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Home My WebLink About2001-P04077 - mechanical PERMIT CITY OF O RO N O Permit Number: 2°750 Kelley Parkway - PO Box 66 P04077 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 712/2001 SITE ADDRESS: 217 Northgate Rd WAYZATA,MN 5 53 91 PID: 36-118-23-41-0047 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 40.00 Valuation: $ 3,200.00 State Surcharge Fee: $ 1.60 Misc. Fee: $ 1.50 TOTAL FEE: $ 43.10 APPLICANT: Cronstroms Heating &Air Conditioning OWNER: LAURESS V ACKMAN 6437 Goodrich Avenue 217 NORTHGATE 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. Cel ef-n !� APPLACANTPERMITEE SIGNATURE J§1UED BY SIGNATURE Copies: 1-File(Signitures Required),1-Applicant,1-Monthly Reports,1-Assessing, 1-Finance Pagel • CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) !I!L 1 2007 Crystal Bay, MN 55323 01Fr ur-uijo vo 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 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 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). Call 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. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair Replace _N4 Residential Commercial JOB SITE: . ) Zip: Owner's Name: 1... y cJ-,A, ay, Telephone Number: g - /11 Mailing Address: —o-6 alajy- City: Zip: Contractor's Name: C Telephone N ber: q6-,2 9ar� 3 D Mailing Address: 6-4 Qooc(tiic.� 1�z1-eCity:.` .1 - LZip: 67 154 Cv SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: I Make: Model: 7u1>o2o Rqy 3T Fuel: Flue Size: Input BTUs: , y O O Output BTUs: - CFM: COOLING SYSTEMS Quantity: ' Make: Model: Tons: H. Power WOOD BURNING EQUIPMENT 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 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 ($35.00) _3n `t x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. .; C (, ` x .0005 $ or $.50, whichever is greater (contract price) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �L ;3 . 'c' * 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 other party 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 S� nature / f.�i Date: - -D Approved By: Date: RF-CEIVE® C�-►�c ur QkONO PERMIT# H USE EATING TEST RECORD ADDRESS CITY U ITU OCCUPANT OWNER HEAT LOS 14ATEHTQ.INST. C(I ��d I INSTALLED BY ELECTRICAL WORK BY ACX VA TYPE OF HEAT GA FA _ HW_ STEAM SPACE HTR. UNIT HTR OTHER GAS DESIGN MAKE I '�J JV� SERIAL 1 � � MODEL UP 046'6 R=7/1 V,-T INPUT(BTU) CONTROLS KIND OF LINER NONE COMPANY TESTING FILTERS ellp NUMBER _ NAME OF TEST7.R PRESSURE PERCENT CO2 INPUT CFH ! PERCENY, 02 V INPUT