HomeMy WebLinkAbout2001-P04579 - mechanical � 1
CITY F R N PERMIT
O O O O Permit Number:
2750 Kelley Parkway - PO Box 66 P04579
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: i1i1�2ooi
SITE ADDRESS: 3726 Livingston Avenue
Wayzata, MN 55391
P I D: 17-117-23-34-0053
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Guyers Builders Express OWNER: EaglecrestN.W.
13405 15th Avenue N P.O. Box 47333
Plymouth,MN 55441 Plymouth,MN 55447
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMI'ROVEMENTS 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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APPLI I EE I NAT RE ISSUED BY SIGNATURE �
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PER�y1ITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. 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, humidification-dehumidification, and air conditioninQ installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identifica[ion as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
sh:ll also be provided.
4. R::�.:, any new construction or remodeling is involved, a separate building permit must be ob[ained.
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 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 24J-4600.
Please check one: � New Addition Repair Replace
� Residential Commercial
Jos si�: �����-1 I�1��r�_�Teti z�p:
Owner's Name: �-��i ,r� ���-,,� Telephone 1\'umber:
Mailing Address: City• Zip:
Contractor's Name•.�K��� �'3�, ;��,e, ��t>�L� Tele�hone Number: 7(9 �, ��t� �(�,��
Mailing Address: l`3�T-I o��_� ��''� r,� V� �a City: t ���►'Lo..`t-�.�ZiP= ���1� 1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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FIREPLACES
� Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name �/i,'���/c-�_ Model No. ,U/C S G�v C/L/,t/
�'ENTILATION
No. Kitchen Exhaust 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
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
jc�c3 � x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handlina (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ SS o S U
* 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 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 �uilding Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant's Signature: ` �Yv��:�t � 1.��� Date: /� �'l
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Approved By: Date: