HomeMy WebLinkAbout2000-P03239 - mechanical PERMIT
CITY OF ORONO
�?_7����elley Parkway - PO Box 66 Permit Number: Po3239
Crystal Bay, Minnesota 55323 Pet'mit Type: Mechanical Permits
(612) 249-4600 Date Issued: i i�s�2oo
SITE ADDRESS: 1125 Millston Rd
WAYZATA,MN 55391
P I D: 10-117-23-14-0006
D�SCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,100.00
State Surcharge Fee: $ 1.05
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.55
APPLICANT: Cronstroms OWNER: R P BURWELL&B E BURWELL
6437 Goodrich Avenue 1125 MILLSTON 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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APPLI ANT PERMITEE SI NATURE IS D BY SIGNATiJRE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT �t
Box 66 (2750 Kelley Parkway) ��
Crystal Bay, NIlv 55323 . : � ; .: �Fr.t��eA�r� (,
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GENERAL INFORMATION '���
1. You may apply for mechanical permits by mail or in person at the City 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. 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. 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 �;;;
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requirements.
6. All work must be inspected (rough-in and fmal). Call 249-4600. 24-hour notice required. "
7. House Heating Test Record must be submitted before final. �`
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Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. �=:
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INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. �,
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Please check one: New Addition Repair � Replace �
Residential Commercial �
JOB SITE• /�J` C��� �c7� Zip: �3�� ;
Owner's Name: ' ��t,e ' �:C, Gc,�/ Telephone Number: 9.5;�7 ��� j�1i.�
Mailing Address• City: Zip:
Contractor's Name: ,irrn sYY� c� Tel phone N ber: �'�-�70� ,��1��7
Mailing Address: ��/�� ;oi�d�r�`��- City:�..�cL�c�'�� Zip: � �/�(P
SYSTEM DESCRIPTION . . , , . r ,
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HEATING SYSTEMS 1�' ` y� � r�
Quantity: /�
Make: �L�1�G _
Model: i u/�6�Q�9�3�ff
FueL•
4 Flue Size: � .
Input BTUs: �
.£,;
Output BTUs: �0�,0�
CFM:
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COOLING SYSTEMS
Quantity: ��F
Make: -`�
Model:
Tons:
H. Power
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WOOD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue �°
� Factory Fireplace (s) Freestanding Masonry - t� s
Woai Stove (s) Franklin, other '�
Brand Name Model No. *;
3;; Mfgr's Min., Clearances, side , rear , min. flue dia.
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VENTILATION
��; No. Kitchen Exhaust ducted recirculating cfm
- No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
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� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
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Installation Removal a�
Fuel oil: gallons underground inside outside .�
LP Gas: gallons �"''
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- Other Gas opening
PERMIT FEE CALCULATION
" 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��/JO . °° x .0125 $ .
" (contract price) "
}� 2. State Surchar�e. ** Add the State Building Code Division j
� Surcharge to each permit. �/(,��. 6d x .0005 $ ff , ��
�� or $.50, whichever is greater (contract price) `}
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3. Postage and Handlin� (Only mail-in applications) $ 1.50 �
J` 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,a� . _SS �
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 aze furnished by the owner,
tenant or any other party ihe reasonable market value of such items must be addeci 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, x;.�
` the City may request the submission of a signed copy of the actual contract.
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� � ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
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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 statem�ts made on this application are complete, true ��: � �
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and conect. '�' � ��`
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Applicant's Signatur Date: /Q -��-ot�
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{�, Approved By: `�� Date: :�
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"� �`' PERMIT# �-J
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`'" H SE EATING TEST REC D
ADDRESS' I�� // ��'I � CITY .�LG'Yt�?
OCCUPANT 0��''� '� C.e./C.�-��`� OWNER �
HEAT LOSS �� DATE HTG.INST. �v � �` � INSTALLED BY r
ELECTRICAL WORK BY
TYPE OF HEAT GA �OFA _ HW_ STEAM SPACE HTR. UNIT HTR. OTHER
� GAS DFSIGN , / �L. , . f��
MAKE ��� �" � SERIAL / , ���`Y h.(,(�'
MODEL �u ����� ���CJ� INPUT(BTU) �- ���
CONTROLS
KIND OF LINER IZ NONE COMPANY TESTIN � ^''�'
�'ILTERS SIZE �IG NUMBER NAME OF TESTER
PRESSURE���� PERCENT CO2 �
INPUT CFH PERCE 02 `
INPUT ���/�r)G �� (_���