HomeMy WebLinkAbout2007-P11310 - mechanical PERMIT
CITY OF ORONO Permit ►vumber:
' 2750 Kelley Parkway- PO Box 66 P11310
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
8/7/2007
SITE ADDRESS: 1725 Concordia St Unit#
Wayzata,MN 55391
PID: 17-117-23-22-0044
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 36.25 valuation: $ 2,900.00
State Surcharge Fee: $ 1.45
Misc.Fee: $ 1.50
TOTAL FEE: $ 39.20
APPLICANT: Air Mechanical OWNER: James Nystrom&Sharon Olson-Nesboth
16411 NE Aberdeen St 1725 Concardia St
Ham Lake,MN 55304 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEE SIGNATURF. S UED BY SIGNATURE
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR MECHAr1ICAL 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 two working days.
2. Permit cards will be sent by return 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 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 ratinbs and
identification as to type,manufacturer and model. Data shall be presented on form provided.
Identification of and specifications for water heating equipment shall aiso 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 all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you
have questions, call (952)249-4600.
Please check one: New Addition Repair �Replace
� Residential _Commercial
JOB SITE: Z j C��Y�.C�Y�G(•l. � 5 f Z�;P• -���`�� 1
Owner's Name: �G�-!'Y�.�S S Vl'Rhone Number: � J ��� � -�O'� j
Mailing Address: �Gt-�yri� City: [IJ�.{�i-/Z[;L�Gc�Zip: ���`'] l
Contractor's Name: Phone Number:���'�/��-/ -7�7y�
Mailing Address• City: Zip:
16411 Aberdeen Street NE
Ham Lake, MN 55304
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Qu�ntity:
Mal:e:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: �✓' /'1�
Modcl: ��l.l���'���v G� �
Tons: �
H.Power �
FIREPLACES
Gas factory fireplace
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 cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oiL• gallons underground inside or outside
LP Gas: gallons
Other Gas openin�;
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PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
requi rements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 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)
��!v �,� X.oias $ "1jC.� .L J
(contract price) (minimum 535.00)
2. State SurcharQe. *" Add the State Building Code Division a Minimum Fee of f$.50)
�G)�'1 J x .0005 $ I ' u �
(contract price) (minimum�.50)
3. PostaQe and Handlin�(On/y mail-in applications) $ I.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ � - ZU
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cliarged for the pemiitted work
i�luding materials,labor,profit,and other fixed costs.It is[he amounl to be charged to the customer for U�e wo�c
done.If any material,equipment,labor,or insiallation is fumished by the owner,tenant or any other party the
aeasonable market value of such items must be added to the estima[ed cost or contract price for pennit fee putposes.In
the event that there is a dispute on the amount of the job cost,Uie City may request tt�e submission of a signed copy of
the actual conlract.
**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whidiever is greater.For
valuations over S 1,000,000 call the Department of Inspectional Secvices for tf►e price.
The undeisigned hereby applies to the City for issuancc of a Mecl�nical Pennit,agrees to do all work in strict
accordance with the ordinances of the City and the�egulations of the Minnesota State Building Code,and ceRifies that
all statements made on this application are complete,tnie and correct.
Applicant's Signature: ���"'�' �� `r/�''�'�������" Date: � �'� � �
Approved By: Date:
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