HomeMy WebLinkAbout2001-P04356 - mechanical CITY OF ORONO PERMIT
27�50 Kelley Parkway- PO Box 66 Permit Number: Poa3s6
E Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9�i8i2ooi
SITE ADDRESS: 45 Myrtlewood Rd
Wayzata,AMI 55391
PID: 36-118-23-33-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fuel Storage
DETAILS:
Approved per resolution#:
Separate permits required: .
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,500.00
State Surchazge Fee: $ 0.75
Misc.Fee: $ 1.50
TOTAL FEE: $37.25
APPLICANT: Mid America OWNER: Anita Liebscher
6989 55 Street N 45 Myrtlewood Rd
Suite C Wayzata MN 55391
Oakdale,MN 55128
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN Sf RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
C�;y?�Ce� O�
APPLI TPE NA IS DBYSIGNATURE
Conies: 1-File(Signitures ReauiredJ. 1-Annlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
Au�-2T-2001 02:16Pm From-CITY OF ORONO +9522484616 T-697 P.002/003 F-670
CITY OF ORONO A�'�'LYCATTON FOR MECHA1vICAL PET2MI'T
Box 66 (2750 Kelley Pa�kway)
Crystal Bay�, 1V�N 55323
.) U c�i�!
GENERAL INfiOR1NAT10N ;;; . =:= �:.�;�,;���,�,
_ 1. You �nnxy apply for roechanical permits by mail or in person at the Ciry offices. Applications wW be
rcviewai and a permit will be issved within '? working days.
2. �'ermit cards will be sent by retum msil af[Ct a revitw is completed. PERMITS ARE NOT VALID UNTIL
YOU�2ECfiTV'fi A p�RMIT, WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS PO�'t'ED ON
T'HE J0�SITE.
3. 11�echanical Desigps - Complete calculatioqs, details and specifications are required for each bcating,
ventiladan,humidificatio�-dchuraidification, and air couditioitiug installation includittg heat losslheat gain
ca2culation,desigu temperatures, equipment ratings aud ide�ification as to type�mauufacturer and model.
Data shall be presented ou form provided. Yd4ntificatioA of and specificatioas fox water heating equipmcat
shall aiso be provided. . ,
4. Wt�en any new construcrion or remodeling is involveci. a sepazate buildulg permic must be obtained.
5. A!I work must be done in accordance with the tilpiform Mechanical Code/Stafe Buflding Code requirements. .
6. All wark must be inspected(rough-in anQ fu�;tl). CaU 2R9-46Q0. 24hour notice required.
7. House HeatiAg Test Record must be submitte�i before final. -
Instrnetlons Complete all items on this applicado�. Compute ihe permit fee. Stgn and date �he certificatioa.
INCOMPI.�TH A�PL�CATIONS WILL NOT BE PR4CESSFA. If you have quescions, ca11249-4600,
Please check one: New Addirion � Repair 'Replace �
� Residential Coiiimercial
JOB SITE: L�5� �1/��L��� � �ip: 'rs 3�.,.�
Qwner's Name: I°�h+ �e c�e,r Telephone Number: 9'S 2-47 3-23 b�
Mailing Address: y5 wt�r tlt v,�Q_��Cfty. V� �ziP: 55 39 J
Contraetor's�Iame: ��,��ev�Cce � .�.vt c. Tetephone Nwmber:b S�-7?q -�q Op
MailingAddress:� I�. SS�S�, � S�i�F�e C2 City: �u kC�[�c,l�. �Z,ip: _55 t2g
�YSTEM DESCRIPTION
HEATTNG S'Y'STEMS ,
' Quantiry:
�
Ma�e: _
Model: , � � ___ . . .
_ �el: � _,
. .
Flue Size:
Input BTYJs: � �
Output BTUs��-� �
CFM: /
COOLINC SY,'STEMS _�
—._
Quantiry: __-- -
Make: _ -
.�.�'`
Model: "
Tons: --�' �
- H. Power �
i
Aua-2T-2001 02:16pm From-CITY OF ORONO +9522494616 T-697 P.003/003 F-670
� � �IREPLACES
� Gas factary fireplace
Wood burning fa fireplace with flue
Wood Stov
Woo ove with flue
d Name Model No. �
'VENTILATION. .
No. � Ritchen Fxha _ � recirculating cfm
No. ust (musE be ducted outside) cfm
Ottier Fans: Location:, " ��
T�'LiEi..S3'��RAtG�� (�VIUST B�APPR.OVE� BY FT�2E NiARS�311L)
T�stallation " � �Removal .
_ L� �el oil: I,p00 gallons �(�� underground inside X outside
� T�Gas: gallons
�.Other . Gas opening
nL
PERMIT �'EE CAY.CULAT�QN . `"�
1. 1.25� of Contract Price* or�Mi 'm—mn Fee �$35.401 ��
� _ � 1�500 x .4125 $ I$, ' y
�-
� • . (concracc price)
2. �tate Surchar�e. ** Add the State Building Code Division
Surcharge to�ach pernut. . � I,506 � x .OdOs $ ~Q.?�j
or $.50, whi,chever is greater (coni�act price) j
�J
� � � Y PP ) ' $ 1.50 v
3. Posta e and Handlin Onl mail-in a lications ,n �
4. TOTAL PF.RNII'T FEE (Add lines 1-3 above) $ Z. _ ✓,�-� �
* CONTRACT pRiC�or JOB COST means the actual or estimated dollar auiount charged for the permiucd
� work includiug materials,Iabor�profit,and otber fi�ccd costs. It is the amount ta be charged w the customer
for tile work douc. Ir a�ry material,cquipment,labor,or insttaYlZatiaa are fiuuished by fne owner, tenant or
suy othtr party the reasonablt market value oi such items must be added to the�stunated cost or contract
. price.for perznit fee purposes. In the evet�t tha�there is a dispute on the amount of the job cosc,th�City lnay
request the submissiou of a sigr�ed copy of the actual contract. � �
"'* The S7ATE SU�tCHARGE is.0005 of the contract price under$1,000,000 or $.SO-whichever is greater.�
� For valuations over$1,000,000 call the Deparcment of Inspectional Services for the pricc. /� -;�;
_ ../', c"`.%
The undersigned hereby ap�lies to the Ciry for issuazlce of a Meehanical Fermi[, agrees to do alI
work in strict accordanee with the ordinances of the City 2u�d the regulations of the Minnesota
State Buildin� Code, and eertifies that all statements made on this application are conaplete, true
and cOifCCi.� �' ���+�w,�„
� <
Applicant's Signature: _— Nl1GI I�ef�G�,��I7ate: g �Z�'��
Approved By: Date: