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2002-P05467 - mechanical
� � PERMIT 1TY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Posa6� Crystal Bay, Minnesota 55323 Permit Type: Mechan�catPeT,nits (952) 249-4600 Date Issued: a�i�2oo2 SITE ADDRESS: 2054 Shoreline Dr Wayzata,MN 55391 P I D: 10-117-23-34-0015 DESCRIPTION: Proposed Use: Residential Perxnit Class: General Permit Type: Mechanical Permits Pernut Sub-type(s): Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 76.95 Valuation• $ 6,156.00 State Surcharge Fee: $ 3.08 Misc.Fee: $ 1.50 TOTAL FEE: $ 81.53 APPLICANT: Sedgwick Heating&Air Conditioning Inc. �WNER: Paul&Rebecca Miller 8910 Wentworth Avenue S 2054 Shoeline Dr Minneapolis,MN 55420 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. �,.�d��� ���'� APPLICANT PERMITEE SIGNATURE IS BY SIGNATURE � Copies: 1-File(SiQnitures Required), 1-At�nlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 ,y ��� y -,r�,�k-��-s h6� ��a*^�,n-s . «� .-{.. 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P P � aq tiin� suoilE�itddy •sa�r�3o �i� e�1 1z uosiad ur io i�tu Fq si?�ad ���q�acu io; �Cidds �E� no� •t . . ' k; 1�IOI.L�I�1i2I03h'I'I�2��Pi�� �: � ` '" £Z£SS I�II�1I `��S I���� t;�' �: �� � � �° : (��n�.�d �atIax OSLZ) 99 Xog �f=�,,�: � ,LII�I2I�d'I��II�I�H��T?I03I�IOI�L��PIdd� OI�IO2I0 30 �ZI� �T;����: F L ��t � > ��� -r� :a ,�.�, p � {" d +�",� % ;, . +c+, ��.,. j� � �� � �a�€'�' ?� �r �� ��, � M���,_ t {.�. e . ��� ' �t \ � z s'��?�Y" t �''� � � � � �. :at '�;�Wi Y ✓�'. �� �" .`k -�r + .�„,. � i ` '^'R�w ., � �. � + ,,. :., a �� �u:� � � ' "i <� . ,� .� w � �'.�� ��,;�v #L�F f: a„ 1 1 .:{ `� �+. . t � ; °., . '..�� ,:fh",k?i'ktrd��.:....�vi:"�`'v' tieh ._+tg+c. „s,�r.+?,. ..i...� :� .. . .. "� . ��r�. , .. Y,,����¢. . ti � � . /r ��`* ( .�� j � a; '� .?., � __� .. ` - . ` .-�� _ �a. � � ��r �.. . . . � s� WOOD BURNING EOiTIPMENT �- � r-��� . , - Wood stove with flue �`� ,�' �� �r��;�- �-�=� � --� '��-�°�,�-�' -�~ Wood combination or add-on -��` � ��'�`�r�" � x � .-�`�'��`�, � � ����. �.x�� �. 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. N:,`; � ; � : VENTILATION . , ,.`�'` ` No. Kitchen Exhaust ducted recirculating cfm � ����- No. Bath Exhaust (must be ducted outside) cfm °= , .�. �. �� � No. Other Fans: Locations . . � �, FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) - � ' j��`� Instaliation Removal � . F ', , _ Fuel oil: gallons underground inside outside �, - � �� LP Gas: gallons � Other Gas opening � .� �Y�. . . . '.. E PERMIT F'EE CALCULATION �� � 1. 1.25% of Contract Price* or Minimum Fee ($35.00) t � � � � �n I_1� ` X .�125 �P / (v'' /�• �(contract price) , � _ � . � 2. State Surchar�e. ** Add the State Building Code Division �I �:,:. . � ' Surcharge to each permit. x .0005 $ � ��' �; �� � or $.50, whichever is greater (contract price) ��� � 3. Posta�e and Handlin� (Only mail-in applicafions) $ 1.50 � 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ f� �� ' * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the pemutted � 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 aze 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. 5 �r� er 1 000 000 or $.50 - whichever is � � ," _ The STATE SURCHARGE is .0005 of the contract pnce und $ , , ,.� � _ greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. � - The undersigned hereby applies to the Ciry 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: ��� �O'L - .� ?�� ,� = k.�_�. �� � , Approved By: Date: - % �_ . � .. ;.. . , , : _ . :_ - - - - *�- �-���r�+ M - = - - : - � �' - -� �. 4 ' f � - � - - - ,- , - .. _. - - ;r. _ _ . . _ , - , . _ ,. _ .,. . . > r _ . _ . , ' ,. ,. : . . . -, , ... _ . . . . . _ _ � _,. ,_ _ ... .