HomeMy WebLinkAbout2004-P07538 - mechanical � PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P07538
Crystal �ay, Minnesota 55323 Permit Type: 1vlechanical Permits
(952) 249-4600 Date Issued: s�26�2004
SITE ADDRESS: 1260 French Creek Dr
Wayzata,MN 55391
PID: io-li�-23-32-ooi2
DESCRI PTION:
Proposed Use: Residential
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: $ g��s� Vatuation: $ 6,600.00
State Surcharge Fee: $ 3.30
TOTAL FEE: $ 85.80
APPLICANT: Heating&Cooling Two Inc. OWNER: 7ames&Beverely Nyce
18550 County Road 81 1260 French Creek Dr
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 ER ITh SIGNA URF. SCEDBYSIGNATURE
Cooies: 1-File(SiQriitures Reauired), 1-Applicant. 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1
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Mar-1�004 03:03pm From-CITY OF ORONO +9522494616 T-899 P.001/003 F-339
CTI"X' OF ORONO ,A.PPLZCA'1"�O� FO�t MEC�TANICAL PE�T
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
� G�NERAL INFQ _ A'I'�aN
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 ovorking days.
2. Pertnit cards will be sent by retum mail after a review is completed.P�RMTTS AiZE NOT VA�,ID
TrNTTI.YOU RECE.IVE A PERN�'F.WORK MCJST NOT BEGIN UNTIL T�IE PETtMYT CARD IS �
POSTED ON T E JOB SIT�.
3. Mechanical Desi�,ns-Complete calculations,details and specifications are required for each heating,
ventilation,humidificarion-dehumidification, and air conditioning instailation including heat loss/heat
gai,n calculatian, design temperatures, equipment ratings and identification as to type,maraufacturer and
model.Aata shall�e presented on form provided.identificarion o#'and speci$cations for water heating
equipment sY�all alsa be pro�vided. �
4. When any new cons�uction ar remodeling is invol�ved, a s�parat�buitding permit must be obtained,
5. All work must be done in accordance with Che Y7niform Mechanical Code/State Building Code
requirements.
6. AlI work must be inspected(rough-in and final). Call(952)249-4600.24-hour notice r�quired.
7. House Heating Tesi Reoord must be submitted before final. �
Tnstructions
Complete all items on t.�us applieation. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLXCA�ONS WII.L NOT BE PROCESSED. If'you have questians, cail
(952) 249-4600.
Please check one: ❑N'ew ❑ Addition ❑ Repair�Replace❑ Residential ❑ Commercial
�o� srrE: %��c-- ���.� �,�� N _��.ft f;� ��N _ z�P:
Owner's Name: � \�� � P �� r�� k\� ;��r; Pb�one Number:
Mailiwg Address: , City: __ __ Zip:
Coutractor's Name TIN�E��u��'���"' Phone Number•
Mailing Address: ���.f���City: � Zip:
ag e r� •
�163) 428-367�
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�ar-1�2004 03;04pm From-CITY OF ORONO +9522494616 T-699 P.002/003 F-339
SYST�M DESCRiPTIOI�I '
H�ATING SYST�MS
Quanrity:
`� ,
Makc: �j��- ���
Moa�l: �-='� , y�'C',P;•
Fuel; � ,�+�`k
.�
Fluc Si2e: �_�
Input B'Y'Lis: � fi"'
Output BTUs:
Ck'�f: !'��`�� ��� �
COOLING S'YSTEMS
Q�,n� �
Make: � � �� �
ModeI: �j �t � .
Tons: ��
H.Powtr ,�` �
FIREPLACES GAS LINE ONLY
❑ Gas factory f replace [] Tnstalling a Gas Line Only
❑ Woad buming factory fireplace with tlue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTIT.A.TYON
No. Kitchen Exhaust duct recalculating efm
No. Bath Exhaust(must have duct outside) cfm
No. Other�ans:Locations cfm
�'Y7E� STORAGE (M(JST BE APPROVED BY �'TRE MA1tST�AT.)
❑ Installation or [.a Removal
❑ Fuel oil: gallons ❑ underground ❑ inside C]outside
❑ LY Gas: gallons .
[] Other Gas opening
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PERMYT�'�E CALCULATT�N(S)
2002 State Statvte Q Xes This Section Applies �
The replaCemetlt of a Residential fixture or appliance that meets aIl tbree of the foIlowing requiremenis:
1) Does not xequire madification to electrical or gas service.
2} Has a total cost af�500.00 or less;excludina the cost of the fixture or appliance:
and
3) Is impraved,installed or replaced by the homeowner or licens�d confractor.
Sldp next section; Cost of Pemnit $ 15.00 �
State Surcharge$ .5�
Mail-Tn Fee $ 1.50
If above does not apply,follow guidelines b�low:
7,. Contract price*is .0�25%of jab with a Mfnimum Fee of{535.001
� ��' x AI25 $
(contract price) (minimiun$35,00)
2.State Surchar�e• ""�`Add l'lle State Building Code Divisiou a Minimum Fee of{$ .SO)
x .0005 $
(con�act price) (minimum$.50)
3.Posta�e and Handlin� (O�tly mail-ir1 applicario�ts) $ 1.50
4.TOTAL PE1�l�1YT FEE (Add lines i-3 above) $
"'CONTRACT PRICE or JOB COST mesns she aetaal or estimatcd dollar amount chargcd for the permitted work including
ma[erials,labor,profet,and o[het fixed cosis. ft is the amount to be charged to the customer for the wark done_Tf any material,
equipment,labor,or insrallarion is furnished by the owner,tenant or any other paRy the�easonable marlcet value of such i[ems
must bc addtd to tlte estimated cost or eontraat priee far permi�fee purposes,in the event thac there is a dispatc on the amount of
the job cost,the Ciry may requesc che submission of a signed copy of�he ae�uat eoncraet.
••The ST'ATE SURCHAi2GE is.0005 of the contract price under S 1,OOO,U00 or$.50-whiehevec is greater.For vaivacions over
$1,000,000 cali the Aepamnenc of Inspeciional Services for the price.
'I`he undersigncd hcrcby&pplies to the City for isstaance ofia Mechanical Pemvt,agrees to do all work in strict accordance with
[he ordinaTlces of the Ciry and[he regetlatiorts of the Minnesota State�uildittg Code,artd ceRifies that all sta�ements made on this
applicatioa are completc,true and correct.
�� '� r / \
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Applicant's SigtlatuTe� ���� `- Date: � ��
Approved By: Date:
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