HomeMy WebLinkAbout2007-P11666 - ventilation PERMIT
CITY OF ORONO
275(� Kelley Parkway- PO Box 66 Permit Number: p11666
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
11/7/2007
SITE ADDRESS: 2050 Shoreline Dr Unit#
Wayzata,MN 55391
P��� 10-117-23-34-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Dryer Vent
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 250.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Ditter Inc. OWNER: Berta Kvamme
820 Tower Drive 2050 Shoreline Dr
Medina,MN 55340 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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APPI.ICANT PERMITEE SIGNATURE S UED BY SIGNATURE
Copies: 1-File(Sigriatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CiTY usr oN�.v
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P.O.Box 66 Date Received_ Pennit#
1/���, �';I` �750 Kelley Parkway
I a !l� � �,j Crystal Bay,MN 55323 Approved[3y: Amount$:
�e���,` �i�c�-i� (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Coinmcrcial permits must be approved by thc Building Ot�ficial or lnspector and/or Fire Marshall)
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. Pennit cards wili be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNT1L YOU RECEIVE A PGRMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical.Desiens—Complete calculations,detai(s and specifications are required for each
I�eating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,mar.ufacturer and modeL Data shall be presented on form 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 iilspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
Job Site /Owner Information:
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Site Address: � � � � �� ' '
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Owner: �`;�-� `l�'���� ���'?�'YI�Y�� Mailing Address:
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c�ty: � � ", ,. � �� z;p; - ,_- , _� ,�_ ��
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Home Phone: �` Alternate Phone:
Contractor ]nformatioi�: �
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Contractor: � � " � ��-�`�� Coi�tact Person: � � ��-�
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Address:C; ��j��'-�;��� L�a�� tate Bond #: �Y: / �-� �� /(,�,,, ` �
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City: ��, : Zip: � Expiration Date: %:�' � �� � � ''�
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Phone: M � ' , Alternate Phone:
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` ❑ Insurance-Cucrent: �
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' MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
ModeL
Fuel:
Flue Size:
Input[3TUs:
Output BTUs:
CFM:
COOLINC SYSTEMS
Qua��tity:
Make:
Model:
Tons: ,
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
V ENTI LATION
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❑ No. Kitchen Exhaust d �-- recirculating cth�
❑ No. Bath Exhaust(must have �outsid ) � cfin
� No. Other Fans: Locatio � ��1,� cfm
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FUEL STORAGE(MUST BE FIPPROVED BY FIRE R-�NA1 L) �
❑ lnstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Otlier:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMIT�FEE CALCULATTON(S) ��
BASED OFF - 2002 STATE S7'�1TUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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,if this applies; Cost of Permit $ ]5.00
State Surcliarge $ .50
Mail-L�Fee(If Applicable) $ 1.50
Total Permit Fee $
`: PERMIT FEE GALCULATION(S)=30BS OVER�500',00 :_
If above does not apply; follow guidelines below: �i
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I. CONTRACT PRICE * is 125%of contract price witt�aj�linimum Fee of$35.00) ,_—�--�
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+ l �/. _— x .0125 $ � ��–
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bidg Code Div. Surcharge(Minimum Fee ot�.5�
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• x .0005 $ • .
(contract price) (minimum$ 50)
3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ 1.50
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � r�
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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 work done. lf any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market valae of such items must be added to the
estimated cost or contract price for permit fee purposes. ]n the event that there is a dispuie 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 Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT `
The ui�dersigned hereby applies Yo 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 State oC
Minnesota, and certifies that all state���ents made on this application are complete, true and
correct.
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Applicant's Signature: Dai�e: � / � �
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