HomeMy WebLinkAbout2008-P12177 - mechanical � " � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12177
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Mechanical Permits
Date Issued: 6/18/2008
SITE ADDRESS: 475 Ferndale Rd N Unit#
Wayzata,MN 55391
PID: 36-118-23-14-0012
DESCRIPTION:
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:
FEE SUMMARY: Permit Fee: $ 437.50 Valuation: $ 35,000.00
State Surcharge Fee: $ 17.50
Misc. Fee: $ L50
TOTAL FEE: $ 456.50
APPLICANT: UMR Geothermal OWNER: Thomas&Laura Clapp
5115 Industrial Street 475 Ferndale Rd N
Maple Plain,MN 55359 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 PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
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1 ��� �'' P.O.Box 66 Date Received� Pcnnit#
�� �'''': 2750 Kelley Parkway
� r;y�• �` Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Comtnercial pennits must be appro��ed b}�the[3uilding Ofi�icial or Inspector 1nd/or 1'irc Marshall)
GENERAL 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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARG NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT 6EGIN 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 identificatioi�as to
type,manufacturer and model. Data shall be presented on form 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(952)249-4G00.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A I )
❑� Residential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Replace
Job Site/Owner Information:
slte f�ddl'2SS: 475 Ferndale Road N
�Wner: Shelly&Joe Hoesley �/]ai�tll�T l�ddfeSS: 18700 24th nvc N
Clty: Plymouth Z�p: >i447
Home Phone: Alternate Phone:
Contractor Information:
C011tt'1Ct01': UMR Geothermal C011taCt PeCSOII: �'<<t I Iughcs
51 15 Industrial Strect 929289728
Address: State Bond #:
City: Map�ePia`° Zip: ss3s9 Expiration Date: ����������`�
Phone: (763�a�9-632s Alternate Phone: <<'si>33�,-��4as
�✓ Insurance—Current:
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MECHANICAL SYSTEMS BEING [NSTALLED
HEATING SYSTEMS
Quantity: Z Z -- -�
Make: WaterFumace Carrier WaterFurnacc
Model: NDZ072 MVC080020 ���'����
Electric Natural Gas Elcctric
Fuel:
Flue Size: N/A 3"PVC N/A
Input BTUs: 72�000 80,000 ����,���>��
Output BTUs: 72,000 6�,��� 60,000
CFM:
COOLING SYSTEMS
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Quantity:
WaterFurnace
Make:
Model: NDZ072
Tons: 6
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
V ENTI LAT[ON
❑ Na Kitchen Exhaust duct recirculating _ cfin
❑ No. Bath Exhaust(must have duct outside) _ cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSIiALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and
3. ls improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost ofi Permit $ 15.00
State Surchar�e $ .50
Mail-In Fee(if Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULAT[ON(S)—JOE3S OVER $500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is I.25%of contract price with a(Minimum h'ee of�35.00)
35,000.00 � ,01?5 $ 437.50
(contract price) (minimum'�3i.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(��liniminn Fec of S.iO)
35,000.00 x .0005 $ 17.50
(contract pricc) (minimum� _i0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ I.�O
as�.so
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 fiixed costs. It is the amount to be charged
to the customer for the work done. ]f any material, equipment, labor or installations 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 ofthe Building Department at(9i2)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrces to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: � Date: �
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