HomeMy WebLinkAbout2004-P07309 - mechanical PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Po�3o9
Crystal �3ay, Minnesota 55323 Pet-mit Type: Mechanical Permits
(952: 249-4600 Date Issued: 3iisi2oo4
SITE ADDRESS: 3329 Gystal Bay Rd
Wayzata,MN 55391
P I D: 17-117-23-41-0019
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 131.50
APPLICANT: Riccar OWNER: Sevie Lanning
2387 Station Parkway NW 3329 Crystal Bay Rd
Andover, MN 55304 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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 PERMITEE SIGNATURE [SSUED BY S GNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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. Applications will be
reviewed and a permit will be issued within 2 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 ratings 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 Buildin�-Code requirements.
6. All work must be inspected (rough-in and final). Call 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 �VILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: � New Addition Repair Replace
�{ Residential �Commercial
JOB SITE: p� �( Zip:
Owner's�iame: � elephone Number:
1Vlailing Address: City: Zip:
Contractor's Name: Telephone Number: "j • • (�(�
Mailing Address: � City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: �j�Qy�
Fuedel: 'Q�'��-(�,��5
Flue Size: '�
Input BTUs: 9,Q�QQ
Output BTUs: �1.����
CFM:
COOLING SYSTEMS
Quantity: �
Make: ���
Model: f�Z
Tons:
�o
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 ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. �� Other Fans: Locati�ns _ cfm
��nmc� �3-0 �o�o
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERNIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
�d,aoo x .0125 $ 1a5.
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �Q��� x .0005 $ ��_
or $.50, whichever is areater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 3� . ��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including inaterials, labor,profit, and other ftxed costs. It is the ar�our.t to t�e charged to t!�e customer
for the work done. If any material, equipment, labor, or installation are furnished 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 the event that there is a dispute on the amount of the job cost, the City may
request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater.
For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signatu : '(' Date:
Approved By: Date:
DATE TIME �
CITY OF ORONO CALLED IN � �U "v
INSPECTION NO CE /� SCHEDULED �-1 2 i� � �T%3Q� �
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White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN `{'��
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INSPECTOR WILL RETURN
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White Copyllnspector's File Canary Copy/Site Notice