HomeMy WebLinkAbout2006 - P10050 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10050
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
7/17/2006
SITE ADDRESS: 1250 Woodhill Ave Unit#
Wayzata,MN 55391
PID: 02-117-23-24-0008
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: $ 2,028.00
State Surcharge Fee: $ 1.01
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.51
APPLICANT: Total Comfort/DBA:A-ABC Appliance 6 OWNER: United Healthcare Ins Co
4000 Winnetka Ave N-Suite 100 1250 Woodhill Ave
New Hope,MN 55427 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 tSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 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 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 (952)249-4600. 24-hour notice
required.
7. House Heating Test Record must be submitted 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 (952) 249-4600.
Please check one: New Addition Repair k Replace
_ atesidentiaf _Commercial
JOB SITE: a.5� "�11�� 10 Zip:
Owner's Name: .Cry lo' t1• Phone Number: (R la-lap-c}C 'j
Mailing Address: is. City: Ot`4 Zip: S5?>S
Contractor's Name: \ .\ (Y ce c c- Phone Number: 7CoS 3g`,�—S` /
Mailing Address:tACCQ �:;nn \hc`1‘Je ro City: )L Zip: f 4a,`t
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: '.cc A.-C
Model: __O 1CI_gSIA'S'IA0
Fuel:
Flue Size:
Input BTUs: ten ICO
Output BTUs: `?c,, J
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside or- outside
LP Gas: gallons
Other Gas opening
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 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; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price*is .0125%of job wit�hla Minimum Fee of($35.00)
o‘0) 'Gc3 x.0125 $ ' `j, 0
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
?OI) x.0005 $ l`1
(contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ( 3^7, " /
*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 installation is 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 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 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 Minnesota State Building Code,and certifies that
all statements made on this application are comp e,true and correct.
Applicant's Signature: / Date: 021"1 alp
Approved By: 4t7Date:
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