612) 249-4600 Date Issued: �n�i2000 SITE ADDRESS: 2&00 PheasantRd EXCELSIOR, MN 55331 APPLICANT: COUNTRYSIDE HEATING AND COOLING SERVICES IN 6511 HWY 12 MAPLE PLAIN,MN 55359 Proposed Use: Reside�ntial n�=��--�- yr��Air Conditioning � 1 4L1111L AJLLV�t V D Peimit C1aSS: venera� Perinit Type: Mechanical Permits Separate inspections required: Building: General: Mechanical-Rough Mechanical Fina1 Plumbing: ALL INSPECTIONS MUST B'E CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A CONSPICUOUS PLACE ON�PREMISES ON WHICH Tf�WORK IS TO BE DONE. . �Y� O � �c � , � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 ; GENERAL IlVFORMATION 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. Permit 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 Designs - 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 construction or remodeling is involved, a separate 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 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 249-4600. Please check one: New Addition Repair ✓Replace Residential Commercial � JOB SITE: �-� ��.j�/��/J�T `Z� Zip: Owner'sName: L,�(Z��i TelephoneNumber: l�lailing Address: City: Zip: Contractor'sName:�;�c�,-cct�r��o� ii�raTiN�-t cc5@t��elephoneNumber: �t�� -tb� Mailing Address; �,5�� a� w��( ��- City: �'kt pP�PtA�p: SS3S�i SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: _ Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: _ CFM: COOLING SYSTEMS Quantity: � Make: (�rN�C��c./�� S`mN(�/�tt� Model: `7��,�l�c� f� Tons: <t �p�l H. Power , � s , . :, < : , , � � � � � • a FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm 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 ($35.00) �� • �� x .0125 $ 3� •�� (c ntract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ � _ �� or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 �; � � �o * 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 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 contract 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. Applicant's Signature: ---- Date: '7 - � 3 - �d Approved By: Date: