HomeMy WebLinkAbout2003-P06029 - duct work ' �~ PERMIT
G�T�Y O F O RO N O Permit Number:
27�50 Kelley Parkway- PO Box 66 P06029
Cwystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 2�i2�2oo3
SITE ADDRESS: 3220 Bohns Pt La
Wayzata,MN 55391
PID: 08-117-23-44-0006
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Pernuts Pemut Sub-type(s): Duct Work
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT' Plymouth Plumbing&Heating OWNER' Albert Trapenese
� 6909 Winnetka Avenue N � 3220 Bohns Pt La
Brooklyn Park,MN 55428 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WI'I'H ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Reauired). 1-Avnlicant 1-Monthlv Reuorts, 1-Assessin�, 1-Finance Page 1
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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 permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECENE A PERMIT. WORK�IUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical Desisns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperariues, 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. Whea any new construction or rema�eling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uni:orm Mechanical Code/State Building Code requirements.
6. All work must be inspected(rough-in and final). Ca11249-4600. 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 que` s��, c�a11249-4600.n, � P
w ��.c.9--�� � '�:.
Please check one: New �Addition Repair Replace
Residential Commercial
JOB SITE:�?��� �„�� �� vL� ZiP=
Owner's Name: w�Q. Telephone Number:
Mailing Address: � City: Zip: �3(.��
Contractor's Name:Q� rn ; � Telephone Number (Q 5. ?,-U a57
Mailing Address: ( �'; �.�� {-,�� , � ) it3'.$���Zip: --��c
SYSTEM DESCRIPTION
HEATING SYSTEMS A�O�.(, �Q �j c� �+ �j v1- � �'�-�'��-S
Quantity: � �
Make:
Model:
� Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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FIREPLACES "
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
° Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfin
No. Other Fans: Locations ��
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
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.,0�0
� ,r"'� x .0125 $ ��j� C��
(contract price)
2. State Surchar�e. ** Add the S�te Building.Code Division
Surcharge.to each permit. ',1���, � x .0005 $ � o t��
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ '� � , _
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
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 other party the reasonable mazket 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 greater.
For valuations over$1,000,000 call the Deparnnent of Inspectional Services for the price.
� The undersigned hereby applies to the City for issuance of a Mecha.nical 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 sta.tements made on this application are complete, true
and correct.
Applicant's Signa . ` Date: ' I �CJ�
Approved By: Date: