HomeMy WebLinkAbout2007-P11210 - mechanical • � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p11210
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
7/10/2007
SITE ADDRESS: 2900 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-31-0026
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 2,750.00
State Surcharge Fee: $ 1.38
TOTAL FEE: $ 36.38
APPLICANT: Countryside Heating&Cooling OWNER: Donald Sigafoos
6511 Hwy 12 2900 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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� P LICAN MITEG SIGNA URE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOH crrv��sE oni.��
Q�p�O City of Orono
P O 130�66 Dat�Received� Permit k
� 27�0 I<ellev P:irk�ca�
.� �,� Crystal f3ay.MN�5323 Approved B��� Amuunt$:
�t '��� o`.� (9�2)249-4600 �- -- �
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Buildine OYticit�l or Inspector�nd/or Fire Marshall)
GENERAL INFORMATION �
1. 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 ceturn mail after a review is completed. PGRMITS ARE NOT
VALID UNTIL YOU RECEIVE A PER�ti1IT. WORK MUST NO"1� BEGIN UNTIL THE
PERM17 CARD IS POSTED O� THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation, humidification-dehumidification,and air conditionin� installation including
heat loss/heat�ain calculation,design temperatures,equipment ratines and identification as to
ty�pe, manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
�. All work must be done i��accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All worl: must be inspected(rough-in and final). Call �9�3)2-19-=4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A�ply)
�esidential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Replace
Job Site /Owner [nformation:
S,teA��ress: a� �� e���� ,�o�-�� ��
Owner: ���nQl� .��Y�-Fcx>;� MailingAddress: ���� �r��P��%�� ��
5����
City: C7�U�d Lip:
Home Phone: ys�- `��� ' ��a Altecnate Phoi�e:
Coiltractor Information:
Contractor: �o�+��hyf�z )�T6'�a��'^� Contact Person: �a��/� �����n-
Address: t�s�� ��'y �a State Bond #:
CiCy: / �: � �r�n Zip: ����� E�piration Date:
Phone: ��}' y7� � ���U Alternate Phone:
❑ Insurance—Current:
1
�MECHANICAL SYSTEMS BEING INS"CALLED
HEA"I�I:��G SYS"CEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
lnput BTUs:
Output BTUs:
CFM:
COOLING SYSTE:VIS
Quantity: �
� Make: l �ya�`� _.
Model: ��f�/✓f�OOa`7
Tons: �
H. Power
FIREPL.ACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
�'ENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY �IRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ lnside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Gcill ❑ Other ' List What& w'here:
2
PEKMIT FEE C�ILCULAT[ON(S)
BASED OPF - ?002 STATE STATUE I
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost of$�00.00 or less; exdudina the cost of the fixtw�e or appliance: and
3. ls improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Per���it $ 15.00
State Surcharge $ .50
hlail-In Fee(If Applicable) $ I.50
Total Permit Fee �
PERMIT FEE CALCULATION(S)-JOE3S OVER $500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.?5%of contract price with a(Minimum Fec of$35.00)
u'� �
�j� x .0125 $_��/
(contract price) (minimum�3�0(�)
2. S7'ATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Vlinimum Fce of 5.�0)
���v� ��
x .0005 $ __ - ��
(contract price) (minimun�5 �f))
3. POSTAGE& HANDL►NG (Only on Mail-In Applicatio��s) $ L50
lJ /
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) ��
■ * 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 char�ed
to the customer for the worh done. If any material, equipment, labor or installations are fw�nished by�
the owner, tenant or any other party, the reasonable marhet value of such items must be added to the
estimated cost or contract price for permit fiee purposes. In the event that there is a disp�ite on the
amount of the job cost, the Ciry may request the submission of a signed copy of the actual contrxct.
■ ** The STATE SURCHARGE is .0005 of the Buildin�Department at(9�?1249-�4600 for the price.
MECHAN[CAL PERMIT APPLICAT[ON AGREEMENT
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 State oti
Minnesota, and certities that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: �"���_7
i Reset Form
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