HomeMy WebLinkAbout2004-P07600 - mechanical � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po�600
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 6iisi2oo4
SITE ADDRESS: 2677 Casco Point Rd
Wayzata,MN 55391
PID: 20-117-23-23-0020
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT: Cronstroms Heating &Air Conditioning OWNER: Alan&Susan Kluis
6437 Goodrich Avenue 2677 Casco Point Rd
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 SI'RICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEG SIGNA'I'URE I ED BY SIGNATURG
Copies: 1-File(Si�nitures Requirecl), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
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GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within 2 working days.
2. Pemut 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 Desiens - 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 pemut must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code �
requirements. j
6. All work must be inspected (rough-in and final). Call 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 249-4600.
_�
Please check one: New Addition Repair Replace
sidential Co erci
JOB SITE: � Zip:
Owner's Name: Telephone Number: �� - � a`��
Mailing Address: City: Zip:
Contractor's Name: Telephone Number: `� � �;(��
Mailing Address: (��?,'1 � VI �V1 � City: � L.Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: �
Model:
Fuel: �
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: �
Model: �
Tons:
H. Power
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No. F
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm "
FUEL STORAGE (MUST BE APPROVEU BY FIRE MARSHAi,j
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �� .
�i (�� , �C� x .0125 $ !3� �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � , `��
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ L�(� a �-�'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted �
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 are furnished by the owner,
tenant or any ouier party ihe reasonable market va:ue af s�:ch 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 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 Signatu : Date: ''� - �
Approved By: Date: