HomeMy WebLinkAbout2006-P10223 (mechanical) PERMIT
CIT�' OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10223
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued: 8/16/2006
SITE ADDRESS: 2732 Caroline Ave Unit#
Wayzata,MN 55391
PID: 20-117-23-24-0041
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 66.30 va�uation: $ 5,304.00
State Surcharge Fee: $ 2.65
Misc.Fee: $ 1.50
TOTAL FEE: $ 70.45
APPLICANT: Ditter Inc. OWNER: Charles&Susan Percival
820 Tower Drive 2732 Caroline Ave
Medina,MN 55340 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 SSUED BY SIGNATURE �
Copies: 1-File(Sigr:atures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
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r �:ITY OF ORONO APPLICATION FOR MECHANICAL pERMIT � �`� Page 1 of 3
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� CITY 4F ORONO APPLICATION FOR MECHAlvICAL PERMIT
Boz 66(2750 Kelley Parkway)
Crystal Bay,MN 55323
GENERAL INFpgMATION
1• You may apply for rnechanical 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 retum mail after a review is completed.PERMII'S qRE NOT VALID UNTII.,YOU
RECENE A PERNIlT. VVORK MUST NOT BEGIN UNTII,TI�pERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs -Complete calculations,details and spec�cations are requir for each eatmg,ventilahon,
humidi ication-dehumidification,and air conditioning installation including heat loss/hea#gain calculatioq design
temperatures, equipment ratings and identification as to type,manufacturer and rnodei.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.
�- All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. . �
6. All work rnust be inspected(rough-in and final).Call(952)249-4b00.24-hour notice required.
7. House Heating Test Record must be submitted before fuial.
Insiructions
Complete all items on this application. Compute the pernut fee. Sign and date the certificatian.INCOMPLETE
APPLICATIONS WILL NOT BE PROCESSED. If you have questions,call (952)249-4600.
Please check one: New Addilion Repair Replace Residential Commercial
.
,
JOB SITE; ,� �� � C y�^�� I v� �� � � ��'
Owner's Name• � � Zip: " �
1 `�� � �C� �Gt.\ Phone Npmber:
Mailing Address: a`7 3� � �y��� l�.� J�J-� City: ���Gt ���L Zi p; .� =��`t
��1?ER,INC.
COOLING • HEATIN�,
Contractor�s 1Vaffie: 820 TOWER DRtVF p�one l�tctml�er:
l�a�iing 4ddress• s34o City:
Zip:
C --�J q .
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SYSTEM DESCRIpTION
HEATING SYSTEMS
i
Quantiiy_ � I
Make: � � 11 �1� x �.�111
G;-Lr f }11-jP-���'C-C�f�:� �
Model: C (' - � - ��,I� �������
FueL- �°��� ���
1
Flue Size: ;���:�� ;'�-��� �,, �� l L
�I
Inpuf BTUs: `� �� �'b� �'�, ��,
Output STUs:
CPM:
�i i r �r vxvivv HrrLi�H�ivi� r utc ivi��r�uvic;x�r�tuvu t Yage 2 oi�� . �
, t
COOLING SYSTEMS
@uantity:
Make: �
��\_
Model: �
Tons: �'-
H.Power
FIREPLACES
Gas faetory fireplace
- ��d barning factory fireplace with flue
Wood Stove�_
Wood stove with flue `�
� �e Model No.
VENTILATION
Kitchen E�cllaust duct recalculating cfm
No. diaust(mu-st iave duct outside) cfm ,
No. Other Fans. tions ��►
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Insta�Ta�'tiss. r Removal
Fuel oil: ns underground inside outside
LP Gas: gallons
Other Gas opening
�ERMTT FEE CALCULATION(S)
2002 State Statute Yes This Section App6es
The replacement of a Residential fixture or appliance that meets atl tlu-ee of the following requirements:
l) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less;excluding the cost of the fi�cture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcl�arge$ .50
Mail-In Fee $ 1.50
I��ov-e�oes-not app y, �o ow gui e �nes e ow:
1
1. Contract Price* is .O l25%of joU with a Minimum Fee of($35.00) -��
—----- �
.___����� � x A 125 $ ��� ��� �
(contraci price)---- (minimum$35.00) - —
2. State Surchargc. ** Add the State Building Code Division a Miniruum Fee of($.50) �
-- -------------�� ,
__.. x.0005 $ ,� /
�i! T Vt' VKVIVV HYYL1l,A11V1V t'Vt�1vl�l,riH1V1l..HL Y�KiVlll Yage 3 of�3
. �.
,. � (contract price) (minimum$
� �
3. Postage and Handling(O�:ly mail-in applications) $ __ .50
f`�
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4. TOTAL PERNIIT FEE(Add lines 1-3 above) $ _ =
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charge for the permitted work inc ' g materials,labor,profit,
and other fixed costs.It is the amount to be charged to the customer for the work done.If a material,e ui abor,or installation is furnished
by the owner,tenant or any other party the reasonable market value of such items must be adde o e 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$1,OOQ000 or$.50-whichever is greater.For valuations over$1,OOQ000 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 ilding Code,a certifies that all statements made on this application are complete,true and
correct. '
�--' �'' ,� � � � - � �� , �;"
Applicant's Signature: � ` �~ �_-_ Date:
- ------ — —
Approved By: Date: _ __ _
file://C:\Documents%20and%20Settings�mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003