HomeMy WebLinkAbout2007-P10980 - mechanical PERMIT
CI��Y rJF ORONO Permit Number: p10980
27... Kelley Parkway PO Box 66
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/l 0/2007
SITE ADDRESS: 2216 Shadywood Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-42-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Peimits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Guyers Builders Express OWNER: John J Henry III
13405 15th Avenue N 2216 Shadywood Rd
Plymouth,MN 55441 Wayzata,MN 55391
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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Appiicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
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� —— . FOR C'ITY l'SE ONLY
_ � , %0�� City of'Orono � �
' P.O.Box 66 Date Received: Permit#
��,;;:� � •2754 Kelley Parkway
a '��y��•',-' � Crystal Bay,MN 55323 Approved By: Amount$:
W l,� �.`. .
e����h�$$o (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire hlarshall)
GENERAL'INFORMATION
` 1. You�may apply for mechanical pernuts by mail or in person at the City offices. Ap�lications will
be reviewed and a perinit will be issued within two 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 UNTTL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—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 provided.
4. When any new constniction or remodeling is involved,a separate building pernut 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 fiilal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That A , ly)
�Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑ Repairs ❑ Replace
Job Site/ Owner Infornlation: .
Site Address: ' �- z � � �1�/�,f�yG�.�001-� ��
Owner: ��U� v� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: (�v}�E� ���L��SUP��ontact Person: /SO�J ��c.L C-2
Address: l.�`�OS^ l S ���/ State Bond #: �`7�
�o � S � � /
City: ��I'/'''1 ov�� Zip:-�S�'S�/ Expiration Date: �� T ��" O ~7
Phone: �7�_;- ��y- Y<v�� Alternate Phone:
❑ Insurance— Current:
1
MECI�ANICAL SYSTEMS BEING 1NSTALLED j , �
�
HEATING SYSTEMS
Quantity: � /
Make: ��/t/�O JC L�N�t,�O �
Model: �� (� P� �� v �v
Fuel: ��� ��"�
Flue Size: � / � /
i��putBTus: 3 3,�00 3�� vU v
Output BTUs:
CFM: �
COOLIn'G SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Buniing Fireplace
❑ Wood Stove
❑ Wood Stove With Flue ����pF
Brand Name: L���N�X Model No.: ��-�V `�O
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FL1EL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Reinoval
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&���here:
�
/ PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fiature or a�pliailce 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 or less; e�cludin�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
� Mail-In Fee(If Ap�licable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S) —JOBS OVER $500,00 —��
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25% of conh�act price with a(Minimum Fee of$35.00)
2 �� d Y.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contracc piice) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
peinutted work including materials, labor, profit, and other fixed costs. It is the amount to be chaiged
to the custon:er for the �vork done. If any n:a±erial, equipment, labor or installations 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 conh�act price for pernut fee puiposes. In the event that there is a dispute on the
amount of the job cost, the City inay request the submission of a signed copy of the actual conh•act.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for isstiiance of a Mechanical Pei7nit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
iv111111�SOt8, ariu certiliZS ti7ai all Si3i�i11CI1tS 1"iiB�C Gii t�11S applicatian aie CCI1lpieie, tTUe uTl�
correct.
Applicant's Signature: ��� �.,-, Date: �'l� �D 7
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