HomeMy WebLinkAbout2004-P07369 - mechanical � PERMIT
G� I � �F �R�N� Permit Number:
2750 Kelley Parkway- PO Box 66 P07369
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-�600 Date Issued: ai6i2ooa
SITE ADDRESS: 215 Hollander Rd
Wayzata,MN 55391
PID: 25-118-23-44-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate perxnits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 51.34 Valuation: $ 4,107.00
State Surcharge Fee: $ 2.05
Misc.Fee: $ 1.50
TOTAL FEE: $ 54.89
APPLICANT: Ditter Inc. &Ditter Properties OWNER: Blair McKeever
820 Tower Drive 215 Hollander Rd
Medina,MN 55340 � Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMEN'TS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Covies: 1-File(Si�nitures Required). 1-Avnlicant, 1-Monthlv Reports, 1-Assessins. 1-Finance Page 1
_ ��'�� OF ORONO APPLICATION FOR MECHANICAL PERMIT � I- ��� Page 1 of 3
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� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �'��'����E�
GENERAL INFORMATION � � �-- �, ,;�; ,�
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wili�e cev e��a
permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERNIITS 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 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 Mechanical Code/State Building Code requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600. 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 (952) 249-4600.
Please check one: New Addition Repair Replace Residential Commercial
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JOB SITE: !�5 ���lt`r�l��'�� ���� Zip: � ���� �
Owner's Name: .(, � l �� Phone Number: 4��-%. -�1��r - �- �
Mailing Address: Z{5 v( (�,�,�e,t� cf City: �i.�'��i�' ��� Zip• �`�_<>��
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Contractor's Name: � Phone umber• ��^,3 "u��'�5��
Mailing Address: �� T; 1;-�,i���, City: �l Ih'7� Zip: S���{ �..'
SYSTEM DESCRIPTION
HEATING SYSTEMS
QU�t�Ty: 1 �
Make: �� '1 '1
Model: t` �i�,'L�'���.�-��.C,t� �z}
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Fuel:
Flue Size:
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Input BTUs: ������
Output BTUs:
CFM:
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COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIltEPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has 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$ .50
Mail-In Fee $ 1.5�
I a ove oes not app y, o ow gui e mes e ow:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
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� � x .0125 $ � �• -'
(contract price) (minimum$ 5.00)
2. State Surcharge. ** Add the State Building Code Division aMinimum Fee of($.50)
- _----- ----- ____-------- --._
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� ��C%� �� x .0005 $ 2����
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� (contract price) (minimum$.50)
3. Postage and Handling(Only inail-in applications) $ 1.50
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4. TOTAL PERNIIT 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 Minne 'ta St, uilding Code,and certifies that all statements made on this application are complete,true and
correct.
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� Date: �( ��'
Applicant s Signature: , �,,___ _ __ ___
Approved By: Date:
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