HomeMy WebLinkAbout2001-P04631 - mechanical ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P04631
Crystal Bay, Minnesota 55323 Permit Type: ivtechanicai Permits
(952) 249-4600 Date Issued: ll�isi2ooi
SITE ADDRESS: 215o Kenwood Way
WAYZATA,MN 55391
PID: 17-117-23-41-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valaation• $ 1,477.00
State Surcharge Fee: $ 0.74
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.24
APPLICANT: Dependable Indoor Air Quaility Inc. QWNER: JAYNE MARIE PAASCH
2619 Coon Rapids Blvd 2150 KENWOOD WAY
Coon Rapids,MN 55433 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQLTESTS 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.
PLICANT PERMITEE SIGNATURE ISSUE Y SIGNATURE /�
Couies: 1-File(SiQnitures Reauired). 1-Annlicant 1-Monthlv Renorts,1-Assessine, 1-Finance Page 1
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- 31
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%�ITY OF ORONO APPLICATION FOR MECHANICAL PE
r Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
i. 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 also be provided.
4. V�en a.*�y r.ew construction or remodeling is involved, a sepazate building pemut 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fmal.
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 249-4600.
Please check one: New Addition Repair �_ Replace
Residential Commercial
JOB SITE: b-�I�`,� ��-1�1 t,�('r�C� l�i X�X ZiP�
Owner's Name: �-'��,a.�. �(���5r.� i1 Telepho�e Number: ����-�-�1i-��_?x,.,t��
Mailing Address: %�i`�: (�,c✓��.�: :�'- t.�::r�.�. City: �- ��:�v?i; Zip� ��� ��11
Contractor's Name: QEP�NflABLE INDOOR AfR QUAE . IrtG.Telephone Number: �II�'��-"�=i�1•``�;�'�Pl='
Mailing Address: Q619 COOW RAP(DS 6011LEVAt�ity: Zip:
GOON RAPIDS. MN bb433 .._,,,,,�
SYSTEM DESCRIPTION
HEATING SYSTEMS �
Quantity:
Make: �(��1.t.�hti1
Model: C�-�,'1#�'�—iT
Fuel: �}��(�l� �
—�
Flue Size:
Input BTUs:
Output BTUs: `i7��i
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 E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ���`��'
_ _ . _
I��� , li"�,.� x .0125 $ ����
(contract price)
2. State Surcharge. Add the State Building Code Division
�*
Surcharge to each permit. �i�'(��l�l;� x .0005 $ ,�y
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (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 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 are 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 pemut 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. .
, .
Applicant's Signature: �' % � �'.�,� Date: � �-.�=j-(� �
Approved By: Date:
� �
. HEAT LOSS C/1LCULATION C' ° rtEMP. DIFF.
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