HomeMy WebLinkAbout2002-P05166 - mechanical T, PERMIT
C! ,.�� OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos166
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: si9i2oo2
SITE ADDRESS: 1973 Fagerness Pt Rd
Wayzata,MN 55391
P I D: 18-117-23-14-0008
DESCRI PTION:
Proposed Use:
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
6 heat runs,2 returns and 1 gas fireplace
FEE SUMMARY: PermitFee: $ 80.00 Valuation: $ 6,400.00
State Surcharge Fee: $ 3.20
Misc.Fee: $ 1.50
TOTAL FEE: $ 84.70
APPLICANT: South Mechanical Contraors OWNER: Kevin Manley
21005 Langford Ave. SW 1973 Fagerness Pt Rd
Jorden,MN 55372 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS 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 PERMITEE SIGNATURE ISSUE Y SIGNATURE �
Cooies: 1-File(Si�nitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERi�1IT
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 Gity offices. Applications wili 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 Designs - Complete calculations, details and specifications are required for each heatino,
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 shail be presented on form provided. Identification oi and specificacions for water heating equipment
shall also 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 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, call 249-4600.
Please check one: New � Addition Repair Replace
Residential Commercial
JOB SITE: / i ;J> ��' �-�.- ,� s s /'f- /' � � Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: ;_ c:,.���:, f����/�� <z,�«�_� Telephone Number: i;�%-�-%=� -.��y�
Mailing Address: ,?.i�-� _> L<_ < �=��,/��� City: -T. �,�: _ Zip: _ �;�'.�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
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 cfm
No. Bath Exhaust (must be ducted outside) __ cfm
No. Other Fans: Locations cfm
FLTEL 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)
`- C�C%�� x .0125 $
(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. 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
�,vork including materials, labor,profiz, and other fixed costs. It is the amount to be charged to the 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 Inspectionat 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 Signature: ��'�c/' -��-�- iz-/� - Date: �-7r �' �.
Approved By: Date: