HomeMy WebLinkAbout2005-P08768 - mechanical * PERMIT
C�TY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08768
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/24/2005
SITE ADDRESS: 4545 Wayzata Blvd W unit#
Maple Plain,MN 55359
P��� 30-118-23-31-0005
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pemrit Type: Mechanical Pernuts Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 47.49 valuation: $ 3,798.84
State Surcharge Fee: $ 1.90
Misc.Fee: $ 1.50
TOTAL FEE: $ 50.89
APPLICANT: Onsite Mechanical OWNER: Glenn&Jane Slaughter
7900 Halstead Dr. 4545 Wayzata Blvd
Minnetrista,MN 55364 Maple Plain MN 55359
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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APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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. O,�p�O City of Orono : � �; � ���Y�
P.O.Box 66 ������;��}. �T �y�#
2750 Kelley Parkway
3 � Crystal Bay,MN 55323 ����,; ����t�:�,,
p� (952)249-4600
CITY OF ORONO-MECHANICAL PERNIIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by retum 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 calculallons,details and specifications are required for each
heating,ventilation,humidification-dehumidificadon,azrd air conditioning installarion 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 remodelirig is involved,a sepazate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical:CodelSfat�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: "�
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�Residenhal . `.�.Commercial(Approval Required)
❑New _ ;: .
❑Additional _
�Repairs . 0 Replace ., . . .
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Site Address: �-�.� 4 5 W 0..V 7 ��-�. i:��V!�.
Owner: �o�ne.. 5 v- Mailing Address: �
city: _ O ror► p zip: '��5 35�
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Home Phone: (o I 2-7 4 3-5 g b� Alternate Phone:
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Contractor: �h S;�-� 1'1^p�'+qn���C.ontact Person: �re,c� � ,`o���2.1^
Address: ��I.C�O �-�Sf� I��^, State Bond#: O ��3�',� �
CitY: m c � �•�J-n 7ip:S536 y Expiration Date: �Z�jl�(�
Phone: ��2-y 46-9S y5 Alternate Phone:
❑ Insurance-Current:
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HEATING SYSTEMS
Quanaty. I J—h'�a�n L
Make: I�P-V�Yl��' �?�111�1��
ModeL• (� 5 I ►�'►P�a�`!13—Oy'�j (�� !—11�P-03(, -O�O �Z� I �?-�W�
Fuel: �rj
Flue Size:
Input BTUs:
Output BTUs: '
CFM:
COOLING SYSTEMS
QuantitY.
Make: •
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) ��
❑ No. Other Fans: Loca6ons ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oii: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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❑ Yes,this secrion applies
The replacement of a Residential fixture or apuliance 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 Surchazge $ .SO
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
3�q8 . �y X.o�25$ '��� y
(contract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surchazge(Minimum Fee of$.50)
�798•$� X.000s $ l ,� o
(contract price) (miaimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PEItMIT FEE(Add Lines 1-3 Above) $ 5� . S�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 installations are 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.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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
conect.
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Applicant's Signature: Date: � �
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