HomeMy WebLinkAbout2004-P07170 - mechanical - � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�i�o
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: li2oi2oo4
SITE ADDRESS: 1825 Concordia St.
Wayzata,MN 55391
PID: 1�-i i�-23-22-oois
DESCRIPTION:
Proposed Use:
Permit Class: General
Permit Type: Mechanical Perniits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Gas Line Only
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 150.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Area Wide Plumbing OWNER: Larry&Sharon Gehl
9989 190th St. 1825 Concardia St
Silver Lake,MN 55381 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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� APPLICANT PERMITGE S[GNA"I'URE ISSUED BY SIGNATURE
Copies: 1-File(Sieriitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL 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. Applicatior�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
UNTII,YOU RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERI�IIT 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 ratings and identification as to type,manufacturer and
model. Data shall be presented on form provided. Identification of and specifications for R-ater heating
equipment shall also 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: �� � �.�C���-��, �I• Zip:
Owner's Name: �y��y G� f Phone Number:
Mailing Address: City: Zip:
Contractor's Name: �v�t�, �'��� ��,,,.,,,�,,�.,5�"rphone umber:(�1�Z� a�l - Sa�7
Mailing Address:g� 3 y /y�,` �{. City:S; u�� l s�� Zip: 5S 3�
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PERl�iIT FEE CALCULATIO\(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a�pli�ce that meets all three of the following requirements:
1) Does not require modificati�n to electrical or gas service.
2) Has a total cost of$500.00 or les�; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or repiaced 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 belo«-:
1. Contract Price* is .0125% of job with a�Iinimum Fee of($35.00)
�Sd � x .012� $
(contract price) (minimum�35.00)
2. State Surcharge. **Add the State Build�-��Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Posta�e and Handlin� (Only mail-in applicarions) $ 1.50
4. TOTAL PERivIIT FEE (Add lines 1-3 i�ovel $
*CONTRACT PRICE or JOB COST means the actu:_or e�mated dollar amount charged for the permitted work including
materials,labor,profit,and other fixed costs.It is the znouLt to be charged to the customer for the work done. If any material,
equipment,labor,or installation is furnished by the o•�ner,t�ant or any other party the reasonable market value of such items
must be added to the estimated cost or contract price:�r pe:-vt fee purposes. In the event thaz there is a dispute on the amount of
the job cost,the City may request the submission of a�gne�', copy of the actual contract.
**The STATE SURCHARGE is.0005 of the contrac pric:under�1,000,000 or$.50-whic:�e��er is greater.For valuations over
$1,000,000 call the Department of Inspectional Senic_s for:�e price.
The undersigned hereby applies to the City for issuar.;of a�4echanical Permit,agrees to do all work in strict accordance with
the ordinances of the Ciry and the regulations of the\!:nne�ta State Building Code,and certifies that all statements made on this
application are complete,true and correct.
A licant's Si ature: � � �'��� � � G � .
pp gn Date.
Approved By: Date:
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SYSTEM DESCRIPTION -
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
F P ACES GAS LINE ONLY
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/ Gas factory fireplace �Installing a Gas Line Only
❑ 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 ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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