HomeMy WebLinkAbout2005-P08418 - mechanical CITY OF ORONO PERMIT
2750 Kelle1 Parkway - PO Box 66 Permit Number: Pog41g
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2���2oos
SITE ADDRESS: 1913 Fagerness Pt Rd
Wayzata,MN 55391
PID: 17-117-23-23-0009
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS: ,
FEE SUMMARY: PermitFee: $ 96.63 Valuation: $ 7,730.00
State Surcharge Fee: $ 3.87
Misc. Fee: $ 1.50
TOTAL FEE: $ 102.00
APPLICANT: Residential Heating&Air,Inc. (See Comir OWNER: Brandon Stovern
1815 East 41 st Street Suite A 1913 Fagerness Pt Rd
Minneapolis,MN 55407 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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APPL[CANT ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PEP►��E�V��
Box 66 (2750 Kelley Parkway) FE� 0 4 2005
Cryst:al Bay, MN 55323
CITY OF ORONO
GENE;RAL 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 wiil be sent by return mail afrer 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 Designs - Compiete calculations, details and specifications are required far each heating,
ventilation, humidification-dehumidification, and air eonditioning installation including heat losslheat gain
calcutation, design temperatures, equipment ratings and identificatian as to type, manufacturer and model.
Data shall be presented on form pravided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeting is invalved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanicai Code/State Building Codc
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 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 questi ns, call 473-7357.
Please check one: �ew Addition Repair Replace
Residential Commercial
JOB SITE: I�i 1 '� �:�r E a,cv e�5 `� �, N� 1Ze,�,> Zip: �;�,3� c
O�vner's Name: ��,.�c,� ti ST�v c:za Telephone Number: ��;7_y 7� -C'� +�
Mailing Address: City: Zip: � —
Contractor's Name: � -S ;, -,•��, „� h-���r�vc.. Telephone Number: 6 r z 7'-y-I ���
Mailing Adtiress: r8►� � � tiis� S� • S:, . ,-� � City: �,._�.,t�a�4�•sZip: 5��tio�
SYSTEM DESCRIPTION
HEATING S�STEMS
Quantity: �
Make: t-c.N�� x
Model: C,6v��-+ �v 7C
Fuel: tv,t:. c��S
Flue Size:
Input BTUs: �E���.�� �
� Output BTUs: 5�.,��
!� CFM:
.,�
� COOLING SYSTEMS
�� Quantity: I
� Make: ��tiy��
Model: ►� r� ��cs�y
Tons: �--
H. Power � —
S� � 4
I
WOQD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding MaSonry
Woad Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE {MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallans underground inside outside
LP Gas: gallons
Other Gas opening
P�RMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
x .0125 $ �
� ,��'`z' � l�
. . (contract price)
2. State Surchar�e. ** Add the State Building Code Division '� ��
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � ��, -�f 8
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
work including materials, labor, profit, and ather fixed costs. It is the amount to be charged to the
:.ustoiner for ihe work done. If any materiai, equiFment, labor, or installation are rurnished by the owner,
tenant or any other party the reasonable market value of such i[ems must be added to the estimated cost
or cantract 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 submissian of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,OOO,U00 or $.50 - whichever is
greater. For valuations over $i3Od0,OQ0 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 Ciry and the regulations of the Minnesota
State Building Code, and cert ies that all statemen ade on this application are complete, true
and carrect.
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Applicant's Signature: <�^ Date: �" 3�-U_5
Approved By: Date:
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