HomeMy WebLinkAbout2005-P08721 - mechanical PERMIT
CITIr' _�F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08721
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 5/12/2005
SITE ADDRESS: 519 Ferndale Rd N
Wayzata,MN 55391
PID: 36-118-23-14-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 87.50 valuation: $ 7,000.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 91.00
APPLICANT: Practical Systems OWNER: Tom Micheletti
4342B Shady Oak Rd. 519 Ferndale Rd N
Hopkins,MN 55343 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL GTY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITF,E SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQi:ituresRequired), 1-Applicant, 1-MonthlvReports, 1-Assessing, 1-Finance Page l
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FOR CITY USE ONLY
City of Orono
' 4�� P.O.Box 66 Date Received: Permit#
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial perniits must be approved by Ihe Building Ofticial or Inspector and/or Pire Marshall)
GENERAL 1NFORMATION
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. Peinut cards will be sent by return mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERIVIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—Complete calculations, details and specifications are required for each
heating, ventilation, hunudification-dehumidification, and air conditioning installation including
heat loss/heat gaiil calculation, design temperatures, equipment ratings and identification as to
type, manufacttu�er and model. Data shall be presented on form provided.
4. When any new conshuction 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 subnutted before final.
TYPE OF PERMIT
(Check All That A ply)
❑ Residential ❑ Commercial(Approval Required)
❑ I�Tew ❑Additional ❑ Repairs �Replace
Job Site/ Owner Inforniation:
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Site Address: S�1 �r��% c.�cL��- i��e:.
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Owner:Tcw� � ��1�t i�1��.1�r���� Mailing Address:
City: Zip: 35,3`�/
Home Phone: Altei-nate Phone:
Contractor Information:
Contractor: �:c:��G�� SyS������- ContactPerson: t �'
Address: �13u� � 54�c�y or�� I��k State Bond#:
City: �;�k��_ Zip:-�.sy„3 Expiration Date:
Phone: 95�- �j� i��'" Alternate Phone:
❑ Insurance—Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity: ��
Make: C(.�'�y'1")1ei4��
Model:
Fuel: C;��
Flue Size:
InputBTUs: ����''<<�
Output BTUs: ��,��=�
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Ea:haust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
F'UEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ 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 n�eets all tlu-ee of the following requireinents:
1. Does not require modification to elecnical or gas service.
2. Has a total cost of�500.00 or less; e�cludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed couhactor.
Skip next section, if this applies; Cost of Peinut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S) —JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conri�act price with a(Minimum Fee of$35.00)
�]Dd0.OD x.0125 $
(contract piice) (minimum T�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 meaus the actual or estimated dollar amount charged for the
pernutted 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 parry, the reasonable market value of such items must be added to the
estiinated cost or contract price for pernut fee puiposes. In the event that there is a dispute on the
amount of the job cost, the City may request tl�e 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pernzit, 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.
Applicant's Signature: �'�� ����— Date: 5����,�
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