HomeMy WebLinkAbout2002-P04966 - mechanical .
�' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04966
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3�iai2oo2
SITE ADDRESS: 440 Brown Rd S
Wayzata,MN 55391
P I D: 03-117-23-42-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 2.00
TOTAL FEE: $ 37.50
APPLICANT: Vogt Heating&Air Conditioning OWNER: Joseph&Marilyn Moyer
3260 Gorham Ave 440 Brown Rd S
St. Louis Park,MN 55426 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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APPLI'CANT PERMITEE SIGNATURE ISS,[J BY SIGNATURE `
Conies: 1-File(SiQnitures Required), 1-Applicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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' CITY OF URONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION � x ; ' ,
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1. You may apply for mechanical permits by mail or in person at the City offices.Applications will be
reviewed and a permit�vill be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALII�
UNTIL I�OU RECEIVE A PERM[IT. WORK MUST NOT BEGIN UNTIL'I`HE PERMIT CARD IS
POSTED ON T�-IE JOB SIT'E.
3. Mechanical Desi�ns-Complete calculations, details and specifications are required for each heatin�,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer�nd
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 accord�nce 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 Une: [�N�vv�Addition ❑ Repair ❑ �eplace esidential ❑ C�r��nexcial
JOB SITE: �t �d 'C�O � Zip:
Owner's Name: �(�(l . Phone Number:
Mailing Address: City: Zip:
4;�;<<;�r:i��aia co�atwtct�
Contractor's Name: ,;;R�fl,�F Phone Number:
Mailing Address: ".�:'N 55426 �ityo Zip:
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VO�T H�r�kc a aR co�raY�o�y� ,
3280 GQR11�lMAVE
SI.10U�,�PARK�i,Y 5542�$
s���9-6767 SERyiL`�g�,q�.�
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SYSTEM DESCRIPTION
HEATING SYSTEMS ( �
QuantitY: o I � 1 vi � J ���c�Jr/� ' ��. `
Make: �`J f l5 �
Model: I�Ct ( -/ I C 1^
Fuel:
Flue Size:
Input BTUs:
Output BTUs: "
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIItEPLACES
❑ Gas factory fireplace '�:; '�
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❑ Wood buming factory fireplace with flue ;�;�}�+����': :
❑ Wood Stove .
❑ Woud stove w�th flue
Brand Name Model No.
VENTILATION . _
No. Kitchen Exhaust duct recalculating cfm
No. Bath E�chaust(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 ❑outside
❑ LP Gas: gallons
❑ Other Gas opening �
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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; excludin�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 with a Minimum Fee of($35.00)
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�� � x .0125 $_ �
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
� x .0005 $ • ��
(contract price) (minimum$.50)
3.Posta�e and Handlin�(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ c7�����
*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 fumished 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 complete,true and correct.
Applicant's Signature: c O(� �7` Date: U ����
Approved By: Date:
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