HomeMy WebLinkAbout2006-P0925 - mechanical PERMIT
, CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09525
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
1/9/2006
SITE ADDRESS: 850 Wayzata Blvd W Unit#
Wayzata,MN 55391
PID: 35-118-23-44-0004
DESCRIPTION:
Proposed Use: Institutional-Schools
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: $ 81.25
Valuation: $ 6,500.00
State Surcharge Fee: $ 3.25
TOTAL FEE: $ 84.50
APPLICANT: Countryside Heating&Cooling OWNER: OMS Properties LLC(Orono Montessori School;
6511 Hwy 12 850 Wayzata Blvd W
Maple Plain,MN 55359 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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(-)
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
,)v6 b4<-7d-106 ti Sq. SO
FOR CITY USE ONLY
O�` City of Orono
0 `V0 P.O.Box 66 Date Received: Permit 4
2750 Kelley Parkway
V• Crystal Bay,MN 55323 Approved By: Amount$:
L` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector 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 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.
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(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
❑ Residential lItCommercial(Approval Required)
❑ New ❑Additional ❑ Repairs Replace
Job Site/Owner Information:
Site Address: 0.51:7 LA) BI-VO
Seitvvl
Owner: QrOAO ✓4o.tif 1PSSo•'c Mailing Address:
City: df cd v Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Cry-t.ii <Far Contact Person:
Address: 6511 6f IQ y !7- wtrl(e q,;, Si State Bond#:
City: t(e '(4'1 Zip:,555c Expiration Date:
Phone: 71D3-1411—/WO Alternate Phone:
I I Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity: 1
Make: 111: it 4°1
Model: )10N/
Fuel: /i4+ 6 5
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning 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) cfm
❑ No. Other Fans: Locations cfm
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:
2
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;excluding 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 CALCULATION(S)—JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
6s�50x.0125 $ 81•ag.
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
6 L-;00,co x.0005 $ 5, S
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
t.
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ O 1• o
• * 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 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.
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.
Applicant's Signature: ./ ' Date:
Reset Form
3
P . 1
* * >k
* * * Transmission Result Report (MemoryTX) ( Dec . 8 . 2005 10 : 12AM )
1) countryside heating
2) and cooling
Date/Time : Dec . 8 . 2005 10 : 09AM '
File Page
No . Mode Destination Pg (s) Result Not Sent
2582 Memory TX 18644462172 P . 1 OK
Reason for error
E . 1) Hang uP or line faiI E • 2) Busy
E . 3) No answer E .4) No facsimile connection
frau l+nal Door 1
STOLL FIREPLACE EQUIPMENT,INC. 900421-077 t.-Fax 864-446 2der Form#1e
72
C'
ORDER DATE 7O ORDER PLACED BY
SHIP TO 1 R� •
881 TO:
P08: 1'.-4...•=41 CUSTOMER NAME: F.-,
On
1. Frame Type: 69 Standard O Flat Fit O Ber Stock O Triple Iran
2.
3. SSer�iestTyp 15-Overlap - O Inside Fit IMPORTANT NOTE:Please provide Opening Sirs of Oreplace!
0 9100 O 6200 0 9300 0 9400 0*500
� t000 052000 093000 094000
• 4. Gtass. Center V Door
cO Type: 0 Cabinet l4 B9old Single Mold 0 Single Cabinet O Fixed
iew O C!earview O Cenlerber(Cenasr Only) 0 Centarbar(A8) CIA!'Seal
6. Damper Style: 6 Hidden O Slotted 0 None
7. Decorative Doors PI-None O Abstract O C-Pane O C-Scroll
O Leat O Window Pane O ane O FLS so y
S. Mesh Type: t rCabinet O Single O None Owed Window Pay
9. Fee: lallone O Top Panel 0 Bottom Panel
10.Frame Panel Width: O 1' D 2-
11.0 Comer(include Measurements of Fireplece)... 0 Other.
'A Rectangular Opening Ste of Fireplace WIDTH 3V HEIGHT 01{
Finished Overall Door Size WIDTH
12.Colors: HEIGHT
III
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6Fb ` it V rr
Poilahed
:.' a: / �s ~ r ,: q`SunBre �_�����`m°hee home �I�I�////-�
IIIIIIIMIIIIIIIIIIIIIII.4..,.
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Ancient!,.i ������,. • la
Had Facing the large sill
J �_w ile°is comes oraBone4o `� `al
'Texture
*Char
vein � = (.''
`siwer vein
MMEIMMI
13.i Powder Coat .•.:....-r$50(Avaiiabie in Powder Coat Finish
14.Handle Style: "Square O Wire O
15.Glass Color: Decorative(Polished Brass,Moque Brass 8 Pewter Only)
U7'AL EXTRDPT �;reY O Clear IIBBr Bronze(8 Weeks!)
'6.Beveled Glass: 0 Outside Edges Only 0 All Edgea
n7.Return Flanges: O Top O Both Sides 0 Hearth Flange Depth
18.It¬e Door: Hinge placement P
S S U ❑Right 0 Left
`
C OU\ITRYSI DE/F1 REPLACE
CREAT1 ON S
PERMIT APPL1 CATON N 011 CE
HOME OWNER : (92 wo /Z ,riSS®R-S- 5;140-/
ADDRESS : '550 Las T W4-- 41 £"e
C)
CITY /�/v c55
PHONE # HOME : CELL :
WORK : PAGER :
JOB #: j Z-7b CUSTOMER NUMBER : (510e-U_
EQUIPMENT (MODEL;SIZE,QUANTITY):
/7/ X2,/6 AT /
WORK TO BE DONE : E y/.e c ,7
PERMIT APPLIED FOR BY:
TOTAL JOB AMOUNT : $ � �®® -----
DATE
DATE : DATE OF INSPECTION(S):
5/24/04 PH