HomeMy WebLinkAbout2005-P09509 - mechanical � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09509
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued: 12/29/2005
SITE ADDRESS: 1360 French Creek Dr Unit#
Wayzata, MN 55391
PID: 10-117-23-32-0016
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanica]Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,350.00
State Surcharge Fee: $ 1.18
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.68
APPLICANT: Ditter Inc. OWNER: Stephen&Rosalie Miller
820 Tower Drive 1360 French Creek Dr
Medina, MN 55340 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERM[SSION TO MAKE THE REAL IMPROVEMENTS SPEC[FIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ( SUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
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:ITY OF ORONO APPLICATION FOR MECHANICAI,pER.MIT Page 1 of 3
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�,T1'Y OF ORONO APPLICATION FOR MECHANICAI,pERNIIT
Boz 66(2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFpRMATiON
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 working days.
2. Permit cards will be sent by retum mail after a review is completed.PERMIT'S qRE NOT VALID LINTIL YOU
RECENE A PERMIT. WpRi{MUST NOT BEGTN UNTIL'TI�pERMIT CARD IS POSTED ON TI�JOB SITE.
3. Mechanical Designs -Comp ete c culattons, etai s and spec cations are requi or eac eating,venh sixon,
umi i cation- e umidification,and air conditioning installa.tion including heat loss/hea#gain calculation,design
temperaiures,equipment ratings and identification as to type,manu�a.cturer and model.Data shall be presented on form
provided. Tdentification of aad specifications for water heating equipment shall also be provided.
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 Mecbanical Code/State Building Code requirements. . �
6. All work must be inspected(rough-in and final).Call(952)249-4600.24hour notice required.
7- House Heating Test Record must be submitted before fuial.
Iastructions
Complete all items on this applica.tion. Compute the permit fee. Sign and date the certification.INCOMI'LETE
APPLICATIONS WILL NOT BE PROCESSED. If you have questions,call (952)249-4600.
Please check one: New Addition Repair 1Zeplace Residential Commercial
.,
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JOB SITE• � � ��,1 r, \,� � ` — �-,
Owner's Name: � °� ' ���� " � . Zip: �7 `-� .
Mailing Address: ,�'hone Number:
� , �' �City: z Zlp; �r_.��_
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Contractor's Name: �; �. � L_ '� � ' � � 1`i'�`—
-1—��. Phone Nu ber: j��' � >- f l� �7.���
Mailing Address• - �, City: 7�p._ �---.
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SYSTEM DESCRIpTION
HEATING SYSTEMS
Q�t;�: /
Make: L e'.�1 Vl f��
ModeL• '�._ � o��-����
FueL• L :
Flue Size; �"
Input BTUs: ' �
Output BTUs: �
CFM:
�i i r vr vxvivv �irrLic,t�i iviv rvx rvt�Lt�uv1L�r�xm11 Yage 2 0£3 -•_
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COOLING SYSTEMS
Quantity:
Make: `'_�
,��..
. _:,
Model: _
� _.__ __
Tons:
H.Power -+��
r�r�cEs
Gas faet�ry fireplace
Wood bu�titig factory firepIace with flue
Wo�Stove
�ood stove with fliie—
Brand Name Model No.
VE
o. Kit�en Exhaust duct recalcvlating cfm
No.�B 'Exhaust(mus-t�iave duct uo—'t.side) /�c� ,
No. Ot er Fans: Locations
RAGE(MUST BE APPROVED BY FIRE MARSHAL)
_______ .�_
Installation or`;—�� Removal
Fuel oil:--�"��� gallons underground inside outside
�,P�t`ras: ---gallons
Other Gas opening
�ERNIIT FEE CALCULATION(S)
3002 State Statute Yes This Section Appiies
fihe replaceme�t of a Residential fixture or appliance tn�t�r►e�t�ail tIu•ee of►he fall�wing reguiren�ents:
1) Does not require modification to electrical or gas service.
2) as a total cost of$500.00 or less;excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
�� Skip next section; Cost of Permit $ 15.00
State Surcharge$
Mail-In Fee $ 1.5
a ove oes not app y, o ow gui e mes e ow:
1. Coniract Price* is .O125%of job with a Minimum Fee of($35.00) ��
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`j��(�� ",` �,'��� � x.0125 $ �-�
fJ � (contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50)
. .__-- __ _.
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� G� �_� X.00OS $ �
l.i ��Y Vt' VKV1V V Ht't'LlI,H 11V1� I'Vl�1V1�1.riH1V1l..HL Y�K1V111 Yage 3 of 3
r
(contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ �.50/
L �.
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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 charged to the customer for the work done.If any material,equipment,labor,or installation is 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.
*�'The 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 issuance of a Mechanical Permit,agrees to do all work in strict accord e with the ordinances of the
City and the regulations of the Minnesota S te�uilding Code, d certifies that all statements made on thi applicatio are complete,true and
correct. � , �.
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Applicant's Signature: __'��..�{` � L L '``�"� Date: / J �
Approved By: '�_ Date:
file://C:\Documents%20and%20Settings�tnimi�Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003