HomeMy WebLinkAbout2005-P08769 - mechanical � PERMIT
CI�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08769
Crystai Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/24/2005
SITE ADDRESS: 3473 Lyric Avenue unit#
Wayzata,MN 55391
PID: 17-117-23-43-0087
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 valuation: $ 2,180.00
State Surcharge Fee: $ 1.09
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.59
APPLICANT: Ditter Inc. OWNER: Tom&Julie Flynn
820 Tower Drive 3473 Lyric Avenue
Medina,MN 55340 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
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�7 �`j
�;I'TY QF ORONO APPLICATION FOR MECHANICAL PERMIT � Page 1 of 3
(.�TTY OF ORONO APPLICATION FOR MECHAIVICAL PERNIIT
Boz 66(2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFpRMATION
1. You may apply for mechanical permits by mail or in person at the City offices.Applications will be c�eviewed 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 qRE NOT VALID UNTTL YOU
RECEI't/E A PERMIT. WpRK NnJST NOT BEGIN UNTII,THE pER1�qT CARD IS ppSTED ON TI-�JOB SITE.
3. Mechanical Designs-Comp ete cu ations, etaa s an spec cations are requ or eac eahng,vent�ation,
umi i icahon- e umidification,and air conditioning iristallation including heat loss/heat gain calculation,design
temperatures,equipment ratings and identification as to type,manufacturer and rnodel.Data shall be presented on form
provided.Identification of and specifications for water heating equipment shali 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 Cade requirements. . �
6. All work rnust be inspected(rough-in and Snal).Call(952)249-4600.24-hour notice reyuired.
7. House Heating Test Record must be submitted before final.
Iastructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.INCOMPLETE
APPLTCATIONS WILL NOT BE PROCESSED. If you have questions,call(952)249-4600.
Please check one: New Addition Repair Repiace Residential Commercial
JOB SITE:-�{7 � �� �� Zip; �..��1' (
Owner s Name. 'I C rn � ;)U �e F l v n r� Phone Number: 5�� -- �. �� -���,
MailingAddress: _��?3 ��-, � v3ur City: � ► zn� Zip: 5�3�(
�� �
Contractor's Name: V --�G'lC Phone Number: ��^�' l��� '�55�
Mailing Address: S'z�= i C�L`�t— — ��-z,� � ,
�r " �h'�__I_-�°�yyL�( Zip: ,�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size;
Input BTiJs:
Output BTUs:
CFM:
�i 1 r vr �xvlv� H.rrLic,t�1 ivlv r�tc��t�vit;�r�tc�vtt 1 Yage 2.�f� -
COOLING SYSTEMS
����� l
Make: �G��1-�``�-
�
Model: xP]lc5-Ol�_ 23i-•
Tons: �'
H.Power
��REPLACES
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(mus- t iave duct outs�de) cfm
No. Other Fans: Locations ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
�ERNIIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
�he 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) as a total cost of$500.00 or less;excluding the cost of the fiarture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip ne�ct section; Cost of Permit $ 15.00
State Surcharge$
Mail-In Fee $ l.
a ove oes not app y, o ow gui e mes e ow:
1. Contract Price* is .O125%of job with a Minimum Fee of($35.00)
------ Z�c��% � x.0125 $ ��.� .���"�
(contract price) (minimum 535.00)
2. State Surcharge. ** Add fl�e State Building Code Division a Minimum Fee of($.50)
ZI $(�`� x.0005 $ ��� �
�i��T V,t',Vt(V1VV Ht't'L11,H11V1V t'VK1Vl�l.riH1V1l.HL Y�K1V111 Yage 3 of 3
' (contract price) (minimum$.50)
3.Postage and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ 3 7--� �
*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.ln 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$I,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:
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