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Home My WebLink About2000-P02744 PERMIT C�T�- OF ORONO permit Number: 2750 Kelley Parkway- PO Box 66 P02744 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (612) 249�600 Date Issued: �i2��2o0 SITE ADDRESS: 2040 North shore Dr WAYZATA,MN 55391 P I D: 10-117-23-31-0002 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,255.00 State Surcharge Fee: $ 1.13 Misc.Fee: $ 1.50 TOTAL FEE: $37.63 APPLICANT: STANDARD HEATING&AIR CONDIT OWNER: K&L ERICKSON 410 WEST LAKE STREET 2040 NORTH SHORE DR MINNEAPOLIS,MN 55408-2998 WAYZATA MN 55391 THE UNDERSIGNID 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 BUII,DING CODE REQUIREMENTS. �� ✓ �9�� EE3'R°�TAT� SUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 � � �� .��y� - � � CITY OF ORONO ��`; � '� APPLICATION FOR MECHANICAL PERMTr Box 66 (2 i 50 Kelley Parkw�,�� c-� =� Crystal Bay, MN 55323 `= �, '- 'i�,�"' y- _'� GENERAL INFOIZMATION 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 return 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 tempera[ures, 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 requirements. 6. All work must be inspected (rough-in and final). Call 473-7357. 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 473-7357. Please check one: New Addition Repair �Replace Residential Commercial JOB si�,E:ZU��o►�'h S'n.G'�c pr .. o�Y1z5 z�p: 55�q Owner's N�.:rne: ��C�l.'(1Y�0� ��1 C.�561(� Telephone Number: C2�2 �'�j-�-0� 1 Mailing Address:2Gyp 6�f o(b'h bh�`�� p r City: C�rU�(� 'Lip: S53�C� Contractor'sName: TelephoneNumber: MailingAddress: City: Zip: SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: I�lue Size: Input BTUs: _ Output BTUs: __ CFM: COOLING SYSTEM5 Quantity: Make: c��'. Model: ` �`��-f�r--t c J Tons: �--- H. Power Y . WOOD BURNING EOUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STOFcAGE (MUST �E APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other - Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) � �. ��-�--< s X .o i Zs $ ---�-�-�=� 3s�� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. � J �� ; x .0005 $ �� J� or $.50, which�ver is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT PEE (Add lines 1-3 above) $ -�(.7---�-3'� 37- �0.3 * 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 ottier party the reasonable market value of such iterns mast be added to the esfimated 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 S'CATE 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 app]i�;� to the City for issuance of a Mechanical Permit, agrees to do all work in strict accurc!ance with the ordinances of the City and the regulations oL the Minnesota State Building Code, and certifies that all sta n made on this application are complete, true and correct. / Applicant's Signature: �'L � '��,'��;'i�v � Date: y� �� Approved By: Date: