HomeMy WebLinkAbout2005-P08648 - ventilation CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos64s
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4i2�i2oos
SITE ADDRESS: 511 Ferndale Rd N
Wayzata,MN 55391
PID: 36-118-23-13-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
2 Vents&Gas Stove
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 2,100.00
State Surcharge Fee: $ 1.05
TOTAL FEE: $ 36.05
APPLICANT: Heating&Cooling Two Inc. OWNER: Barbara&Mark Capece
18550 County Road 81 511 Ferndale Rd N
Maple Grove,MN 55369 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 S[GNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Aoplicant. 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
, � a
FOR CITY USE ONLY
O4p�,O City of Orono :
` � ' P.O.Box 66 Date Received: Permit#
�'�� 2750 Kelley Parkway
?�,�� Crystal Bay,MN 55323 Approved By: Amount$:
�t��''��o�c� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
' 1. You may apply for mechanical pernuts 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 ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PEItiVIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calcularions,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification 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)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A ply)
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
�
Site Address: ���> �� �� ���1���� � �: i� !J
� `
Owner:� J��` �� � � Mailing Address: _� 1 t �\ �=,t'�;1 d,+ 1 �,
City: 1, '��.. ��` Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person:
HEATINQ IN�TWO INQ
Addre • �8550 County Rd. 8i State Bond#:
�iinple Q �
(763)428-36T7
City: vrww heatcool2.corn Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
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_, , , , � �,�� , `� ,s'�;
• ' •- :; , ` v ::�,�;, " ly1ECHANTCAI.;-SYSTEMS BEING 1NSTALL'ED' � ��ry � .r.r � °" � ,.
r :
HEATING SYSTEMS
�
Quantity:
Make:
Model:
Fuel: �
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FII2EPLACES '
❑ Gas Factory Fireplace
' ❑ Wood Burning Fireplace
' ❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
/�
❑ No. I Kitchen Exhaust�_duct recircularing �cfin
❑ No. �_ Bath Exhaust(must have duct outside) ��cfm
❑ No. Other Fans: Locations ��
FIJEL ST � C (_� � C;�(�i 1�!'v rr /`�'� �L/�Z � - �
O�A�E(MUS BE APPROVED BY��MARS�iALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
� LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill �, Other/List What&Where: ,��c;i��--
2
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~ '`�� ,��� `� , PERNIIT.EEE GALCUI;ATION(S) '; `r S ` ;
` BASED:OFF —�2002 STATE STATLTE . ." �` ' ` s �
,
❑ .Yes,tlus 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;excludine the cost of the fixture or appliance: and
" • 3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
:���,�r:'��Y�- �}�.tPER1VIIT F'EE CALCULATION(S)`'`=JOBS OVER$500 00 }f w��� 4 ���
,.. _
If above does not apply;follow guidelines below:
� 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� f�'�� x.0125$
(c ntract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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
pemutted work including materials,labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If 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 pernut 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 Building Department at(952) 249-4600 for the price.
>"� :MECHAIVICAL PERMIT:APPLICATION AGREEMENT :
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct. �
�
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s ly-- Y
Applicant's Signature: Date: ,-� J �
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