HomeMy WebLinkAbout2006-P10404 - heating system PERMIT
CITY O� ORONO
2750 F�afley P?�rkway- PO Box 66 Permit Number: p1o4o4
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-�600 Date Issued: l0/3/2006
SITE ADDRESS: 1280 Bracketts Pt Rd Unit#
Wayzata,MN 55391
PID: 11-117-23-32-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Garage Heater
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,600.00
State Surcharge Fee: $ 0.80
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.30
APPLICANT: Kleve Heating&Air OWNER: Rob Johnson
6365 Carlson Drive Suite G 1280 Bracketts Pt Rd
Eden Priaire,MN 55346 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISStON 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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APPLICANT PERM[TEE SIGNA7URE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(ffSeptic, 1-Septic) Page 1
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FOR CTI'Y USE ONLY
�� City of Orono
� ¢ '' `� P.O.Box 66 Date Received: Permit#
�� � 2750 Keile Parkwa
,1�_�'' Crystal Bay,MN 55323 Approved By: Amount$:
���j�1��y� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permiu must be approved by the Building Ofiicial or Inspector and/or Fire Marshall)
GENERAL INFORMATION -
l. 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 retum mail after a review is completed. 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 DesiQns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation includin�
heat loss/heat gain calculation,design temperatures, equipment ratines and identification as to y^.,����:���
type, manufacturer and model. Data sha(1 be presented on form provided.
4. When any new construction or remode]inQ is involved, a separate building permit must be ' 2 g 2006
obtained.
5. Afl work must be done in accordance with the Uniform Mechanical Code,�State Building Code �
�;iTY C�� OR.Cf��O
requirements.
6. All worh must be inspected (rough-in and final). Call (952)2d9-4600.
(2�3-43 hour notice required)
7. House Heatinsz Test Record must be submitted before final.
TYPE OF PERIviIT
(Check All That A 1
�Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs ,�Replace
Job Site/ Owner Information:
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Site Address: � Z � '� �/ C� C� '�- �
O�vner:��b V C��I1�'JC�n Mailiny Address:
Citv: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor:KlPVP Ht.c� . � A,L Inc Contact Person: c�ra rl Pne Niauc-�u
Address: 6365 -rlson Dr . Ste GState Bond #: Rr T—�6� 1 65
Citv: Eden Prairie Zip: 553�6Ezpiration Date: 8/14/06
P(lone: 952-941-4211 Alternate Pllone: 952-345-7242
� [nstirance — Current:
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G'.a���'r��:",�. �:�,s`t-''��ti;-","�IECHl�NICA.I:F�Y�S.�IVIS.BE�IG;TI�STAL'LED������'�.,:;,�.' r,;�.; _
HEATING SYSTEMS
Quantity: �
Make: ������'L
Model: � I l.D �t r c�G �����
Fuel: ��"�
Flue Size:
Input BTUs: l�� t�[JV
Output BTUs ,
CFM:
COOLING SYSTEIIS
Quantiry:
i�take:
�lodel:
Tons:
H.Power
FIREPL,aCES
❑ Gas Factory Fireplace
❑ Wood Bumin��Fireplace
❑ Wood Stove
❑ Wood Stove�Vith Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculatin� cfm
❑ I�'o. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfrn
FUEL STORACE (I�tUST BE APPROVED BY FIRE NIARSHALL)
❑ Installation ❑ Remo��al
Fuel OiL oallons ❑ Under�round ❑ Inside ❑ Outside
LP Gas: eallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other% List `Vhat �C �t'hcre:
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.,,`.;s'� ,�;,.;�:,�?,�'� `.2 �� y--;-BASED OFF .-2002 STATE STATUE „ . = ._>�� .�r •-
❑ Yes,this section applies
The replacement of a Residential firture or appliance 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; excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeo�vner or licensed contractor.
Ship next section, if this applies, Cost of Permit � 15.00
State Surchar;e S .50
Maif-In Fee(If Applicable) � 1.50
Total Permit Fee S
- � PERMIT FEE CALCUI;ATION S -JOBS OVER$500.00
If above does not apply; follow�uidelines below:
I. CONTRaCT PRICE * is 1.?�°0 of contract price with a(i�linimum Fee of S3�.00)
� c�J� .�� � .o��� 5 �J . ��
�(onva�:pncc� (m�nimum 5��.00)
2 ST,�TE SURCH.-1RGE ** .Add ihe State Bld��Code Div. Surchar«e (�Iinimum Fce ofS.�O)
. �
� ���' � .��0� S r �v
contr�ct price) (minimum S �Ol
3. POSTAGE 8. HANDL[�IG (Onlv on ltail-In .�pplications) S 1.50
-1. TOTAL PER;�IIT FEE (Add Lines 1-3 Above) S ��� ��
• ' CONTRACT PRICE or JOB COST means the actual or estimzted doliar amount ch�rged for the
permitted �vork including materials, labor, profit, and other fixed costs. lt is the amount to be char�ed
to the customer for the work done. If any material, equipment, labor or installations are fumished 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 permit fee purposes. In Ihe event that there is a dispute on the
amount of the job cost, the Ciry may request the submission of a si�ned copy of the actual contract.
■ **The STATE SURCHARGE is .000� of the Building Department at(9�2)249-4600 for the price.
- - ' ' MEC�-iANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all
�vork in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that aif statements made on this application are complete, true and
correct.
Applicant's Si�natu • Date: `-'7 � � � � ��
; � Reset Form� , � ,
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