HomeMy WebLinkAbout2004-P07430 - mechanical PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P07430
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4i2si2oo4
SITE ADDRESS: 3329 Crystal Bay Rd
Wayzata,MN 55391
PI D: 17-117-23-41-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Gas Line for Fireplace
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 300.00
State Surcharge Fee: $ 0.50
Misa Fee: $ 1.50
TOTAL FEE: $ 37.00
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 IMPROVENIENTS 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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APPUCANT PGRMITEE SIGNATUKG ISSU�DBYSIGNATURE
Copies: 1-File(SiQnitures Reciuir-ed), 1-Aoolicant, 1-Monthlv Reoorts, 1-Assessing, 1-Finance Page 1
. . '
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
GENERAI,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
sh�l a:sa ba pr��•:3�d. �
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 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, catl 249-4600.
Please check one: � New Addition Repair Replace
� Residential Commercial �
JOB SITE• - Zip:
Owner's Name: elephone Number:
Mailing Address: - City: Zip:
Contractor's Name: � (� T�elephone Number:'((g�-� -�j(�-�/�,'�
Mailing Address:���� � � � �City: U Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
1i�iaice: � .
Model: -
Fuel:
Flue Size: - -
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS - � _ .
Quantity: . .
Make:
ModeL• �. �
Tons:
H. Power �
.. � .: _ ... . . ` r� �f# �� '..�.�,. ._ . . = t...��,.,_
'rF � t .
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' '0. � • . + . .�� �} . - � �� . . �
.. vt'r. . ., . . .. . .
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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: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: ' gallons
�_ Other �,S 1 i� -f'��--.�}�,,��.�. � Gas opening
PERMIT FEE CALCULATION .
1. 1.25% of Contract Price* or Minimum Fee ($35.001 �-- �
' �' x .0125 $ �
`��._.,��:J
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surc`��rge to each permit. <�;F, ` ''� � x .0005 $ ��O
Ao(�i l A/
or $.. �, whichever is greater (contract price)
3. Posta�e and Handlin�. (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �_��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer
for the woric done. Yf any material, equipme�it,iabor, or installaticjn are furnisned by the ov:ner,tenaat or
any other party the reasonable mazket value of such items must be added to the estimated cost or contract
price for permit fee puposes. 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�e 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 Ciry 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 conect. ` �
� _ _ �
Applicant's Signature•i Date:
l
Approved By: Date: