HomeMy WebLinkAbout2006-P10230 - mechanical � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10230
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
8/17/2006
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 Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved perresolution#:
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 ORDWANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PGRMITEE SIGNATURE I UED BY SIGNATURE
Copies: l-File(SignaturesRequired), l-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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��� fl�� O�ZC�NC� �'�''L�C�'�`g€�1� �O�'s�i���NICA�., I'�Pv�`
�e�� 66 (275C Ke11ey Parkway)
Cr3�s�a1 �ay, � 55323
ir�AIEIZAI, �'OR1��1A�(3N
l. You may apply for mechanical permits by mail ar i.n person at the City oifices. Applications will be
reviewed and a permit wi11 be issued within 2 warking days.
2. Perm.it cards will be sent by retum mail after a review is completed. ?'ERMITS ARE NQT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN U�ITIL THE PERMIT CARD i5
POSTED ON THE JOB SITE.
�. Mechanical Desiens - Complete calculations, detai�s and specifications are required for eacn heating,
ventilation, humidification-dehumidification, and nir condition.ing installation including heat losslheat gain
calculation, design temperatures, equipment ratings and identirication as to type, manufacturer and modeL
Data shall be presentea on form provided. Ideatification of and specificacions for water heating equipment
shall aiso be provided.
4. �Nhen any new c�nstri;ction or remodzling is involved, a sep�rate buiid.ir.g pe?�mit must be obta'tned.
5, All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. Ail work must be inspected (rough-in and fina�). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Ins#:uetions Complete all items on this application. Compute the pernit fee. Sign and date the certifica[ion.
Ii�'COMPLETE APPLICATIONS �'ILL N�OT BE PROCESSED. If you have questions, ca11 473-7357.
Please check one: New Addition Repair �_ Replace
X Residential Cornniercial
��� S�: 12-►� t=r�n�, '✓e.:��i�►-. 2ip: � 53 `ti I
��e�'sl�taine: r �. ' rzn �,r -� '����g���e�dur�'��r: `I.SG-H"?S bbS�-t
iVla.ii�ngAddr�ss: _j��n �Fi'.e.nch r2�1� Dr__- Ci�y: v,z:;�-, �, �ip: �S��i I
C�n�pac�or's I�daax£�GWICK HEATING�AIR CONDITION{NG LLC Teleg�oneNu�nb�r:
Il�Iai�nbAddress• 8910 Wentworth Ave. Ca�y: Zip:
inne�po is,
�-����� ���������,� (952) 881-9000
HEATING SYSTEMS
Ouantitv:
I�i�ake:
Nlodel:
�uel:
�'Iue Size: �t�
Input BTUs: ���/
Output BTiJs: � �
�FNI: �0 �l y�`0
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�°O�LING SY�TEMS
Qua.ntiry: (
Make: �n.-� c�
Model: ��S�c I'�t S u���
Tog.s: �-1 �� .
H. Power
' � '
. , - ,
���� ���t� ���.�'il�rl'I'
Wood stove with flue
Wood combination or add-on
Factory fu-eplace with flue
Factory �ireplace (s) �reestanding Masonry
�'ood Stove (s) i ranklin, other
Brand Name Model No.
IVlfar's Min., Clearances, side , rear , min. flue dia.
Total
�l�t'�'II.��'�O�t
IVo. Kitchen E:haust ducted recircuiating cfm
No. �ath Exhaust (must be ducted outside) cfrn
No. t7the: rans: Locaiior�s cfm
'�'otai
�'U�I�.., ST�RAGE (NIUST BE APPROVED BY FLRE MARSHAL)
In.stallation Remaval
Fuel oiL• gallons underground inside outside
LP Gas: � gallons
Other Gas opening
PE���` �� CAI_,�IJ�.A'I'��P�I
2. 1.25% of Contract Price�` or Il�:�i�a�� Fe� �$35a0Q)
`-j �SS. bC� x .0125 $ �O • ��
(contract price)
2. �tate Surchar�e. ** Add the State Bu�ldin� Code Division
Surchar�e to each pernuf. `�i� SS. o v x .0005 $ �` 2 - �-I �
(contract price)
or $.50, wrschever is greater
3. - Postage and �Iandlin7 {Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ !o�-j. .� Zr
* CONTR.ACT PRICE ar JOB COST means the actuai or estimated dol2ar amount charged for the perm;tted
work including materials, labor, profit, and otlier fixed costs. It is the amount to be charged to the
customer for the worit done. If any material, equioment, labor, or instailation are furnished by the owner,
tenant or any other party the reasonabie market value oi such items must be added to the estimated cast
or contract price for permit fee purposes. In the�vent that there is a dispute on the amount of the job cost,
the Ciry may request the submission of a signed copy of the actual contract.
** The SiATE SURCHA.RGE is .0005 of the contract price under �I,Oa0,000 or $.50 - whichever is
ffreater. For vaivations aver $1,000,000 call the Department af Inspectional Services ior the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all wark i.n strict accordance with the ordinances of the �ity and the regulations of the Minnesota
State Buiiding Code, and certi�es that all staternents made on th.is application a�e complete, tx�e
au� correct.
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�.ppiicant's�ignature. � _ � C.i�� I3ate: � 1 C: c��.,
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