HomeMy WebLinkAbout2006-P10133 - duct work PERMIT
,rITY OF ORONO
Permit Number:
2750.Kelley Parkway- PO Box 66 P10133
pCrystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
�952) 249-4600 Date Issued:
7/24/2006
SITE ADDRESS: 2765 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-23-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Duct Work
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 56.25 valuation: $ 4,500.00
State Surcharge Fee: $ 2.25
TOTAL FEE: $ 58.50
APPLICANT: Counriyside Heating&Cooling OWNER: Mr. &Mrs. Pumam
6511 Hwy 12 2765 Casco Point Rd
Maple Plain,MN 55359 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 ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR C['CY USE ONLY
�4"p� City of Orono
P.O.Box 66 Date Received Permit# _
L i��. � `� 2750 Kelley Parkway � �
�.� ��i-'X +�'; Crystal Bay,MN 55323 Approved By: Ai7iount$'_
1�,9� r�4>i r �;'' (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Quilding O�Ticial or Inspector and/or�ire Marshall)
GENERAL INFORMATION
l. 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. PERM[TS ARE NOT
VALID UNTIL YOU RECEIVE A PERMI'I'. WORK MUS'C NOT BEGIN UN'1'IL THE
PERMIT CARD IS POSTED ON Tt1E JOB SITE.
3. Nlechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidificatioi�-dehumidifieation, 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 new construction or remodelinb 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply) �
�Residential ❑ Commercial(Approval Required)
� �
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site /Owner Information:
Site Address: �� �7 � C, �SCv ,�T �d
Owner: �u '�11�/n MailingAddress: �-�6� ��'sC� ��'�<�
City: ��vn� Zip: 55391
Home Phone: �6�'aay�a 3�� Alternate Phone:
Contractor Information:
�' � f y/e �Contact Person: _�^r'� >>''I I G n
Contractor: �N�+`rs..1 tl�� ��•�.,�
Address �SII l�'=/ J�- State Bond #:
City: �Q��� ��p�� Zip: Sf�r`� Expiration Date:
Phone: ���' �1�`�- �6 "J Alternate Phone:
❑ Insurance—Cucrent:
1
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` ` MECHANICAi�,.SYSTEMS���I��: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 r � �� �' " �
❑ Wood Burning Fireplace � v" ���
❑ Wood Srove + I �.0�0+ �`
❑ Wood Stove With Flue �
Brand Name: Model O �1�
VENTILATION
❑ No. Kitchen Exhaust duct recirculating _ cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oii: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What& Where: ___
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, PER:�IIT FEE CALCUI_A'['lUN(S) �
� BASED OFF�- 2002�STATC STATUE � � � �
❑ 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, if this applies; Cost of Permit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Ap�licable) $ I.50
Total Permit Fee $
>; ;PER��`F;FEE CAI,GULATION S -JOBS OVER;$SOp.Op .., . ;
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
;�5
�y5��� X.oizs � �� �`
(contract price) (minimum$3�.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fce oT�.SO)
� �i � J� 3�
L U '� 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 actual or estimated dollar amount charged for the
pennitted work including materials, labor, protit, and other fixed costs. lt is the amount to be charged
to the customer for the work done. If any material, 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 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 sibned copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
'' Iv1ECHANICAL RERMIT APPLICA`�I(�N�1GR�EMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all
work in strict aecordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this applicatioil are complete, true and
correct.
Applicant's Signature: _��'�— Date: ��1�—��
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