HomeMy WebLinkAbout2003-P06539 - air conditioning PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06539
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: ��is�2oo3
SITE ADDRESS: 1645 Bohns Pt Rd
Wayzata,MN 55391
PID: i�-ii�-23-ii-000�
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Sub-type(s): Air Conditioning
Permit Type: Mechanical Pernuts
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 81.11 Valuation: $ 6,489.00
State Surcharge Fee: $ 3.24
Misc.Fee: $ 1.50
TOTAL FEE: $ 85.85
APPLICANT: Total Comf'ort OWNER: Patric&Kathleen Halloran
12800 Highway 55 1645 Bohns Pt Rd
Plymouth,MN 55447 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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APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Oct-04-2002 OA:O7am From-CITY OF ORONO +85224A4616 T-182 P 002/004 F-452
CITX OF GRONO AT'1'LICATION FOR MECHANICAL PERM�T
i:ox 6�r(Z750 Kelley Parkway)
Cryscal Bay� � 55323
' GENERP,L 1NF�Z �N
1. You may apply for mechanical permits by mail or in person at the City offices. Applicetions will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a rcview is completed.PERNIITS ARE NOT�AT.ID
UNTYL YOU RECETVE A PE�L'V1IT. WORK ML7ST NOT BEGW UNTR.THF_PERMI`I'CARD IS
POSTbD ON THE JOB SITE. "
3. Mechanical Designs-Complete calcula[ions, details and specifications are required for each heating,
ventilation, humidification-dehumidi�ication,and air coRditioning installation including heat loss/heat
gain calculation, desien temperatures, equipment ratings and identification as to rype, manufacturer and
model. Data shall be presented on form provided.Identification oi and specifications ior wacer;�ea��n�
equipment shall siso be provic3ed.
4. When any new construction or remodeling is involved, a separate build'+ng permit must be obtained.
5. All work must be done in aecordance with the Uniform Mechanical Code/State Building Code
Cequirements.
6. All work rnust be inspected(rough-in and final). Call(952)249�600. 24-hour notice required.
7. House Heatin�Test Record must be submined before Finxl.
Instructions
Complete all items on ttiis application. Compute the permit fee. Sign and date the certification
TNCOMPLETE A.PPLICATIONS W1LL NOT BE PROCESSED. If you have questions, call
(952) 249-4600,
Please check one: [] New ❑ Addition ❑ Repair �Replace� Residencial [] Commercial
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.TOB SITE� l�l��� �� � �J� Zip:
�wner's Name: �'��� �� Phone Number:�Sa ��I I -111 G
I1�Iailing Address: _ Ci�'' Z�P' --
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Contractur's Name:��� ��� ��`� Phone Number: ���� J0� ��
Mailing Address: i a�� t� �� City: �I'�'1;;�L��� Zip: ��{�1
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Oct-04-2002 09:07�m Fro�-CITY OF ORONO +8522494616 T-182 P.003/004 F-452
SYSTEM DFSCRIPTION
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HEATTNG SYSYEMS
Qunntity:
MEilce: •
Model:
Fuel: ;
Flue Size:
[nput$TUs:
Ousput BTils;
CFM:
COOLING SYST�MS
Quantity:
Make:
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Model: l ���
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Tons: �
H.Power �
FT�2EPLACES
❑ Gas f3ctory fireplace
❑ Wood burning factory fireplace wich flue
❑ Wood Stave
❑ Wood stove with flue
Brand Name Model No.
VENTTLATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath F�xhaust(must l�ave duct outside) cfm
No; Other Fans: Locations cfm
FCTEL STORAGE(MiJST BE APPROVED BY F[k�N1�RS�-�AL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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Oct-04-2002 0A:08am From-CITY OF ORONO +A522d94616 T-182 P 004/004 F-452
.D�TtMIT�'EE CALCI7LATTON(S�
2002 State Statute ❑ Yes Thi� Section Applies �
"Che replacement of a Residential fixture or appliance that mccts all chree of the following requirements:
1) Does not require modiftcation to electrical or gas service.
2) Has a total cost of$SQ0,00 or less; excltidin�the cost of the fixture or appliance:
i
and '
3) Is i►nproved, insralled or replaced h�the hosneowner or licensed con�actor.
Skip next secrion; Cosi of Permit $ 1 5.00
State Surcharge $ .SO
r,�f4��_tn'Fe� � 1.�0
If above does no[ apply, follow guidelines below:
1. Cantract price* is .0125% of job with a Minimum Fee of($35.00�
� � � . �� �� .olzs � �3 � . I1 � — .
(con�rnct price) (minimum S3S.00)
2. State Surchar�e. ** Add the State Building Code Division a Minicnum Fee of(S .�0)
������-I. �U x .0005 � �� ��
(concracc pricc) (minimum$.SO)
3. 'Posta�c and FlandlinQ(Orrly �nail-in applicalrons) � 1.�0
4. TOTAL PERMTT F�E (Add lines 1-3 a6ove) � �� i �S
•CONTRACI'PRICE ur JOB COST mtans thc actual or estimatcd dollar amount chargcd for tht permirtcd work including
mntzrials, labor,proft, �nd ochtr fixed costs.Ic is the amounl to be charged to thc customer for thc work done. If any ma�criai,
equipmenc, labor,or ins�a(lation i�fumished 6y the owner,tcnant or nny othzr pany�hc r.asonaolc markct value oi such items
must bc nddtd to cne tstima�cd cosi or coruac:price fer per.r,it fc:pumoscs.Tn?he tven� that thrre is a dispuic on thc�.-no�n�of
[h.job cost,che Ciry may requtst the submi55ion of a sigr,ed copy of the actuai contracc.
"Tht STATE SLIACHARGE iy.0005 of thc con�ract prico undcr 51,000,000 or 5.i0-whichcvcr i3 greater. For valuacions ovcr
51,000,000 csll the Dcpurcmenc of(nspectiona(SeNices for the price. .
The undersigncd hereby uQpiies to the Ciry for issuancc of n Meehanical Permit,agrccs to do al( wor�in sttict accordanee with
the ordinnnces of the Ciry and thc rtgula�ions of Ihe Minnaotn Statt Building Code,and ecrtifies that all statcmenv madc on this
nppiication are complete,true and cotrecL
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Applicant's Sio acure: � �� � Date: / � ( , �
Apptoved By: Date:
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