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HomeMy WebLinkAbout2005-P08917 - mechanical PERMIT CIT� OF ORONO �750 Ketley Parkway- PO Box 66 Permit Number: po8917 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 Date Issued: 7/6/2005 SITE ADDR�SS: 745 Spring Hill Rd Unit# Wayzata,MN 55391 P��� 36-118-23-21-0002 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 560.18 Valuation: $ 44,814.00 State Surcharge Fee: $ 22.41 Misc.Fee: $ 1.50 TOTAL FEE: $ 584.09 APPLICANT: Merit HVC,Inc. OWNER: David Ericson&Jamie Wilson 7801 Park Dr 745 Spring Hill Rd Chanhassen,MN 55317 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. ���� � APPLICANT RMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ,���;-/�C�� `' FOR CITY USE ONLY , * � City of Orono � O4 �O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway a �''°• x�; Crystal Bay,MN 55323 Approved By: Amount$: 4e�':'� .`o`-' (952)249-4600 nxa° CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or[nspector 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. 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 Desiens—Complete calculations,details and specifications aze 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. 4. When any new construction or remodeling is imolved,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(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 �f Replace Job Site/Owner Information: Site Address: �y� ���'�►r�1 ph�+l� T�/` / �I , T— Owner:�Y i�LS�✓1 W �(`J�il/1 Mailing Address: � � C�t ` �� City: lJlj C�l1 G Zip: `�g/ Home Phone: Alternate Phone: Contractor Information: Contractor: ��r,'1 , �/1fi(�' Contact Person: ��'(r _ Address: ��� Ylk State Bond#: City: Zip� Expiration Date: Phone: ��,"�'C �17�/ �70�5 Alternate Phone: ❑ Insurance—Current: 1 � ! PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ 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;excludine 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 $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCLTLATION(S -JOBS OVER$500.00 If above does not apply;follow guidelines be(ow: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 535.00) ,�� ���, � .�ts f, X.oizs$ ��ob ' (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) ����v/�/ x.0005 $ � �f (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above)° $ �V�� �� ■ * 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. If any material, equipment, labor or installations are furnished by the 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, 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 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. i' �/- a A licant's Si nature �✓�l ' ~" � ` � PP g /; � r�',. ',i� � 4.�, Date: -'r` �7 Reset Form 3 `��he w�c rc�- v�e� w.o�,,�` ��{e t ��� � • ' , MECHANICAL SYSTEMS BEING INSTALLED . HEATING SYSTEMS Quantiry: �'n10.+� /3�4Ght l3r��1� /3t�6h�' /3r5�r1t Ma�e: 3��/�� V 3/.��!/1 v 3/,5.1�1 v �3�.�.�I v 3S0/�lv Model: Fuet: i�l�l i- N d►. j/A i_ �ld;_ 1�1•d� Flue Size: � �� � °�� �3 'l��/�__�L�Y� Q1��a�� Input BTUs: �jt(1LII� ��. ��U� tio�, c�o►� Output BTUs: �� W� �j W( �O� �►�y 7�P t•�. CFM: l��U� /GGG ��CG 1d�G >d OG COOLING SYSTEMS Quantity: �Y�Cv�d �k�ttia ��Cjna /�Jfi�h� Make: •��:(�TI x �G�d1Yll ��9N� �'.,i0�'11�t�/ Model: Tons: ���C k J �G l� o� j H p7�C � H.Power 3/a 3 a � FIREPLACES ❑ Gas Factory Fireplace � � 1� �XC��� ��� ❑ Wood Burning Fireplace ❑ Wood Stove / X ��,�e� ❑ Wood Stove With Flue / „� Brand Name: Model No.: � l�v�'�c1����cS VENTILATION ❑ No. � Kitchen Exhaust duct recirculaYing cfm ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where:�Q/G C�C� �2��'V • f�' �5'S�'� C��c�d �I � - �ll ��c�ncdS ��o� �-��c ,,�,� t�� Q�,c 2 w:�� ► t��:� 1�e�-��v a 1 cu►�k �led�;c ���,� �P��- ,� . . 1 �UrKc.c� c��c�.�,��cc ��i a Vl`� �G�- !�'}�iYCC[.�.� /�''G�1�C'w '���