HomeMy WebLinkAbout2003-P06710 - mechanical CITY c7F ORONO PERMIT
2750.�:eiley Parkway - PO Box 66 Permit Number: Po6�io
Crystal Bay�, Minnesota 55323 Per'mit Type: MechanicalPermits
(952) 249-4600 Date Issued: g�29�2003
SITE ADDRESS: 1280 Bracketts Pt Rd
Wayzata,MN 55391
PID: 11-117-23-32-0019
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Pernut Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Relocate 4 heat runs and relocate 3 bath fans
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Kleve Heating&Air OWNER: John Pillsbury
13075 Pioneer Trail 1280 Bracketts Pt Rd
Eden Priaire,MN 55347 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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Apvlicant 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
, �.E CE.I�.�D SE� �. g 2D02
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2 750 Kelley Parkway)
Crystal Bay, MN 55323 9�C�,/V�
GENERAL INFORMATION QUG � 4
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1. You may apply for mechanical permits by mail or in person at the City offices. Applications will�Qp�
reviewed and a permit will be issued�vithin two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PER'�fIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heatinQ,
ventilation, humidification-dehumidification, and air conditioninQ installation including heat loss/heat
gain calculation, desia temperatures, equipment ratin`s and identification as to type, manufacturer and
model. Data shall be presented on form provided. Identification of and specifications for���ater heating
equipment shall also be provided.
4. When any new construction or remodelinQ is involved, a separate buildina pemut must be obtained.
�. All work must be done in accordance with the Uniform Mechanical Code,%State BuildinQ Code
requirements. �
6. All work must be inspected (rough-in and final). Call (9�2) 249�600. 24-hour notice required.
7. House Heatin� Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Si� and date the cenification.
L'�1CONII'LETE APPLICATIONS W"II.,L NOT BE PROCESSED. If you have questions, call
(9�2) 249-4600.
Please check one: ❑ Ne�v [,� Addition ❑ Repair �J Replace �Residential ❑ Commercial
JOB SITE: SSO L�'ro.c,�cc-�{s �o;�,�- Zip: 553q �
Owner's Name: 7"0:^, ?o - Ca�,s�r��kiati Phone Number:
�Iailing Address: ���3o L3rc.c,ke4{�S �,�}- �2c� City�: �j�o,�o Zip• 5S3 r �
Contractor's Name: Kleve HVAC znc Phone Number: 95�-�Q� -a�� �
I�Tailing Address:13075 Pioneer Trail City; Eden Prairie ZiP; 55347
1
SYSTEI�1 DESCRIPTION r--e I p G,A�"� � N�,� 1`VnS
HEATI�G SYSTENIS '��'f 6 G���" 3 —"�"'�� �ns
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BNs:
Output BTLJs:
CFti1:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Po�ve:
FIREPLACES G.�S LI`E O\LY
❑ Gas factory fireplace ❑ Installin� a Gas Line Only
❑ ��'ood buming factory fireplace with flue �
❑ Wood Stove
❑ W'ood stove �z-ith flue
Brand Name Model No.
VEITILATION
No. Kitchen Exhaust duct recalculatinc cfm
No._�Bath Exhaust (must have duct outside) '7G cfm ca,.
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
[j' ruel oil: gallons ❑ unde:ground ❑ inside ❑outside
❑ -.:' Gas: gallons
C � ����=r Gas openin�
�
.
PERII�IIT FEE CALCULATION(S)
2002 State Statute [�Yes This Section Applies
The replacement of a Residential fixture or a�pliance that meets all three of the follor,vin�requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of�500.00 or less; excludinQ the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeo�vner or licensed contractor.
Skip nest section; Cost of Pe:�nit � 1�.00
� ��,OU State Surchar�e � .�0
�Iail-In Fee S L�0
If above does not apply, follow guidelines belo�v: '
1. Contract Price* is .012�% of job «zth a �Iinimum Fee of(�3�.001
� .Ol?� �
(cantrac;prc�) (minirr,um S��.00)
2. State Surcharae. ** Add the State Buildina Code Division a �Iinimum FeQ of(S .�Ol
x .000� S
(contrac;price) (mini:r.�m S .�0)
�. PostaQe and Handlina (Only J11QII-Zit [I�J�JIICQZIOIIS� S 1.=0
4. TOTAL PER�IIT FEE (.�dd lines 1-3 above) 5
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the pe.-n�itted work inc:ucing
materials, iabor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any ma[erial,
equipment, iabor,or instailation is furnished by the owner,tenant or any other pam the reasonable maricet value of such items
must be added to the estimated cost or contract price for permit fee purposes. In the event that the;e is a dispute on the amount of
the job cost,the Ciry may request the submission of a si2ned copy of the actual con[ract.
`*The STATE SURCH.ARGE is.000� of the contract price under�1,000,000 or�.50-whichever is�reate:. For valuations over
S 1,000,000 call the Depamnent of Inspectional Services for the price.
The undersiened hereby applies to the CiN for iruance of a il�fechanical Permit,a�ees to do all work in strict accordance with w
the ordinances of the City and the regulations of the i�linnesota State Building Code,and certifies that all statements made on this
application are complete,true and t.
Applicant's Signature: Date: �a2(-03
Approved By: Date:
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