HomeMy WebLinkAbout2001-P04390 - mechanical PERMIT
C�r1�Y OF ORONO Permit ►vumber:
2750�:elley Parkway - PO Box 66 P04390
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9i24i2oot
SITE ADDRESS: 2117 Shadywood Rd
Wayzata,MN 55391
P I D: 17-117-23-31-0044
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: $ gl•25 Valuation: $ 6,500.00
State Surcharge Fee: $ 3.25
Misc. Fee: $ 1.50
TOTAL FEE: $ 86.00
APPLICANT: River City Sheet Metal Inc. OWNER: Ralph&Rebecca Dodson
9928 Bluebird St NW 2117 Shadywood Rd
Coon Rapids,MN 55433 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 B SIGNATURE
Covies: 1-File(Signitures Reauired). 1-Aoplicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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� ,' CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT •s-
Box 66 (2750 Kelley Parkway) ' " '
Crystal Bay, MN 55323 �
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GENERAL INFORMATION ,� a
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 Desiens - Complete calculations, details and specifications are required for each heating, ''e
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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 �vork must be inspected(rough-in and fmal). Call 249-4600. 24-hour notice required. `
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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.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
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Please check one: New Addition Repair !/ Replace �
Residential Commercial ' ?.; '�� �
JOB SITE• � Zip:,s�j� 7/ �`' `�
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Owner's Name: SDy Telephone Number:��''a•-y 71.--p 7� {;' �, ` �:;
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Mailing Address: � City: 20No Zip: S'� 3 7/ -� ""3
Contractor's Name: � �� S .�'/I?�Yl. Telephone Number:��J-75�-�/y� �'
Mailing Address: g�j�[�(,��cQ�I�.�7.ST�v� City:�pDN���S Zip: ST5/33
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SYSTEM DESCRIPTION �.,; r;
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HEATING SYSTEMS �'` � .
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Quantity: � �
Make: ��'�Y�2/�-�'L. �'
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Model: 5�►�1vF'U�p-�fd
Fuel: �/�-T � �
Flue Size: �?% '�<�
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Input BTUs: a, STx1-6�.
Output BTUs: ��
CFM: '°�
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COOLING SYSTEMS � `'
Quantity: � t'� :
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Make:
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Model: 3��� -�'�
Tons: a-- rp12� �
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace R�ith flue
Wood Stove
Wood stove with flue . .. . � . .�4 : �
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfin
FLTEL 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 Nlinimum Fee ($3�.00)
�.�Da �° x .0125 $ ��� �"-�
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�;, 2. State�Surchar�e. ** Add the State Buildin� Code Division
Surcharge to each permit. �SUo °`—' x .0005 $ 3•�'S
��`' or $.50, whichever is greater (concr��c price)
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� . 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-� above) $ .�
* CONTRACT PRICE or JOB COST means the�:.nial or estunated dollar amount charged for the permitted
work including materiais, labor, profit, and othe-r�x_ed costs. It is the amount to be charged to the customer
for the work done. If any material, equipmenc. :abor, or installation are furnished by the owner, tenant or
any other party the reasonable market value of=�ch items must be added to the estimated cost or contract
price for permit fee purposes. In the event that rYere is a dispute on the amount of the job cost, the City may
, request the submission of a signed copy of the �:ual contract. '
** The STATE SURCHARGE is .0005 of the cont�ct price under$1,000,000 or $.50 -whichever is greater.
For valuations over $1,000,000 call the Depart-ent 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: � a-4 D �
Approved By: Date:
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