HomeMy WebLinkAbout2005-P08867 - mechanical PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P08867
CryS�al Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued:
6/21/2005
SITE ADDRESS: 1100 Millston Rd Unit#
WAYZATA,MN 55391
P��� 10-117-23-14-001�5
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.50
APPLICANT: Ron's Mechanical,Inc. OWNER: R P BURWELL&B E BURWELL
12010 Old Brick Yard Road 1125 MILLSTON RD
Shakopee,MN 55379 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
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r CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFO:tZMATION
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 two working days.
2. Pemut cards c��ill be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTII. YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN ITNTIL 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 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�vork must be done in accordance with the Uniform Mechanical Cod�/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call (952)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.
INCONIPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace � Residential ❑ Commercial
JOB SITE: 1100 MILLSTON RD Zip: 55391
O�vner's Name: RODNEY BURWELL Phoae Number: 952-476-1847
11�1ailing Address: 1100 MILLSON RD City: WAYZATA Zip: 55391
Contractor's Name: RON� S MECHANICAL, INCphone Number: 952/445-8585
Nlailing Address: 12010 OLD BRICK YD RD City: SHAKOPEE Zip: 55379
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SYSTEI�t DESCRIPTION . '
HEATING SYSTEbIS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLI\G SYST�AiS
Quantity: '
Make: ���
Model: ����
Tons �
H.Power
FIREPI,ACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood bun:ing factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model Na
VENTII.ATION
No. Kitclien Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfrn
No. Oth�r Fans: Locations ��
FUEL STORAGF_ (MUST BE APPROVED BY FIRE MARSHAL) " . , �
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside �
❑ LP Gas: gallons :.
. . ..
❑ OTher _ Gas opening
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PE;Z��IIT FEE CALCULATION(S)
200? State Statute ❑ Yes This Section Applies
The 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) Has a total cost of$500.00 or less; excludine 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
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
L Contract Price* is .0125% of job with a Minimum Fee of($35.00)
°�vvv x .0125 $ ��j ,_�
(contract price) (minimum$35.00)
2. Scate Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $ C - �V
(contract price) (minimum$.50)
3. Posta�e and Handlin� (Only niai!-in applications) $ 1.50
4. TOTAL PERivIIT FEE (Add lines 1-3 above) $ 3�t•JV
'CO�JTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
mate;ia;s,labor,prcfit,and other f ixc�costs. It is che 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�e 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 jub cost,the City may request the submission of a signed copy of the actual contract.
"*The STATE SURCHARGE is.000�of the contract price under S 1,000,000 or$.50-whichever is greater.For valuations over
S 1,OGO,OGO c:�ll the Department of Inspectional Services for the price.
The undersiLncd hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with
the o�dinanccs of the Ciry and the regulations of the Minnesota State Building Code,and certifies that ail statements made on this
application are complete,true and correct.
App'ic:.nt'r :�iomature: � Date: �'��'��
App��o�cd , Date:
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