HomeMy WebLinkAbout2004-P07464 - air conditioning : ,
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PERMIT
C I TY O F O RO N O Permit Number:
�750 Kelley Parkway- PO Box 66 P07464
Crystal Bay, Minnesota 55323 Permit Type: Me��i�al Per�,�ts
��952) 249-4600 Date Issued: sisi2ooa
SITE ADDRESS: 3220 Bohns Pt I,a
Wayzata,M1�155391
P I D: 08-117-23-44-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT: Vogt Heating&Air Condirioning OWNER' Catherine M Sallas
3260 Gorham Ave � 3220 Bohns Pt La
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 Sl'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI NT PERMITEE SIGNATURE IS D BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-At>ulicant, 1-Monthlv Renorts. 1-Assessine. 1-Finance p�e�
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, ` � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
� Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices.Applications will be
reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT.WORK MUST NOT BEGIN UNTII.THE PERNIIT CARD IS
POSTED ON'TI-�JOB STTE. �
3. Mechanical Desi�ns-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 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-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete a.11 items on this application. Compute the permit fee. Sign and da.te the certification.
INCOMPLETE APPLICATIONS WII,L NOT BE PROCESSED. If you have questions, call
(952)249-4600. �
Please check one: ❑New ❑ Addition ❑Repair Replace�Residential ❑ Commercial
JOB SITE: ^ � - C� I�1J ��`n�" � Zip:
Owner's Name: � A Phone Number:
Mailing Address: � City: (� ��U'll� Zip: S J��l�
Contractor's Name: U ��' /4'�L�+ �l�1� Lphone Number: ��"�L��' ����
Mailing Address: t3 (�p . City: �� �V��Zip: ��Ll�(�
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SYSTEM DESCRIPTION � �
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output B'T[Js: ,
CFM:
COOLING SYSTEMS
Quantity: �
Make: L.e.'(�`(ll�'�
Model: �U I�.,C,��
Tons: �� ���l�-c{aN V �
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
_ ❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans:Locations ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) -
❑Insta.11ation or ❑Removal
❑Fuel oil: gallons ❑ underground ❑inside ❑outside
❑LP Gas: gallons ,
❑ ��' Gas opening
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'. PERMIT FEE CALCULATION(S)
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or apvliance 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; excludine the cost of the fixture or appliance:
and
� 3) Is improved,installed or replaced by the homeowner or licensed contractor.
Sldp next section; Cost of Pernut $ 15.00
State Surcharge$ .50�
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price*is .0125%of job with a Minimum Fee of($35.00)
��r x .0125 $ �� ��''�
(contract price) (minimum$35.00}
2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of($.501
ti � � I `��
� x.0005 �
(contract price) • (minimum$.50)
3.Postage and Handling(Only mail-in applications) $ 1.50
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4.TOTAL PERMIT FEE (Add lines 1-3 above) $ �j��
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted work including
maxerials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the�c�ork done.If any material,
equipment,labor,or installation is fumished by the owner,tenant or any other pariy 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 signed copy of the actual contract
**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is geater.For valuations over
$1,000,000 call the Department of Inspecrional 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 oII this
application are complete,true and correct.
Applicant's Signature:�° (J I(�� � ���d��� Date: �/�
Approved By: Date:
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