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Home My WebLink About2001-P04377 - mechanical PERMIT CI OF ORONO Permit Number: 275.0 Kelley Parkway - PO Box 66 P04377 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 9/21/2001 SITE ADDRESS: 360 Orono Orchard Rd S Wayzata,MN 55391 PID: 02-117-23-24-0006 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: $ 175.00 Valuation: $ 14,000.00 State Surcharge Fee: $ 7.00 Misc. Fee: $ 1.50 TOTAL FEE: $ 183.50 APPLICANT: Centraire Heating&Air OWNER: Bart&Kandi Osborne 7402 Washington Ave 360 Orono Orchard Rd Eden Prairie,MN 55344 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. jfr•- C (.5)/1/k (1,0 APPLICANT PE1tiVIITEE ��SIGNATURE IS S ED BY SIGNATURE Copies: 1-File(Si&nitures Required). 1-Applicant. 1-Monthly Reports. 1-Assessine. 1-Finance Page 1 I CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 SEP 2 n 2001 GENERAL INFORMATION CITY Y ol=Uo o 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 fmal. 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 V Replace 1/ Residential Commercial ' JOB SITE: 3�O fc ester Rd. Zip:.9: 34171 1 Owner's Name: / d' y,- t ' Telephone Number: 9,527475-0344 Mailing Address: 360 Qrgvg ( i , KdA4 /far/ City: Pp77 Zip: 553'7/ ,e Contractor's Name: egAlfa , Gr sue. Telephone Number:ei94( 0$ Mailing Address: Ma? Wahlyitekt Ates. City: l)rai Chip: 55344 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: 02- Make: 2Make: G(e4( ,L4jj (,, Model: 6(9(-6. Fuel: Flue Size: K Input BTUs: (677 COO xZ Output BTUs: (44000 KZ CFM: — COOLING SYSTEMS Quantity: Make: Model: Tons: " H. Power 4 FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. ( Kitchen Exhaust 1, ducted recirculating /50 cfm No. Bath Exhaust (must be ducteed outside) cfm No. l _ Other Fans: Locations�i" /kM ' U/t#1A1.tQ ? cfm (fret( a Of yosieip 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) /Ian C19 x .0125 $ 75150 (con ract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. W'{_ x .0005 $ 7.649 or $.50, whichever is greater (contract price) 3. Postage and Handling (Only mail-in applications) $ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permittee work including materials,labor,profit, and other fixed costs. It is the amount to be charged to the customer 111110•••--- 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. 1/sly -RR e ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 -whichever isgreater. 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. Date:� Applicant's Signature: I ` ' /�47,0( Approved By: Date: