HomeMy WebLinkAbout2004-P07751 - duct work �T� F R PERMIT
O O O�� Permit Nu ber:
2750 Kelley Parkway- PO Box 66 Po��si
Crystal Bay, Minnesota 59,323 P@PCYIIt Ty : Mechanical Pernuts
(952) 249-4600 Date Issue : ��26i2ooa
SITE ADDRESS: 213i5 Shevlin Dr
Wayzata,NIN 55391
PID: 03-117-23-34-0004
D ESC RI PTION:
Proposed Use: Residenrial
Permit Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Duct Work
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Move ductwork �
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FEE SUMMARY: Pernut�ee: $ 35.00 Valuation: $ 1,000.00
State S�rcharge Fee: $ 0.50
Misc.Fee: $ 1.50
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TOTALIFEE: $ 37.00
Ray Welter Hea ing Co. Eric&Jennifer Martinuzzi
APPLICANT: OWNE :
4637 Chicago ve S 2135 Shevlin Dr
Minneapolis, 55407 Wayzata,MN 55391
THE UNDERSIGNED HEREBY RE ESTS PERMISSION TO MAKE THE L IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK STRICT COMPLIANCE WITH ALL CI OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE QUIREMEN'I'S.
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APPLICANT PERMITEE SIGNA RE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Auvlicant, 1-Monthlv Reports, 1-Assessine, 1 Finance Page 1
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CITY OF ORONO APPLICATION FOR `1ECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
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
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 PERti1IT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical DesiQns - 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 t}-pe, 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 work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
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. �
Please check one: New c/ Addition Repair Replace ;
�'Residential Commercial
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JOB SITE: , � , ,_ �� r /, ".����� Zip: � �
Owner's Name: � "2? �� � %�r� , • �'elephone Number: G i� -d�v- �i�/J.S�
Mailing Address: `�' (1' < i E:, y: 7, 'y� ;n�,�, Zip: "
' Cit ��
Contractor's Name: � 'r:'G ` , �o Telephone\umber: L/,�- ; � �
Mailing Address: l � }M��jG> � , City: <1 Zip: . j�
SYSTEM DESCRIPTION �I(v1�t='' �'���.�; ��,LI4'(. f�L�rZ�J �I���- �C-��L��'��.>Zi�'`J�/,�,
�'1 6 ����
HEATING SYSTEMS I � �1r7�,b LKJ, ����� ���������������
Quantity: C. t ✓� �< ,�, ��d,� �
Make:
Model:
Fuel:
Flue Size: -
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS �
Quantity:
Make:
Model: `�,
�'ons: �
H. Power
: � �
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.,.�"a!. ` _ ��' � n' �.5" . :r. . . . � . ... •�,
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` FIREPLACES
� Gas factory fireplace
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Wood burning factory fireplace with flue
# Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
�����
No. + Kitchen Exhaustt�f� ducted recirculating �� cfm
No. _� Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL 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 Minimum Fee ($35.00) ��
/CC-�D.-� X .o12s � ���_
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ i �L'
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � "7. (�'
* 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 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 permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City ma}�
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 valuati�ns 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 n this application are complete, true
����' and correct. � ��
� � �� - Date: � , �
Applicant s Signature:
Approved By: Date:
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