HomeMy WebLinkAbout2004-P08336 - duct work ,
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P08336
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: i2i3oi2oo4
SITE ADDRESS: 2485 Dunwoody Ave
Wayzata,MN 55391
PID: 20-117-23-22-0016
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Duct Wark
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Scherer Plumbing and Heating OWNER: Mr. &Mrs.Hickey
200 N. 3rd. Street 2477 Dunwoody Ave
Delano,MN 55328 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 PERMITEE SIGNATURE ISSUED BY SIGNATURF.
Copies: 1-File(SiQnitures Rec�uired), 1-Apvlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
Dec-14-2004 02:30pn From-CITY OF ORONO +8512�8a616 T-310 P D0110D3 F-569
CITY OF ORON4 AT'PLICATION FOR MECHANICAL PERMIT
Box 66 (2 750 Ketley Parkway)
Crystal Bay, MN 55323 I
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GENERAI,INFORMATION
1. You may apply for mechanical permits by mail or in persob at the City offices.Applications will be �
reviewed and a permit will be issued within two worldng days.
2. Permit cards will be sent by retum mail a$er a review is compieted.FERMITS.4RE NOT VAT,TD �
UNTTT.YOU REC�IVE A p�RMIT.WORK NiLTST N�T BEGIN UNTR,THE PERMIT CARD IS • �
POSTED ON THE 70B SITE.
3. Mechanical pesi�ns-Complete CalCulations,details and specifications are required for eaeh heating, '��
ventilation,humidification{tehumidification,and air conditioning installation mcluding heat loss/heaz
gain calculation,design temperatures,equipment ratings and idennfication as to rype,manufacturer and
model.Data shall be presented on fornn provided.Identification of and specificatiorl5 for water heating I
tquipment shall also be provided.
4. When any new constructiott 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
requiremenis.
6. All work must be inspected(rough-in and final). Call (952)249-46�0.24-hour notice required.
7. Housc Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the pe�miit fee. Sigp and date the certification.
1NCOMPLETB APPLICATIONS WII..�.NOT BE PROCESS�D.If you have questions, call
(9S2)249-4600. '
Please check one: ❑New � Addition ❑Repair []Replace[] Residential ❑Commercial
JOB SITE:_ �:� l�,j� �..� ��n �� o��� �� l`7�v � Zip:
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Owner's Name: phone Number:
Mailing Address� CIty; lp. -
v"c`� ��-� , �S 3� / '
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Contractor's Name: �c,�e f r�' �� Phone Number: Lt/Z.- a-3�— 3559
Mailiug Address: 1c� D fJ "2� �Y� City: e/u..o Zip:_�'S3 ;x �
1
Dac-14-2004 02:30pn From-CITY OF ORONO +A5224A4616 T-310 P D02/003 f-568
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SYStEM DESCitIP'Y'IQ1V `
HEATING SYSTEMS
Quantity:
Make:
Model:
FLet:
Flue Size:
Tnput g1Vs:
Output�TCJs: !
CFM:
COOLINC SYSTEMS
Quentity:
Make;
Model:
Tons:
H.Power
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FIREpLACES GAS LINE ONLY f
i
❑ Gas faccory fireplace ❑ Installing a Gas Line Only �
❑ Wood buming factory fireplace with flue
❑ 'V�'ood Stovt ,
❑ Wood s�ove with fIue
Brand Name Model No. ,
VENTILATIOIV
No. Kitchen Exhaust duct recalculating efm
No.��ath Exhaust(must have duct outside) �_cfrn
No. Other Fans;Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIl2E MARSHAL) '
❑Installation or ❑Removal
❑Fuel oil: galtons ❑underground ❑ inside (]outside
❑I.P Gas: gallons
❑ Other Gas opening
2
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Dac-14-2004 02:30an From-CITY OF ORONO +A52249d616 T-310 P 003/003 F-566
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PERMIT FEE CAY.CULATION(S)
2002 State Statute ❑Yes This Section Applies
The replacement of a Residenrial fixture or appliance thai meets all threc of the following requirements:
1) Does not rtqui�e modifleation to tlectrical or gas serviee.
2) Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:
and
3) Is improved,installed or replaced by the homeowner or licensed conuactor.
Skip next section; Cost of Petmit $ 15.00 j
State Surcharge$ .50
Mail-In Fee $ 1,50
If above does not apply,follow guidelines below:
1. Contract Price"'is.0125%of job With a Minimum Fee of($35.OU1
�7. 5_�
3 oov X.oi2s s --
(contract price) (minimum b35.00)
2.State Surchar¢e.~" Add the State Building Code Division e Menlmum Fee of(S.50)
�3.0�� x.000s s i .s !
(cantract price) (minimum S.58) �
3.postaee and Handline(4trly muril-in applicatio►rs) $ 1.50 !
O
4.TOTAL PERMI'T FEE(Add lines i-3 above) $ �D. �
'"CONTRACT PRICE or JOB COS"f ineans the actual or estimated dollar amount charged for the pemtitted work ineluding
mucerials,labor,profi�,and other fixed costs.Tt is the amoun[[o bt eharged to the cus�omer Tor thc work done.If any material,
cquipmen�,labor,or installation is fumished by the owner,�cnan�or any o�her party the ressonable markec value of such icems
must be added to the estimated cost or contract price for pertnit fee purposes.In the event that there is s disputa on the amount of
the job eosc,che Ciry may request ihe submission of a signed eopy of the accual contracc.
""The STATE SURCHARGE is.0005 of the conaset price under 51,000,000 or 5.50-whichever is gresttr.For valuations ovcr
51,000,000 call the Deparnnent of[nspectional Services for the priee.
The undetsigned hereby epplies[o the Ciry for issuanu of e Mcchanical peit�tit,agrees to do all work in stnet aeCordance wich
the ordinancts of thc Ciry and[he regulutions of the Minncsota State Suilding Codc,and certifies that all stattments made on this
applicntion are eompte[e,[rue and correcc.
Applicant's Signature: `f�!�� �s���.-I"�'�� Date: � �—�� —U
y
Approved By: Date:
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