HomeMy WebLinkAbout2000-P02864 - mechanical f�Y' F R N PERMIT
C O O O O
2750 Kelley Parkway - PO Box 66 Permit Number: Po2s6a
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: g�23ioo
SITE ADDRESS: 625 Spring Hill Rd
WAYZATA,MN 55391
P I D: 2 5-118-2 3-3 3-0003
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: $ 35.00 Valuation: $ 900.00
State Surcharge Fee: $ 0.45
Misc. Fee: $ 1.55 MAIL IN+.OS DIFFERENCE ON SURCHARGE
TOTAL FEE: $ 37.00
APPLICANT: VOGT HEATING&AIR CONDITIONI OWNER: V Z&E T HAWN
3260 GORHAM AVE 625 SPRING HILL RD
ST. LOUIS PARK,MN 55426 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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APPL N P IT NA U E ISS DBYSIGNATURE /�,�_)
Copies: City,Applicant,Assessor,Finance Page 1
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' CITY OF ORONO APPLICATION FOR MECI-�AIVICAL PERMIT
Box 66 (2750 Kelley Parkway) ����,�'
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Crystal Bay, MN 55323
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GENERAL INFORMATION �;
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1. You may apply for mechanical permits by mail or in person at the City of�ces. Applications �ubtFhy(�g ��
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,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 473-7357. 24-hour notice required.
7. House Heating Test Record must be slibmitted 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 473-7357.
Please check one: New � Addition Repair Replace
Residential C m ercial
JUB SI1'E: �� � ►'� �� Zip:
O��ner's N�:�e: Telephone Number:
Mailing Address: y��, :�c.�lJu� City: �ip:
Contractor'sName: dOGT HEATING b AIR CON�ITIONIyG TelephoneNumber:
Mailing Address: 3260 GORHAM AVE. Clty: Zip:
. 35426-- 3
SALES 929-6767 SERV�CE 92�4011 ;�
SYSTEM DESCRIPTION �
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HEATING SYSTEMS �
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Quantity: �-' (� U�`� �� ` -�- (� � �� � � �l � ��
Make: ����� �
Model: �
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Fuel: ��
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I�lue Size:
Input BTUs: _ _
Output BTL's: _
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
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WOOD BURNING EQUIPMENT . �
Wood stove with flue
Wood combination or add-on `�
Factory fireplace with flue �
Factory Fireplace (s) Freestanding Masonry �=
Wood Stove (s) Franklin, other �
Brand Name Model No. �
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Mfgr's Min., Clearances, side , rear , min. flue dia. ;�
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VENTILATION ��
No. Kitchen Exhaust ducted recirculating cfm `�
No. Bath Exhaust (must be ducted outside) cfm
Nn. Qther F�ns: L�cati�ns cfm
FUEL 5TOFtAGE (MU5T �E APPROVED BY FIRE MARSHAL) �
Installation Removal �
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ,_, �
���� ;�J, — x .0125 $ �-> � ��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
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Surcharge to each permit. �( �'�-= x .0005 $ � �_>U
or $.50, whichever is greater (contract price) :�
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3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT PEE (Add lines 1-3 above) $ ;j ���,�
* 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 ;�
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customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, '�x
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 S'fATE SURCHARGE is .0005 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.
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The undersigned hereby appl i�s to the City for issuance of a Mechanical Permit, agrees to do ��
all work in strict accurc!ance 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.
A licant's Si nature: ,SL� C��/G�/ ���/ Date:
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Approved By: Date:
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