HomeMy WebLinkAbout2000-P02736 - mechanical � PERMIT
CI�Y OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2�36
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: �i26i2oo
SITE ADDRESS: 1955 Heritage Dr
WAYZATA,MN 55391
PID: ]0-117-23-13-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 45.95 Valuation: $ 3,676.00
State Surcharge Fee: $ 1.84
Misc. Fee: $ 1.50
TOTAL FEE: $.4s3;��
�1J �S
APPLICANT: MAPLE GROVE HEATING& AIR CO OWNER: E& S CLARK JR
401 COUNTY RD 81 1955 HERITAGE DR
OSSEO,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.
`��� =�yt-- _.� ��92��'.
'APPLICANT PERMITEE SIGNATURE � '�/ ISSLJED BY SIGNATiJRE �
Copies: City,Applicant,Assessor, Finance Page 1
� " -`�_:� � � 73�
r.�,t1
� =1 l���,
CITY OF ORONO ����p�spAPPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway) . .
Crystal Bay, MN 55323 �
GENERAL IlVFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within 2 working days.
2. Permit cards will be sent by return 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 ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall a:sa be pro�ided.
4. When any new construction or remodeling is involved, a sepazate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State 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.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair ,� Replace
Residential Commercial
JOB SITE• �� /� ��C ' - -' Zip: ,.`")J
Owner's Name: - � Telephone Number: �����--�,Z�j t✓�
Mailing Address: `� � "� -'� �� k7C.-;:�'� City:�. i L i l :` Zip:�`_.
Contractor's Nam� � ? t c ; , '�� Telephone Number: � —2 °�
Mailing Address:j j( i ; ��. 't � ��'`_.i_- 1��/ j i `�City: �. ,;;Y"',' Zip;,��`� � �'
�
SYSTEM DESCRIPTION �b � � �°P �/ .
fj, �� � <
HEATING SYSTEMS /�
��f�
t2uantity: (,r�jC'., _ �
Make: [�,/`�ll'!f;
Model: (ZC�(�,:�:�3(�
Fuel: �! I h t% 'f�,F
, �
Flue Size: ;� ��jl�'��
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
.
�
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FLTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT F'EE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
__3C.��� � . Z�C x .0125 $ �:�� :1c;,
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. _>C,;�(G %( _ x .0005 $ ( , �
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��� ��'�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
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, ec�uipmenr, labor, or installation are furn.ished 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 pernut 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 Code, and certifies that all statements made on this application are complete, true
and correct.
. "'r l '
Applicant's Signature: -�_,�..� , � ����' {'� Date: ��- ��
Approved By: Date: