HomeMy WebLinkAbout2002-P04886 - mechanical ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04886
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2i�ti2oo2
SITE ADDRESS: 1300 Shoreline Dr
WAYZATA,MN 55391
P I D: 02-117-23-31-0018
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: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: Centraire Heating&Air OWNER: R E HOWARD& B S HOWARD
7402 Washington Ave 1300 SHORELINE DR
Eden Prairie,MN 55344 WAYZATA MN 55391
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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 SI NATURE ISSUED BY SIGNATURE
Cooies: 1-File(Sienitures Required). 1-Applicant, 1-Monthlv Reoorts. 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON 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 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 (952)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
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: �34D �/?,9/2�ll•t�l� D/`Lb/�°- Zi : $�3�(
Owner's Name: F��A B-U-��'c�f� Phone Number: � — p
Mailing Address: 7(S FG�"�c� ,�t'�S, City: � (�� Zip: S��Z�
Contractor's Name: G�LG{�,��jf�G,.i��. Phone Number: G��Z���/—/�'{�
Mailing Address: 7¢QZ (,{J�/��G�qfi�l( �(y2S. City: �t �lr.�i� Zip: �.53�/¢
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SYSTEM DESCRIPTION �� ��""' �����""""
- HEATING SYSTEMS �`'--"��
Quantity: l-nP(.(7 � �
���` Make: �8� ��� � ���
���:�� ��,� F�4 �dG�'
ModeL•
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fi; , Fuel: �G
�"��� Flue Size: ��� ��
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� ��� Input BTUs: - ���
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�:�' Output BTUs:
�E.G
CFM:
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�,;� COOLING SYSTEMS
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�.': Quantity:
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Make:
�'M�
ModeL•
Tons:
H.Power
FII2EPLACES u�GGV� ��'l� �e �Q�
� ... �yt,��.C�.►�a.�ts �� �Cr`s n e�v
�` � Gas factory fireplace (�j5� ����_�.L r� � Z� � �y
Wood burning factory fireplace rth flue r��� �,�,,,� T�'/�e�
�; ❑ Wood Stove �i�l��� G�.�r���l�'1 « �
❑ Wood stove with flue (,('l� ��`t�i �6� `- ��
GQ��`��_ l
Brand Name Model No.
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VENTILATION ��,�,,_ ,
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� No. Kitchen E�aust duct recalculating cfm
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� No. Bath Exhaust(must have duct outside) cfm
q� No: Other Fans: Locations cfm
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� ' FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
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� ❑ Installation or ❑ Removal
�' ❑ Fuel oiL• gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or anpliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($3�.00)
�,�•G10 x .0125 $ 7Jl%�
(contract price) (minimum$3�.00)
2. State SurcharEe. ** Add the State Building Code Division a Minimum Fee of($.50)
(�:�0-� x .0005 $ ?7��
(contract price) (minimum$.�0)
3. Postage and Handlin�(Only mail-in applications) $ �`5�
4. TOTAL PERMIT F'EE(Add lines 1-3 above) $ ����
*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 is 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 con[ract 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: `7 � OZ
Approved By: Date:
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NOUSE HEATING 7EST RECORD
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ADDRESS ` �` `� ` '- APT. FLOOR CITY •3UBURB��
OCNPANT OWNER ���,
HEAT LOSS DATE HTG. INST. �
SOLD BY tNSTALLED BY
El�chicol Ylo�k Br } Gas Lin� Br
7YPE OF HEA7 GA F� �._Hw STEAM ___SPACE HTR. UNIT HTR. OTHER r,z,
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GAS DESIGN CONVERSION �-~� �
MAKE AAAKE OF BURNER — '� -- - , �
Mod•I " _. IAo d.) ._
$�io� __ A{e�. BTII Rafln� '
INPUT ___ _— MAKE OF FURNACE � �
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CONTROIS _
THERMOSTAT H•ot Pluo V�nt S�:• ' >
Valv• ___ ___ KIND OF LINER ` SIZE NONE
Lirnit Droh Hood ___ R�qulaeor '
� Limit 5�niny f — -- Filt�rs Sia� NumMr �
Fon S.n��y _ Q,imn.r Locario� Inaid� �' OWsid•
Pilnt Typ� _ — --- Chimn�y Conshuefion --
Pilor Mok• ___
Pilo� Abd�l -1�__ � "` " Smok� Bomb . Wiriny
Pilot Timin9 ---. �'' � D�aft T�s� Too __
L.W. C�� Ofi ---.-- �"'�-- Dow Pr�s�w• LiohNny In�t.
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P�•as�r. ---5!>-��P•.c•nr C0� ---- Do�� T��t�d .
Input CFN_ . �__P�.c�nt OZ— - Co,��r T..r��y
Srock Temp. ��� P�rc�nl CO I — Non»:,{�( T��t�r ';:,�
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