HomeMy WebLinkAbout2004-P07178 - mechanical s PERMIT
CIT'`� OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po�i�s
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249-4600 Date Issued: ii2ii2ooa
SITE ADDRESS: 225 Hollander Rd
Wayzata,MN 55391
P I D: 25-118-23-44-0007
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Pernvt Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
Move Garage heater,ductwork for basement remodel
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,400.00
State Surcharge Fee: $ 1.20
Misc.Fee: $ 1.50
TOTAL F'EE: $ 37.70
APPLICANT' Vogt Heating&Air Condirioning(See Cor. OWNER' Jill&Louis Close
� 3260 Gorham Ave � 225 Hollander Rd
St.Louis Park,MN 55426 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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si�nitures Required), 1-Atrolicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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� CITY OF ORONO APPLICATION FOR 11�CHANICAL PERMIT
� Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mai(or in person at the City offices. Applications�vill be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns-Complete calculations, details and specifications are required for each heating,
ventilation, hum�idification-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 sliall also be provided.
4. When any ne�v 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-�600. 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: .�, � 1+� �" � -� ' (.;� Zi
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Owner's Name: ` � Phone Number:
Mailing Address: ��,�1L1-�� � �"; , .�� �.i. City: Zip:
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Contractor's Name: ���` iPhone umber: � �~I � � `(���`�-(..c j�C�'�
Mailing Address: � (�, ` -��� �� ��'� City:;_�a- ��t.�,_ � ��"'��' Zip: �-<�< i _ �
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SYSTEM DESCRIPTION
HEATING SYSTEMS
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Qu�t�ty: �► �� �,�����1� �- �v�u��" � ���.�1`���� _
Make: � ����.�,�..
ModeL• I �i .� ��j� � 2�� ��1n`�t �� �7�L�, �
FueL• �,'�,�,� � \�C�t!��1 � L 1, �'1�1
Flue Size:
Iap�t BTUs:
Output BTUs: '
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIItEPLACES
❑ Gas factory fireplace � �
❑ Wood burning factory fireplace with flue �
❑ Vv'ood Stcy�
❑ 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 APPROVEIJ BY FIItE MARSHAL)
❑ Installation or ❑Removal
❑Fuel oil: gallons . ❑ underground ❑ inside ❑outside '
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❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a�pliance 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; excludin�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
Mai(-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
', ����; ' x .0125 $ � ���;��_� �;
(contract price) (minimum$35.00)
- 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of(� .50)
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�'��.� � x .0005 $ � � ��..�
(contract price) (minimum$.50)
3. Postaee and Handling(Only mail-in applications) $ 1.50
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4. 'TOTA%.FERPvIY'T�'EE(Add lines 1-3 above) $ '.j �� � �._.-�
*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 fumished by the o�vner,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 actuaf contract.
**The STATE SURCHARGE is.000�of the contract price under$I,000,000 or$.50-whichever is greatec 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 regufations of the Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signature: '� ��� i � � ��I 1 I Date: I � �~ '�.1 �"
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Approved By: Date: _
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