HomeMy WebLinkAbout2000-P03325 - mechanical PERMIT
�fiTY OF ORONO
2750 Keiley Parkway - PO Box 66 Permit Number: Po332s
CrystUl Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600
Date Issued: 1�i29i2o
SITE ADDRESS: 1890 Shadywood Rd
WAYZATA,MN 55391
P I D: 17-117-23-24-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.05
APPLICANT: FLARE HEATING AND AIR CONDITI OWNER: M E MASLOW& S S MASLOW
9303 PLYMOUTH AVE N. SUITE 104 1890 SHADYWOOD RD
GOLDEN VALLEY,MN 55427 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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PPLI ANT PERMITEE SI NATURE . SSUED BY SIGNATURE j-"
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Sa�, MN 55323 � r
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GENERAL LVFORMATION
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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.
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2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOli RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON fi:�
THE JOB SITE.
3. Mechanical Desi�ns - 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 'fi
shall also be provided. ,:;
4. W-hen any new construct;cr.cr:e...ode:ir.g is im�olved, 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. "j'
7. House Heating Test Record must be submitted before final.
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Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. x '�
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. �;
Please check one: New Addition Repair �Replace - .�'
Residential Commercial �
JOB SITE: t�� �>'� �%��� � ������ r Zip: �
Owner's`ame: `�� � ; �� �'�?,�- - Telephone Number. �;,"i �- l'�:',.;_�. r
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Mailing Address: City: Zip:
Contractor's Name: � �Lf� , � '� ��� a. t, Telephone Number: ���3 -���-����,���,,� ';
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MailingAddress: r�;��� � h � , r � City: �"�I�.,��� Zip: �'L� ��
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SYSTE�� DESCRIPTION J-
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HEATING SYSTEMS '' �` � � � ;� ,��`.`
Quantin-:
Make: ��( .
Model: ' � � {�� / —
Fuel: �
Flue Size: ��„`
Input BTUs: '
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Output BTUs:
CFM: '�
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COOLING SYSTEMS ��
Quantit�•:
Make: ';,
Model: "
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Tons: ��
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- H. Power :� j
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
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Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Elchaust (must be ducted outside) cfm
No. Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside fi'
LP Gas: gallons � '
Other Gas opening ''
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PERVIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) _ �
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(contract price)
� 2. State Surchar�e. ** Add the State Building Code Division
, Surcharge to each permit. �� �u C 0 x .0005 $ �5�
�' or $.50, whichever is greater (contract price)
3. Postaae and Handlin� (Only mail-in applications) $ 1.50 �
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���-C'�
* 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�one. If any material, e�Uipment, labor, or insta;latic:�are furnisr.ed by the owner, Cenant 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 Ciry 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.
; � �C�� Date: I I— ZZ �
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Applicant's Signature:
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Approved By: Date:
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