HomeMy WebLinkAbout2004-P07481 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�4gi
Crysta� 3ay, Minnesota 55323 Permit Type: Mechanical Permits
(9�2) 249-4600 Date Issued: siio�2oo4
SITE ADDRESS: 3329 Crystal Bay Rd
Wayzata,MN 55391
P I D: 17-117-2 3-41-0019
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Gas Lines to Stove and Dryer
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 300.00
State Surcharge Fee: $ 0.50
� Misc. 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 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[TEE SIGNATURE ISSUED BY SIGVATURE
Conies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO , � .�� g ��`�. f APPLICATION FOR MECHANICAL PERMIT
� Box 66 (2750 Kelley Parkway) n . .
Crystal Bay, MN 55323 % ` `=� � t:��= . . . - °�-�- � ._
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GENERAL INFORMATION _ .
1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum 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, desi�n 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 also be provide�. � -
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, ca11249-4600.
Please check one: ��New Addition Repair Replace
� Residential : ' Commercial
_ _.. - -
JOB SITE: `�. � C9��. O4� Zip: ,
Owner's Name: � `(� .- Te hone Number:
Mailing Address: . .. : �;;; �` City: ' Zip:
Contractor's Namei�-���'(` - Telephone Number: '��p� -��j� -����
Mailing Address:�?�`�'� �cG�\C�YI�Q�`ll?J�City: A Zip:�;�3Q�
SYSTEM DESCRIPTION
HEATING SYSTEMS O
Quantity: � y - ;�_,
Make:
Model:
Fuel: -
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS.. _ _ . . . ... : - : _
Quantity : :. . ` . , . . . . � ,
Mak�: _ . .
Model: �
Tons: � �
H. Power � �'
,�
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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 cfin
No. Bath Exhaust (must be ducted outside) cfin
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
�_ Other (�(},� --�(� ��Q�`� Q'(1C\ C1`� Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001 �
�j���� x .0125 $ �� � �
(contract price)
2. State Surchar�e. ** Add the State Buildin� Code Division _-�
Surcharge to each permit. ���') x .0005 $ ' �
or $.50, whichever is greater (concracc price)
3. Posta�e and Handlin� (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
�.rerk i.��l���i�b mate*�als,lzb�r,pr�fit, and ottzer fi�e�c�sts. It is the:.^i�.u:t to�e charged:a th:,cu:,tome:
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 estunated cost or contract
price for permit fee pnrposes. 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 Pernut, 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
an� correct.
Applicant's Signa e: �� �� � Date:S �
y
Approved By: Date: