HomeMy WebLinkAbout2000-P02319 - mechanical PERMIT
C14i�Y`�F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po23t9
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: 4i�2i2oo
SITE ADDRESS: 2685 Rainey Rd
WAYZATA,MN 55391
P I D: 04-117-23-43-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
Air Conditioniing
Ventilation
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
FEE SUAIIMARY: Permit Fee: $ 340.00 Valuation: $ 27,200.00
State Surcharge Fee: $ 13.60
Misa Fee: $ 1.50
TOTAL FEE: $ 355.10
APPLICANT: Kleve Heating&Air OWNER: R S& S S VICKERMAN
13075 Pioneer Trail 2685 RAINEY RD
Eden Prairie, MN 55347 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERM[SSION 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.
�^-�' �%%�,�i�'�� /,`
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies:City,Applicant, Assessor, Finance Page 2
u INSPECTION RECORD
� .
� CITY OF ORONO
' 2750 Kelley Parkway - PO Box 66 permit Number: Po2si9
Crystal Bay, Minnesota 55323
; (612) 249-4600 Date Issued: a�i2�a000
�
�
�: SITE ADDRESS: 2685 Rainey Rd
WAYZATA,MN 55391
APPLICANT: Kleve Heating&Air
13075 Pioneer Trail
� Eden Prairie,MN 55347
:
��
'Proposed Use: Residential
i�wuui i�u'i-yyC�oj:HPatlllg SySt0T11S
�ertnit Class: uener�u
Air Conditioniing
Permit Type: Mechanical Pernuts Ventilation
Separa#e inspections required:
$uilding: General: Mechanical-Rou�Mechanical Final
Plumbing:
ALL INSPECTIONS MUST BE CALI„ED 24 HOURS IN ADVANCE. TH1S CARD MUST BE POSTED IN A
CONSPICUOUS PLACE ON'IT�PR�MISES ON WHICH THE WORK IS TO BE DONE.
!
.r - �� � 3 /�
, y
�
` ' � CITY OF ORONO APPLICATION FOR MECHANICAL PIItNITT
_ , 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 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. Ideatification of and specifications for water heating equipment
shall also be provided.
4, �'��e� any new cnnstn,cti.on 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 fmal). 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 SITE: � Zip:_'�.�.�—�—
� � Tele honeNumber: --
, , Owner s Name:�Sy���(Z�.� v�',�Icr r�,,� P
Mailing Address: --- City: Zip:
Contractor'sName: TelephoneNumber:���c.J_ �/�11
MailingAddress:������Pr i ra�1 City:�n {�rn;riPZip: �'�3yr7
_ ;
SYSTEM DESCRIPTION
�
HEATING SYSTEMS
Quantity: j )
_ Make: M A��4 ,��n/A
Model: ('�U�'A,c�n 3n
Fuel: G ��q„c
Flue Size:
Input BTUs: ���_ �[����
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: � �
Make: �.w.r�n a 4►�,� n�
Model: ��y� ��;�
Tons: � y.Trt a 10�
H. Power
�r. �� << � � �:
, .
,
,
� . ,
,..� ;, , � ;.:
, �
_ , v
_ . . � , ;
, ...�x-:. . �, , ,. . ... _ . , �� . ._,
�
r �
�,
v'k
z�
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.
Total
VENTILATION
No. �_ Kitchen Exhaust ducted recirculating cfm
No. � Bath Exhaust (must be ducted outside) cfrn
tv�. �_ Other Fans: Locations ��� _ cfm
Total
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 i��inimum Fee ($35.00)
�7,anp• �p x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. ���(�.bp x .0005 $ ���(o�
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) � ����fL_
_�
� �iiilTRfi�T:'RICL or JO���ST me�s �e acr?�.l �r est?rnated 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.
� Date: � � �"
Applicant s Signature• � ��
Approved By: Date: �/ '�, ' ��
DATE TIME
CITY OF ORONO CALLED IN ��-
INSPECTION N CE �j SCHEDULED -iL-=� �
PERMIT NO. � ( COMPLETED• � �v
ADDRESS a��'S R l!iC
OW N ER CONTR..�I'�U�
TELEPHONE NO. "I �I r�aI I
h-t��� ��..�-P t��c-� ���-1�j�
� DESCRIPTION �"' �S�" ;vc� • ,ant-�-h�, �"'��
ly� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVA�
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
�� OMMENTS: '
°�.S s � �
�
�
02 � � � �f�s �
� ,ti � c� . at � 3
w
Q �p,�2Q�C�� c` �� l'�q�c-t�d�- �.
�
W
� � � 1 S�,c. �,� �i �
w
�
�
d
W y❑WORKSATISFACTORY:PROCEED ;= PROJECTCOMPLETE
� /�.�ORRECT WORK 8�PROCEED I: ISSUE CERTIFICATE OF OCCUPANCY
� �
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR GTATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
Inspector. ���c��
White Copyllnspector's File Canary CopylSite Notice
�
DATE TIME
CITY OF ORONO la3lo�CALLED IN
INSPECTION NO I E �L SCHEDULED � � Uv
PERMIT NO. -, COMPLET.ED �� l� �O
ADDRESS � �8� �`i�/ ���
OWNER CONTR. ^l'/"Acf'r laS �'���-
TELEPHONE N0. Ln( 2— �"� ��'`��p'�
� DESCRIPTION � v_
ly 01 FOOTING 11 MECHANICAL RI�,, 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� �WORKSATISFACTORY:PROCEED L PROJECTCOMPLETE
W C CORRECT WORK&PROCEED _1 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContra tor on site:
Inspecto��r',c�f+/L �e-�7,1
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��'%�n�
INSPECTION NOTIC� SCHEDULED -�� -��
PERMITNO. �3� COMPLETED �� ���
ADDRESS �6�5 �,� ���
OWNER CONTR. r �2. �^��1�,--�
TELEPHONE NO.
� DESCRIPTION
ly� 01 FOOTING 11 MECHA 18 EXCAV/GRADING/FILLING
� 02 FRAMING MECHANI L FI � 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINA 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
a
W��WORK SATISFACTORY:PROCEED �ROJ ECT COM PLETE
W CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlCon t r on site:
Inspecto -� ��%��
White Copyllnspector's File Canary CopylSite Notice