HomeMy WebLinkAbout2000-P02663 - mechanical � �`
CITY F R N PERMIT
O O O O
2750 Kelley Parkway - PO Box 66 Permit Number: Po2663
Crystal Bay, Minnesota 55323 Permit Type: Mechanical permits
(612) 249-4600
Date Issued: v14i2oo
SITE ADDRESS: 2280 French Creek Cir
WAYZATA,MN 55391
P ID: 10-117-23-23-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 53.50
Valuation: $ 4,280.00
State Surcharge Fee: $ 2.14
Misc. Fee: $ 1.50
TOTAL FEE: $ 57.14
APPLICANT: VOGT HEATING&AIR CONDITIONI OWNER: J S PETERSON&J C PETERSON
3260 GORHAM AVE 2280 FRENCH CREEK CIR
ST. LOUIS PARK, MN 55426 WAYZATA MN 55391
THE UNDERSIGNED I�REBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQU[REMENTS.
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� A PLICANT P RMITEE�I NATURE � SLTED BY SIGNATURE
Copies: City,Applicant, Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PE�MTT
Box 66 (2750 Kelley Parkway) �'��`�"� ,
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Crystal Bay, MN 55323 � `�O
GENERAL INFORMATION �,� 1 �%� .I �����I
1. You may apply for mechanical permits by mail or in person at the City offices. Applications ��e
reviewed and a permit will be issued within 2 working days. `dC�
2. Permit cards will be sent by retum 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 DesiQns - 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 identification as to type, manufacturer and model.
Data shall be presented on form provided. Ideatification of and specifications for water heating equipment
snall also be provi�e�.
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 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 questions, call 473-7357.
Please check one: New Addition Repair L Replace
� Res�ential Co ercial
.�G� St�T• ` I� ', � �:g:
Owner's Name: �' r Telephone Number:
Mailing Address• City: Zip:
Contractor'sName: VO(�T NEeTiN(`x ai�6e TelephoneNumber:
Mailing Address: 32�GORHAM AVE. ��� Clty: Zip:
SALES 929-6767 SERVICE 929-4011
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS I
Quantity:
Make: LP�Y1L?�+ L� Y1 v� �
Model: 1�-1-5�'� 5 � �
Tons: � �
H. Power
J
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�c.ha�sst (�nust be duct�d outside) cfm
No. Other Fans: Locations ��
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee 35.U0
j� ;� �5'�. -'- x .0125 $ r� � � l
(contract price)
2. State Surcharge. ** Add the State Buildin� Code Division � I �
Surcharge to each permit. y��<� . x .0005 $
(contract price)
or $.50, whichever is greater
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
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged 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.
** T'he 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 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 City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
, � f�/ �� �
A licant's Si nature: I� C� �" ! ��J � Date: � --�
PP g
Approved By: Date: