HomeMy WebLinkAbout2007-P00435 - mechanical PERMIT
CITY �F ORONO
Permit Number:
275f? Kelley Parkway- PO Box 66 P11435
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
9/12/2007
SITE ADDRESS: 1725 Concordia St Unit#
Wayzata,MN 55391
PID: 17-117-23-22-0044
DESCRIPTION:
Proposed Usc: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Air Condirioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 52.50 valuation: $ 4,200.00
State Surcharge Fee: $ 2.10
Misc. Fee: $ 1.50
TOTAL FEE: $ 56.10
APPLICANT: Air Mechanical OWNER: James Nystrom&Sharon Olson-Nesboth
16411 NE Aberdeen St � 1725 Concordia 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 COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM["CIiB SIGtiATURG UED BY SIGNATURE
Copies: 1-File(Sig�:atures Re9uired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR MECHAIVICAL 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
VAUD 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 conditionin�installation
includinb heat loss/heat�ain calculation,desi�;n temperatures,equipment ratings and
identification as to type,manufacturer and model. Data sha(I be presented on form provided.
Identification of and specifications for water heating equipment shall also be provided.
4. When any new construction or remodeling is involved,a separate bui(ding permit must be
obtained.
5. A(I 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
reyuired.
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute tl�e permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. Ifyou
have questions, call (952)249-4600.
Please check one: New Addition Repair �Replace
Residential Commercial
JOB SITE: i�ZS (,Dn C��c� S� z;�-�3`1 1
Owner's Name: ��'Y1 �,� �yy1 _ Phone Number: Cj�Z- �� ���S
Mailing Address: j � �Gl City: �Y�`l�V—p��
Contractor's Name: Phone Number: ��('.3 ���'��� �
Mailing Address: A� �C�/AQR_y: Zip•
16411 Aberdeen Street NE v
Ham Lake, MN 55304
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
F(ue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
M�e: in�-
M��,: � v�oi�o
Tons: _�_
H. Power �_
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
Na Kitchen Exhaust duct recalculatin�; 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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PGRMIT FEE CALCULAT[01�1(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fi�cture or appliance that meets all three of the following
rec�ui rements:
]) 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, instal(ed or replaced by the homeowner or(icensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ 50
Mail-In Fee $ 1.50
If above does not apply,foliow�uidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
`7 Z-{-:�' C' L' x.0125 $ `-' � � ~�
(contract price) (minimum�35.00)
2. State Surchar�e. *" Add the State Building Code Division a Minimum Fee of($.50)
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���L�i:.�:� (�'c_% x .0005 $ � / C:
(contract price) (minimum�.50)
3. PostaSe and Handlin�(Only mail-in upplication.r) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ ��l ' � ��
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cl�arged for Uie pemiitted work
including materials,labor,pmfit,and other fixed costs.It is the amouni to be charged to the customer for the work
done.If any material,equipment,]abor,or installation is furnisl�ed by the owner,tenant or any otl�er party Ute
reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes.In
Uie event that there is a dispute on the amount oCUie job cost,Uie City may request tl�e submission of a signed cop}�of
the actual conhacl.
**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For
valuations over S 1,000,0(Hl call the Department of Inspectional Services for t!►e price.
Tl�e undersigned l�ereb}�applies to die City for issuancc of a Meclianical Pentut,agrees to do all work in strict
accordance with ihe ordinances of the City a�the regulaiions of the Minnesota State Building Code,and certifies tha[
all statements made on dris application are complete,true and correct.
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App(icant's Signature: ��I" ""- ts��- �`l'^�,�'k`�C���/Z,Q:L Date: /� —�,�` _/; )
Approved By: Date:
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