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Home My WebLink About2001-P03456 - mechanical / _ � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P03456 Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits (612) 249-4600 Date Issued: i�si2ooi SITE ADDRESS: 2130 Shadywood Rd WAYZATA,MN 55391 P I D: 17-117-23-42-0020 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems � Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUnAMARY: Permit Fee: $ 197.50 Valuation: $ 15,800.00 State Surcharge Fee: $ 7.90 Misc.Fee: $ 1.50 TOTAL FEE: $ 206.90 APPLICANT: Kleve Heating&Air OWNER: DONALD F HAGEN TRUSTEE 13075 Pioneer Trail 2130 SHADYWOOD RD Eden Prairie,MN 55347 WAYZATA MN 55391 THE UNDERSIGNID 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 BUII.,DING CODE REQUIREMENTS. /�� L .�J �� m �.,� ,� PLI U ISSUE BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 � - � ��. � . � � �` CTTY OF ORONO �;,.�:.APPLICATION FOR MECHAlYICAL PERNIIT Box 66 (2750 Kelley Parkway) � Crystal Bay, MN 55323 GENERAL 1NF'ORMATION _ i, You may apply for mechanical permiu by mail or in person at the City offices. Applicaiions wili be reviewed and a permit will be issued withi.n 2 worl�ng 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 Desiens - Complete calculations, details and specificadons are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calcularion, 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, Ail work must be done in accordance wicn che Uniform Mechanical Code/S�ace Buiiding Code requiremenu. 6, All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the perm.it fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair Replace Residential Commercial JOB STI'E: �p' s Owner's Name• Telephone Number• Mailing Address: , .,•-1� p ao,.�"1.� � City: Zip: Contractor'sName: TelephoneNumber:�,s� ��/•�j/f MailingAddress: 1�1's in�nPPl' ��' � _ City: ZiP: ��'��] SYSTEM DESCRIPTION HEATING SYSTEMS Quantiry: I Make: Model: Fuel: 1�1.�. o� Flue Size: Input BTUs: //'S.Cd�— Output BTUs: _�p�_ CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power � . � . -:. . . . . --- WOOD BURNING EQUIPMENT - Wood stove with flue . � _ 'p�Tood combination or add-on _. Factory fireplace with flue : � � - Factory Fireplace (s) Freestanding :Masonry - Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. To#al VENTILATION No. _� Kitchen Exhaust ducted recirculating ��, c� No. �_ Bath Exhaust (must be ducted outside) �� No. �_ Other Fans: Locations �� c� . . Total _.._ FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground i.nside outside L,p Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price�` or 1Vlinirx�um Fee ��$��-�d�x .0125 $ � �� •�� (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each pemut. �� a'S .Q�— x .�5 $ � •�� oc ntract price) or $.50, whichever is greater 1.50 3. Posta�e and Handlin� (Only mail-in applications) � — 4. TOTAL PERNIIT FEE (Add lines 1-3 above) * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cnarged for the permitted work including materials, labor, pront, and ot��: �� cests. It is the amount to be charged to the customer for the work done. If any ma�enal, eQwPment, 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 51,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 ca11 the DePar�ent of Inspectional $ervices 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 reguiations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true � and correct.___ �..._. __ . . ,.._ _ . __ _.. . ... .�.::.. _ .. �._�.__.�::,:. � Date: � _ Applicant's Signature: " Date: APProved By:, �.: .