HomeMy WebLinkAbout2002-P05257 - mechanical PERMIT
��I`Y OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Pos2s�
Crystal Bay, Minnesota 55323 Permit Type: Mecnan��ai Pe�its
(952) 249-4600 Date Issued: 6/3/2002
SITE ADDRESS: 3850 Shoreline Dr
Wayzata,NIN 55391
P I D: 17-117-2 3-3 3-0006
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Pernrits Permit Sub-type(s): Heating Systems
Air Condirioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: PernutFee: $ 62.50
Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 66.50
APPLICANT: Kleve Heating&Air pWNER: lohn Chenoweth
13075 Pioneer Trail 3850 Shoreline Dr
Eden Priaire,MN 55347 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S 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 B SIGNATURE
Couies: 1-File(SiQnixures Required), 1-Avnlicant, 1-Monthlv Renorts, 1-Assessin¢. 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, I�L'�T 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 TI�PERMIT CA.RD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns- Complete calculations, details and specifications are required for each heatin�,
ventilation, humidification-dehumidification, and air conditioning installation includin�heat loss/heat
gain calculation, design temperatures, equipment ratinas and identification as to type, manufacturer and
rnodel. Data shal; be presented on fo;m provided. Identification of and specifications for���ater neating
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 Buildina Code
requirements. y
6. All work must be inspected (rough-in and final). Call (952) 249�600. 24-hour notice required.
7. House Heatin�Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
Ii�1COMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(9�2) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair �place ❑ Residential ❑ Commercial
JOB SITE: � D� 're {l4�°�n�.�, ZiP� ��
O���ner's Name: �n (��o h���..�. Phone Number:
1��lailing Address: '
�Sf�._-��'1�►+�, (��,• City: 1��,,--Zip: �S.�ct J
Contractor's Name: �,, Phone Number: . ,� 2,�c�/•���
Mailing Address.; � C'ity; ��_Q�ZiP; c���c�-�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: N�
Model: �p
Fuel: '
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEi�IS
Quantity: '
Make:
I�fodeL• �''
Tons:
H. Power
FI?ZEPLACES
❑ Gas factory fireplace
❑ Wood burnin�factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculatin� cfm
No. Bath E�chaust(must have duct outside) cfm
No: Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fue( 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 appliance that meets all three of the followin�requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludinQ the cost of the fixture oF;appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip neYt section; Cost of Permit $ 15.00
State Surchar�e $ .�0
Mail-In Fee $ 1.50
If above does not apply, follo�v guidelines below:
1. Contract Price* is .012�% of job «�ith a I�Tinimum Fee of(�3�.00)
�,�so $ � � O
x .O1?�
(contract price) (minimum�3�.00)
2. State SurcharQe. ** Add the State Buildin,Code Division a Nlinimum Fee of(S .�0)
aD � .000� $
(contract price) (minimum$.�
3. Posta�e and Handlina (Only mail-in applications) $ 1.�0
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �
' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted work including
materials,labor,profit,and other fixed costs. It is the amount to be chareed to the customer for the work done. If any material,
eGuipment,labor,or installation is fumished by the o��mer,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.000�of the contract 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 undersiened 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 statemen[s made on this
application are compleie,true and correct.
Applicant's Signature• Date: �� '��
Approved By: Date:
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