HomeMy WebLinkAbout2002-P05348 - mechanical "" PERMIT
CI?fY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos3as
Crystal Bay, Minnesota 55323 Permit Type: Mechani�a�Pe�ir�
(952) 249-4600 Date Issued: 6i2ai2oo2
SITE ADDRESS: 3550 North Shore Dr
Wayzata,MN 55391
P I D: 08-117-23-34-005 5
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernrit Fee: $ 40.00 Valuation• $ 3,200.00
State Surcharge Fee: $ 1.60
Misc.Fee: $ 1.50
TOTAL FEE: $ 43.10
APPLICANT: �ver City Sheet Metal Inc. OWNER: Thomas&Ingrid Anderson
9928 Bluebird St NW 3550 North Shore Dr
Coon Rapids,MN 55433 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.
! V l (�.� � .�2
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required),1-AUnlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO A.PPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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 kECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical Desiens - 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 requirements.
6. All work must be inspected(rough-in and final). Ca11249-4600. 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.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, ca11249-4600.
Please check one: New Addition Repair �Replace
Residential Commercial
JOB SITE: 3 S SO 1�l n a-�Y� �hc7 R� �1 2 i u E Zip: 55 q �
Owner's Name: �'o m � �a� n p�J Telephone Number: q S a—�{—� �_p�]��
Mailing Address: �q,,,� City: Zip:
Contractor's Name: River City Furnace & Fireplace Telephone Number:
MailingAddress: 9928 Bluebird St. N.W. City; Zip:
Coon Rapids, MN 55433
SYSTEM DESCR ��hi �_2199 Fax (763) 754-2908
HEATING SYSTEMS
Quantity: �
Make: u E i 1.,..
Model: �'T G�0'15 F S iq
Fuel: N+��. ��s
Flue Size:
Input BTUs: pqp
Output BTUs: � � , C�bb
CFM: �
COOLING SYSTEMS
Quantity: �
Make: �( E�4 L
Model: �
Tons:
H. Power ,q�
�
FIREPLACES
Gas factory fireplace
. Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm '
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE 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 ($35.001
3�00 . oa x .oi2s $ �{D , o�
(contract price)
2. State Surcharae. ** Add the State Building Code Division
Surcharge to each permit. 3� DO • D�' x .0005 $ � . (�lJ
or $.50, whichever is greater (conuact price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �{3 . I D
* CONTRACT PRICE or JG'B 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 other parry the reasonable market value of such items must be 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 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 $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 statements made on this application are complete, true
and correct.
Applicant's Signature: � Date: � C�Z.
� L Lt���iind B�: Date: ■ i �i