HomeMy WebLinkAbout2006-P09935 - air conditioning PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09935
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/2/2006
SITE ADDRESS: 1270 French Creek Dr Unit#
Wayzata, MN 55391
P��� 10-117-23-32-0014
DESCRIPTION:
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Proposed Use: Residential 1
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Air Conditioning ,�
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 60.69 Valuation: $ 4,855.00
State Surcharge Fee: $ 2.43
Misc.Fee: $ 1.50
TOTAL FEE: $ 64.62
APPLICANT: Sedgwick Heating&Air Conditioning Inc. OWNER: Mr. &Mrs. Siegert
8910 Wentworth Avenue S 1270 French Creek Dr
Minneapolis,MN 55420 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 [SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
PERMIT
CI�Y C�F ORONO Permit ►vumber:
2750 Kelle y Parkwa y- PO Box 66 Po9935
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/2/2006
SITE ADDRESS: 1270 French Creek Dr Unit#
Wayzata,MN 55391
P��� 10-117-23-32-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Petmits Permit Sub-type(s): ��%.�'����-����
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 60.69 valuation: $ 4,855.00
State Surcharge Fee: $ 2.43
Misc. Fee: $ 1.50
TOTAL FEE: $ 64.62
APPLICANT: Sedgwick Heating&Air Conditioning Inc. OWNER: Mr. &Mrs. Siegert
8910 Wentworth Avenue S 1270 French Creek Dr
Minneapolis,MN 55420 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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APPL[CANT PERMITEE SIGNATIJRE [SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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. _ . �
� ��Y OF Oi��NO AIp�LICATION �'OR 11�C�i.4NiCA.]E. P��T'
Sox 66 (2750 Kelley Parkway)
Crystal �ay, N1N 55323
GENERAL INFORMA�'ION
1. You may apply for mechan.ical pernuts by mail or in person at the City orfices. Applications will be
reviewed and a permit wi11 be issued within 2 working days.
2. Perm.it 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 UN THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning instailation including heat loss/heat gain
calculation, design[emperacures, equipment ratings and identification as to rype, ma.*�ufacturer and model.
Data shall be presented on form provided. Ideatification of and specifications for water heating equipment
shall aiso be provided.
4. When any new construction or reriodeting is involve�, a se�a.*ate buii_dir.g permit must be obtained.
5. All work must be done in accordance with the Uniform ivlechanical CodelState 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.
Ins'«ructions Complete all items on this application. Campute the permit fee. Sign and date the certifica[ion.
INCOMPLETE APFLICATIONS WILL NOT BE P120CESSED. If you bave questions, call 473-7357.
Please check one: New Addition Repair x Replace
Residential Commercial
J��7� S�TE: 1 2� o �e,►�c�n C✓e.�.� �i-�r Zip: SS 3 `1 �
�wne�'sl4rame: l�nd��c� S �..��t�-E- '�ele�h�ne?�umb�r: �'Sz -`-(7S-(,�Sy
I'vlailing Address: �2�u irz.�+ �, C.✓-z�z.lL 1�� �ity: ��•�c� Zip: S S"3`� �
C���ract€��'sN�ane: SEL�GWICK HEATING 8 AIR CONDITI��:;��G LLCTelephoneNe�ber:
Id�ailingAddress: 8�10 Wentworth Av�. City: Zip:
il(1f1��00�iS, �� �J�2Q
S�'S'I'�IVI DESC�IT"TIO�1 (952} 881�9000
HEATING SYSTEMS
puantitv:
Make:
Model:
�ruel:
Flue Size:
Input B3'Us:
Output BTUs:
C�Iv1:
COOLING SYSTEMS
Quantity: �
Make: Lt�n�n ux
Model: �-�5 X f3�5���
Tons: y
H. Pawer
- ��a�
►��°�.���o�
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�VOOD BURtVING EQL�TPN�NT
Woc�d stove with flue
Wood combination or add-on
Factory fueplace with flue
Factory Fireplace (s} Freestanding Masonry
_ Wood Stove (s) Franklin, other
Br�nd Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
�IV�'I�ATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath E.xhaust (must be ducted outside) cfm
IVTo. Other Fa.*�s: Locations cfrn
Total
FLTEI, ST�RAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oiL• gallon.s underground inside outside
LP Gas: � gallons
Other Gas opening
���1IT' �� Cr�,LCULATI0I�1
1. 1.25% of Cor.tract Price* or IVlia�im�e�r� F�� ($35.00)
`t uSS x .0125 $ �L • � �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surchar�e to each permit. �`1�c.�S S x .0005 $ 2-:��
(contract price)
or $.50, whichever is greater
3. Postage and Handlina (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ l��1 • l'o�
* CONTRACT PRICE or J(�T3 COST means the actual or estimaterl dollar amount charged for the perm;tted
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 installation are fumished by the owner,
tenant or any other party the reasonabie 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 t$�e job cost,
the Ciry may request the submission of a signed copy of tbe actual contract.
*� The STATE SURCHARGE is .0005 of the contract price under $I,000,000 or $.50 - whichever is
greacer. For valuations over �1,000,000 call the Department of Inspectional Services ior the price.
The undersigned hereby applies to the City for issuance of a Mechan.ical Permit, agrees to do
all work in strict accordance with the ordinances of the Ciry an�the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
a.nd conect.
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Appiicant's Signature: �11�� Date:
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Approved�y: Date: