HomeMy WebLinkAbout2005-P08977 - mechanical �
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08977
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
7/19/2005
SITE ADDRESS: 2195 French Lake Rd Unit#
Wayzata, MN 55391
PID: 10-117-23-21-0006
DESCRIPTION:
Proposed Usc: Residential
Pcrmit Class: General
Pcrmit Type:
Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 2.23
TOTAL FEE: $ 37.73
APPLICANT: Ditter Inc. OWNER: Gary Miller
820 Tower Drive 2195 French Lake Rd
Medina, MN 55340 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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APPI,ICANT PGRMITC•F.SIGNA"fURL SSUED BY SIGVATURC-
Copies: 1-File(Signa[ures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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-�ITY OF ORONO APPLICATION FOR MECHANICAI,pERMIT Page 1 of 3
+��I'�'�Y OF ORONO APPLICATION FOR MECHANICAI,pERMIT
Boz 66(2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFpRMATION
1• You may apply for rnechanical permits by mail or in person at the City offices.Applications will be revieweti and a
permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed.PERMITS qRE NOT VALID UNTII.,YOU
RECEIVE A PERNIIT. WpRi{MUST NOT BEGIN UNTB,TI�pERMIT CARD IS POSTED ON THE JOB SITE.
3• Mechanical Designs-Comp ete c cu ations, eta� s and spec cat�ons are requi or eac eahng,venh ation,
umi i icahon- ehumidification,and air conditioning installation including heat loss/heat gain calculation,design
�emperatures,equipment ratings and identification as to type,manufacturer and rnodel.Data shall be presented on form
provided. Tdentification of and specifications for water heating equipment shall also be provided.
4• When any new construction or remodeling is involved,a separate building permit must be obta.ined.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Cade requirements. . �
6. AlI work must be inspected(rough-in and fuial).Call(952)249-4500.24-hour notice required.
7. House Heating Test Record must be submitted before final.
Iasfructions
Complete all items on this applica.tion. Compute the permit fee. Sign and date the certification.INCOMI'LET'E
APPLICAT'IONS WILL NOT BE PROCESSED. If you have questions,call (952)249-4600.
Please check one: New Addition Repair Replace Residential Commercial
JOB SITE: � )C�� l"�'`��I���� � �\e � -,�-1--'--�
Owner's Name• C'--r Y�-' - Zlp'=--'� � ��
C� ` 4y � � �' Phone Number: `7�<:��,�7�� _ z--,i �.a/
Mailiing Address: � City:
Zip:
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Coniractor's Name: � � -��C� � � ' ~�
�: t_ -� Phone mber: ��� `-> '�'7�, �C��t� �
MaiIing Address: ,; - � �ty; �p: )
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SYSTEM DESCRIPTION
HEATING SYSTEMS ��'
Quantity:
Make: f �
L=
Model: j.�.l -7�L?—��'.�
Fuel: �� �
Flue Size:
Input BTUs:
Output BTUs:
CFM:
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l,l l Y Vt' VKVIVV HYYL1l.H11V1V t'VK N1�t�tiANlI;AL Y�KMll `1��8 2 0f� �
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/,., �,'�;�ly''�(�L ���` ` }
f�- � `--� � ���
COOLING SYSTEMS � - -
Quantity:
Make: -e- ti"�' 7�
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Model: .y'7 ��� =�
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Tons: �
H.Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove v��ith flue
Brand Name Model No.
VEN'TILATION
No. Kitchen Exhaust duet recalculating cfm
No. Bath Exhaust(must iave duct outs�de) cfin
No. Other Fans: Locations ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: �— gallons
Other Gas opening
�'ERM�T FEE CALCULATION(5)
�002 State Statute Yes This Section Applies
fihe replacem�nt of a Res:dential fixture or applia.nce that meets all tlzree of the following requirements:
l) 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, insta.11ed or replaced by the homeawner 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. Contract Price* is .0]25%of job with a Minimum Fee of($35.00) ��.__
----- � �.!
x.0125 $ ��
(wntract price) ` (minimum$35.00) ----
2. State Surcharge. ** Add the State Building Code Division aMinimum Fec of($SO)
. __.__._....----
f=;
x.0005 $ I �-
��i-Y ;.�r utcviv v tirrLi�ti i iviv r vx iv��nyiv iLt�L r�tuvii t Yage 3 of 3
' (contract price) (minimum$.50)
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3. Postage and Handling(Only mail-in applications) $ 1.
_ � ,�.�
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 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 Cod ,and certifies that all statements made on this application are complete,true and
conect.
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Applicant's Signature: �� � Date: �/ /� �'�
Approved By: i � Date:
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