HomeMy WebLinkAbout2001-P03950 - mechanical PERMIT
CITY" �OF� ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po39so �
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249�600 Date Issued: 6iiai2ooi
SITE ADDRESS: 2308 Shadywood Rd
WAYZATA,MN 55391
P I D: 17-117-23-44-0106
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,300.00
State Surcharge Fee: $ 0.65
Misc.Fee: $ 1.50
TOTAL FEE: $37.15
APPLICANT: Royalton Heating&Cooling Co. QWNER: PHYLLIS HENDERSON
4120 85th Avenue N. 2308 SHADYWOOD RD
Brooklyn Park,MN 55443 WAYZATA MN 55391
'THE UNDERSIGNID HEREBY REQUFSTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI'IY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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TEE3�i'r[J� UED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT `'
Box 66 (2750 Kelley Parkway) �::i
Crystal Bay, MN 55323 ;� { �;;;�
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GENERAL INFORMATION ��
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be i � y�
reviewed and a permit will be issued within 2 working days. `��
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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 are required for each heating, � ' "_
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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. �z� �T��,,
Data shall be resented on form rovided. Identification of and s cifications for water heatin e ui ment ��r`� ""�`
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shall also be provided. �
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4. When any new construction or remodeling is invoived, a separate building permit must be obtained. :�wf� �
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code � " � �
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requirements. ' r ,;
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. ���
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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 473-7357. `'a'
Please check one: New Addition Repair �Replace A ' � `'
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,-� Residential Commercial �
JOB SITE• , ' � _ ; T � Zip: >�3cj/ � $
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Owner's Name: � ' • , Telephone Number: �/�.�;-��/-L���t i ��
Mailing Address: City: Zip: ` ��
Contractor's Name: � t � � Tele hone Number: ' ' ' �
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Mailing Address: - � � City: �;.�CL%'� ZiP� �S
SYSTEM DESCRIPTION , � ��4'
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HEATING SYSTEMS
Quantity: �k :�
Make:
Model:
FueL• `'�
Flue Size:
,
Input BTUs:
Output BTUs:
CFM:
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COOLING SYSTEMS .;
�i Quantity: l
Mal.:�: ui,�.jc�.��-} � �
Mo.lzl: � ` . ti;��`}�`� }�
Tons: �. y�
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H. Power ������;(�.'� � -�
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WOOD BURNING EOUIPMENT
Wood stove with flue
Wood 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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
�-�; No. Bath Exhaust (must be ducted outside) cfm
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'-. No. Other Fans: Locations cfm
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
'� Fuel oil: gallons underground inside outside
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"i'` LP Gas: gallons
�': Other Gas opening
�`, PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
!��v��. r.�c'� x .0125 $ �3� . c;C��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � ?, �;t ; . c�� x .0005 $ • �JC
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) � 37 15
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 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: — —Q�
Approved By: Date:
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