HomeMy WebLinkAbout2005-P08800 (mechanical) PERMIT
(,'ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08800
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
6/1/2005
SITE ADDRESS: 1461 Bay Ridge Rd Unit#
Wayzata,MN 55391
P��� 10-117-23-34-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Remove Oil/Fuel Tank
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 200.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Owner/Self OWNER: David&Kari Flick
MN 1461 Bay Ridge Rd
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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LICAN E SIGNATURE SSUED BY SIGNATURE
Copies: 1-File i natures R guired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
�� ,�p� City of Orono
O Q P.O.Box 66 Date Received: Permit#
�,,,,,,_ 2750 Kelley Park�vay
a ;�js,'�;.;�_ �. Crystal I3ay,MN 55323 Approved By: Amount$:
y� ,u�y 1+�-�.o"` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Conul�ercial pennits must Ue approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply far mechanical pernuts by mail or in person at the City offices. Applications will `
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by rerizrn mail after a review is completed. P�RMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for eacl�
heating,ventilarion,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any ne�v construction or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Cail(9�2)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subinitted before final.
TYPE OF PERMIT
(Check All That A ly)
�esidential ❑ Commercial(Approval Reqtured)
❑ New ❑ Additional ❑ Repairs ❑Replace
Job Site/ Owner Information:
Site Address: �i�
�
Owner: � '' ,c� ` Mailing Address: �w�
City: �m� Zip: �=��� �
Home Phone: � �c�j���-S8�$
���) �'�!�' ~�:��01 Alternate Phone: k
Contractor Infornlation:
Contractor: �S� Contact Person:
Address: State Bond #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance —Cun-ent:
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MECHANICAL SYSTEMS BEING INSTALLED �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: �
Tons:
H.Power
FIREPLACES �
❑ Gas Factory Fireplace
❑ Wood Buniing Firepiace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATIOl�'
❑ 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: �1 gallons �Underground ❑ Inside�0utside
LP Gas: gallons � �
Other:
GAS LINE ONLY �
❑ Outdoor Grill ❑ Other/List What&Where:
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� PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to elecn�ical or gas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and
3. Is improved, installed or replaced by tl�e homeowner or licensed conh�actor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicabie) $ 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 conh-act price with a(Minimum Fee of'$35.00)
�� �� x.0125 $
contract price) (minimum$35.00)
2. STATE SURCHARGE 'k* Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) `
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the act�ial or estimated dollar amount charged for the
pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the custoiner for the work done. If any materiai, 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 pernut 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 conri�act.
� ** 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 Pernlit, agrees to do all
wark 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: (o��/�
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