HomeMy WebLinkAbout2003-P07071 - mechanical PERMIT
C�TY��F ��i�N� Permit Number:
2750 Kelley Parkway- PO Box 66 Po�o�i
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: i2isi2oo3
SITE ADDRESS: 2420 Old Beach Rd
WAYZATA,MN 55391
PID: 21-117-23-22-000�
DESCRIPTION: �
Proposed Use: Rbsidential
Permit Class: General
Permit Type: echanical Pernuts Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:�
Separate pernuts required: �
NOTICES/REMARKIS:
FEE SUMMARY: I Permit Fee: $ 43.94
Valuation: $ 3,515.00
State Surcharge Fee: $ 1.76
Misc.Fee: $ 1.50
� TOTAL FEE: $ 47.20
APPLICANT: Residenrial Heating&Air,Inc.(See Comir OWNER: W&B ROHMANN .
1815 East 41st Street Suite A 2420 OLD BEACH RD
MiYmeapolis,MN 55407 WAYZATA MN 55391
THE UNDERSIGNED�IEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED
AND AGREES TO DOi ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDI�IG CODE REQUIREMENTS.
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APPLICANT PEIZMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File(SiQniiures Required), 1-At�plicant,1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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� RECEIVED
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CITY OF ORONO APPLICATION FOR MEC�T��B�.MIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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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 Desi�ns - 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
sha11 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 v Replace
Residential Commercial
JOB SITE: � � � ,� -;� Z� ZiP: 5,3`'1 1
Owner's:V'ame: �A`;� � ...�r..�,�� Telephone Number: ���,� - `171 �- ����;`t
Mailing Address: 2y Zn �� �o �t�crt �Z�City: �,�;�c,�c; Zip: ��i.�_7�7 �
Contractor's Name:���,��.�,;,�� }a��,;.��+ �, ���Telephone Number: b �L_7Zy-►R`�`�
Mailing Address: C b�5 C � i s' S 7 - Sv •:� A City: t�'�,N.�EAQo��sZip: ��5 yp�
SYSTEM DESCRIPTION
: ;
,
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HEATING SYSTEMS
Quantity: I
Make: L A,�,z.L2
Model: .5�3�v,� c���c
Fuel: Nr�,�-C^�s .
Flue Size:
Input BTUs: �� G �vv c`
Output BTUs: —7 z. cec.�
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
- H. Power
1 -
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�/ �. �}
. ... , .. .. r fi - . -
FIREPLACES �����
�,�:
Gas factory fireplace " ' ' t �
Wood burning factory fireplace with flue ��
y ��� Wood Stove
�`� �, Wood stove with flue '
� #` } �
�r �,
�f Brand Name Model No. ,`: �;
�
>:
� VENTILATION
`,�
- No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfrn
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�
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 ($3�.00) �y
- 3�_� i 5 ' `= ` x .0125 $ '--i 3
(contract price)
2. State Surchar�e. ** Add the State Buildin� Code Division �
Surcharge to each permit. 3�� � �e� -` ` x .000� $ � , `7 C� ��
r ��� or $.50, whichever is greater (contrac�price) �
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k< '{a
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_, ,.. 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 ri
'' ' � 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ y 7 ' �`" ���
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� "� "`"�< * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted �'%�'
� , work including materials, labor,nrofit: and other fiYed costs. it is the a.mou�t t�hP char¢ed r�,h,��,;�r �`�
� ; -: � . � omer n�
, ' E�; for the w�ork 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 �s�
�,�.r 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. ,�,
. �
4 ' ** The STATE SURCHARGE is .0005 of the contract price under S1,000,000 or $.50 -whichever is greater. �
� �
��- For valuations over $1,000,000 call the Department of Inspectional Ser�-ices for the price.
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'� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all '�
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work in strict accordance with the ordinances of the City and the regulations of the Minnesota ;
; ,,
�� State Building Code, and cert' ies that all statement ade on this application are complete, true -
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and correct.
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Applicant's Signature: ��` _ Date: �2- �� �' `�
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Approved By: Date:
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DATE TIME
CITY OF OAtONO CALLED IN �� ,�—
INSPECTION NOTICE SCHEDULED � ��r��
PERMIT N0. �V �67� COMPIETED
ADDRESS ��-Ia1O �lc� �Pc�Gh �
OWNER CONTR. � • �I-�-� d-A-C' _
TELEPHONE NO. C.2 � �o�� l rP�1 �
� DESCRIPTION �-�C�� ��2�2.5 I�. +� ►r �r F��� .
� Oi FOOTING 11 MEC 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS
y 03 INSULATIO�1 URNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. � 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SItE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FI L 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBIN RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBIN FINAL ' � 36 FOUNDATIOWREMOVAL
� OWNERICON RACTORTOMEETYOU:.lLYES_NO
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� WORK TISFACTORY:PROCEED ❑PROJECTCOMPLETE
W O CORRE WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRE WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOR C01/ERING PERMANENT
O CORRE T UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
IN ECTOR WILL RETURN ❑CITATION ISSUED
❑STOP O DER POSTED.CALL INSPECTOR
O INSPE ION RE�UIRED.CALLTO ARRANGE ACCESS.
all for the nex inspection 24 hours in advance. (952) 249-4600
OwnerlContra e:
Inspector.
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