HomeMy WebLinkAbout2002-P05503 - mechanical - Y�- PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Posso3
Crystal Bay, Minnesota 55323 Permit Type: 1v�echanical Permits
(952) 249-4600 Date Issued: sii4�2oo2
SITE ADDRESS: 1420 Shoreline Dr
Wayzata,MN 55391
PID: i i-i i�-23-22-oois
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
In Floor Heat
FEE SUMMARY: Permit Fee: $ 192.88 Valuation: $ 15,430.00
State Surcharge Fee: $ �.72
Misc.Fee: $ 1.50
TOTAL FEE: $ 202.10
APPLICANT: Lake Side Plumbing&Heating Inc. �WNER: David Feldshon
12469 Zinran Avenue S. 1420 Shoreline Dr.
Savage,MN 55378 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 BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT ;
Box 66 (2750 Kelley Parkway) �
Crystal Bay, Nlrt 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 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 Designs - Complete calculations, details and specifications are required for each heating, .
ventilation, humidificadon-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 CodelState 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 Addition Repair Replace
Residential Commercial
JOB .5�.� ��L' 'y'� �.l�C 4^ ,
� ��i ���..C� ^ r Zip:
Owner's Name: �1,� R/�Qs �-�.s� ;� Telephone Number:
Mailing Address: L�1��: �:>;_%-<,� �t�J City: ;;<,i /�i� Zip:
Contractor's Name: Telephone Number: �.�,� ����� �U��
Mailing Address: ,.:AK�S I D�. P� -. �. � . � �: Zip:
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S�vage� MN 55378 .��n�f �-,�.�..� .��, z;����'/��:, f.�t���, �4
SYSTEM DESCRIPTION M�
HEATING SYSTEMS `�� ��`'` '- S``�'�
Quantity:
Make:
Model: /Y►unc���� ���,'�� i��-� /� �y � r�r���c . c.�cr, /-fFr � �
FueL• �
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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�,� .: WOOD BURNING EOUIPMENT , : - .
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Wood stove with flue � � ���
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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
No. Other Fans: Locations cfm
1 � :;, J FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �s�- >: ���# R
_>..YT Installation Removal ' ,�`
Fuel oil: gallons underground inside outside
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� A LP Gas: gallons ''
' '' Other Gas opening
PERMIT FEE CALCULATION
� 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/5��3c: �' x .0125 $ / i� � .$ ,
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(contract price)
� 2. State Surcharge. ** Add the State Building Code Division ;� 2
`, �';: Surcharge to each permit. x .0005 $ �
��:; or $.50, whichever is greater (contracc price)
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3. Posta�e and Handling (Only mail-in applications) $ 1.50 -
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ :�C-�.z '` ,�;: , ;;
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* 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 wor'.�c dor.e. If any material, equipment, la`uor, or installati.;n aza fumishe�i by t1�e owner,
tenant or any other party the reasonable mazket 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, r�
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� "' `}- ' the City may request the submission of a signed copy of the actual contract. �`«
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�' ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is � "
.a: 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:
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Approved By: Date:
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