HomeMy WebLinkAbout2000-P02063 - mechanical t �
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2o63
Crystal Bay, Minnesota 55323 Permit Type: lvtechanical Permits
(612) 249-4600 Date Issued: 2i23�oo
SITE ADDRESS: 178o Shadywood Rd
WAYZATA,MN 55391
P ID: 17-117-23-21-0024
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
YP Air Conditioniing
Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SU1111MARY: Permit Fee: $ 70.00 Valuation: $ 5,600.00
TOTAL FEE: $ 72.80
APPLICANT: OWNER: Anthony Patterson
586 Otis Ave
St. Paul, MN 55104
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� REAL IMPROVF.MENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF 1VIINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMIT ISSUED BY SIGNATiJRE
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
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. Permit 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 Designs - Complete calculations, details and specifications aze 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 remodeline 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.
INCO:�IPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New �Addition Repair Replace
� Residential Commercial
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Owner's Name: � ��� a �l�o !� elephone Number: �%,�- 33) -,3�3 J
Mailing Address: �(7 Gc) t�n��l 9 City: ��E!�� Zip: SS�`'�c /
Contractor's Name: Qi,,�,�1 e Telephone Number:
Mailing Address: .S c,�,-�� City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: � _ . _ __
Make: � . - '�� 14- �
Model: �`,-- $ - - a /I! d��� D (�
Fuel: s A� �� _ �� -- -
Flue Size: � y � _ . _
Input BTUs: / 0 d�O lS�
Output BTUs: m�0
CFM: / 2 �Q
COOLING SYSTEMS
Quantity: ( � ��
Make: y��
Model: S6� C'Na � �
Tons: 3
H. Power �Z.G t1
w 3
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding ! Masonry (��ci5�-,��
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. � Kitchen E�aust ✓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)
�+6�p x .0125 $ 7a . cT�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. s,� ��� x .0005 $ � , �'d O
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � :Z ,�p
* 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 pernut 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 Lo do
all work in strict accordance with the ordinances of the Ciry 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: �� ��% �^ ��
Approved By: � Date: Z - Z 2 —��