HomeMy WebLinkAbout2008-P12195 - mechanical � PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P12195
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 6/24/2008
SITE ADDRESS: 2829 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-32-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 600.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: OWNER: Bruce&Mary Peterson
2829 Casco Point 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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ICANT P MI E SIG ATURE SUED BY SIGNATURE
Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septiq 1-Septic) Page 1
,
� '- ,�Q�` City of Orono _r FOR CITY.'USE ONLY
`r P.O.Box 66 ���
�Z, 0 Date Received�' _ ermrt# �:�� „
� �,,,., 2750 Kelley Parkway . -
'�, �.� � Crystal Bay,MN 55323 � ' `
`"��$y� (952)249-4600 Approved By �`Amourif$ �
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CITY OF ORONO—MECHA1vICAL PERMIT -
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
>GENER.AL 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 two working days.
2. Pernut cards will be sent by return mail after a review is compieted. 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 Desi �—Complete calcularions, details and specifications are required for each
heating,ventilation,humidification-dehumidification; and air conditioning installarion 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 remodeling is involved, a separate building pemut must be
obtained.
• 5. All work must be done in accordance with the Unifoim 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 PERiV1IT
(Check:All That A ply)
�Residential ❑ Commercial(Approval Required)
❑New ❑Additional
, ❑ Repairs ❑Replace -
Job Site/Owner Information: `
Site Address: � � ` o'�n.� �
Owner��,� �c�(� � i q� , Mailin Address:
S�r��� �, ��;�c;✓A��` �1 g
City: Zip;
Home Phone: Alternate Phone:
Contractor Information:
Contr�y��N�� rOOLINQ TWO INC. Contact Person:
18550 County Rd. 81
Addres�aple Grove, MN 55369-S23t State Bond#:
www.hea#cool2.com
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
i ` ����������p����IvI�C1FA�IC'AT,.SYST`EIvIS$EINGFTNS'���L�I� �
.r,� �.��.�.�,���
� . : � ,
. .-r ' � . . . _ . . � � . . "�:;� . � . . .. ..._ �
HEATING SYSTEMS -
' �
Quantity:
. . - ` ..
, Make: > , : , ` - ; . , �
ModeL•
- , ..,. ..
Fuel:
_ Flue Size:
�. . .
Input BT[Js. ` -
r . . . Output BTUs: ; , `> -
�� CFM:
COOLING SYSTEMS
Quantity: -
Make:
Model:
Tons: - ` •- :
; H.Power ; . ,.
FIREPLACES :
❑ Gas Factory FirepIace _
❑ Wood Burning Fueplace
. ❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.: .
VENTILATION . _
No. �_ Kitchen E�chaust �/ duct r '
� No. Bath Exhaust must have duc ecu-culahng ��
� t outside) cfm
❑ No. Other Fans: Locations ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
� ❑ Installation [] Removal
FuelOiL• gallons
LP Gas: ❑ Underground ❑Inside ❑ Outside,
gallons
Other.
GAS LINE ONLY -
❑ Outdoor Grill ❑ Ot11er/List What&Where:
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` �� ��� � ���'�'�PERIv1IT'FE C �`
, 5�-� a ���� �. , E��.E�L`CT�L���ION{S) ��`n �;�����..��'� ;�� { �;
.€t s . 3� t:- _ s-� -� '-ti s t e � x
- _ BASED'�O�'F �2002;5'I`ATES`FATU��� ` ��:���{� ��r�=i��� �f� ����
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_ ❑ .Yes,this section applies �
_ The replacement of a Residential fixture or appliance that meets all three of the following requirements:
t� 1. Does not require modificarion 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 unproved,installed or replaced by the homeowner or licensed contractor.
_ � ;�� , Skip next section,if this applies; : Cost of Pernut $ 15.00
� � �� Sfate Surcharge � � $. ���� .50-
- Mail-In Fee(If Applicable)� $ ' 1:50 . �
. Total Permit Fee $ : _
'��� ` � �:� PERIVII'�'�.FEE CAL,�T�L�A'�ION�(�) f�JO�S"OVEB$SOC�'00�..�� .�-� �; � ,�:
;���,._ ' ,,> � � �.� �,�,
If above does not apply; follow guidelines below:
� 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
' -'^ ..:;..
� . :.
���C7 x.0125 $ ��•�
`; ` '' (conhact price) • (minimum$35.00) ,.'. ' �
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50)
x .0005 $ . �
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �}.5�`.
_ 4. TOTAL PERMIT FEE(Add Lines i-3 Above) $ �:�'�
' `' * CONTRACT PRICE or 70B COST means the actual or esrimated dollar amount charged for the
pemutted work including matenals, 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 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 puiposes. In the evenf 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 Building Departrnent at(952) 249-4600 for the price.
�:° r; MEGHANICAL:PERMIT APPLZCATIO�I:�IGREEMEI�T��������`,��',���„��: . .
The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all
work 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.
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Applicant's Signature: Date: ��� L � � �
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