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Home My WebLink About2005-P08651 - mechanical PERMIT CITY�F ORONO Permit Number: 2750 �elley Parkway- PO Box 66 P08651 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: a�2��2oos SITE ADDRESS: 1790 Shadywood Rd Wayzata,MN 55391 P I D: 17-117-23-21-0025 DESCRIPTION: Proposed Use: Residenrial Permit Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Mulriple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 97.50 Valuation• $ 7,800.00 State Surcharge Fee: $ 3.90 Misc.Fee: $ 1.50 TOTAL FEE: $ 102.90 APPLICANT' Golden Valley Heating&Air(See Comme: �WNER' Troy Ehlers � 5182 West Broadway � 1790 Shadywood Rd Crystal,MN 55429 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESf S PERMISSION TO MAKE'FHE 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. � ��'11.�.� (�rl_ (,�ti�—�-,�f APPLICANT PERMITEE SIGNATURE SS[JED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 � !�, 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 '' GENERAL INFORMATION ��' 1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be '- reviewed and a permit will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi rg�is -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 equipmerit 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 accardance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call (952)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 (952) 249-4600. `" Please check one: ❑ New ❑ Addition ❑ Repair � Replace � Residential ❑ Commercial JOB SITE: /��D `��`/ �OD�" �� Zi : �J�J� /� P Owner's Name � Phone Number: 952 —L�7�--Q�] ,� Mailing Address. City: Zip: Contractor's Name• � �►� ��06�S��-�C•!��• .��C�v+, � „ „Tr; ��.,.�Phone Number: , r�-�T1'?''�*�'�' i Mailing Address: r"''� �� - ADV'vAY City• Zip• „�� ^ ��" CR�63)53�200� ' _,� _ _ # , � � � _ .,. t . . 1 �. ., ,-� •i�' : ,, , , .. ��'I �r��'.. .-°�� `' 1 ' 1, . . .. . ..... . - . .. . .r_ . - . � , v. ..... �. .. . ._... ..,.%..: . . , . �_.. .. � ., .s.. �.__s ..�,..�«... ._ ....._. d . T �. . ,.,., r�i R � - SYSTEM DESCRIPTION a�� HEATING SYSTEMS � Quantity: Make: �C/y t Model: �6O U� V�� I�� Fuel: c� ��i Flue Size: � 1 �O 0�� P� �<: 4� Input BTUs: ''� �r�� Output BTUs: CFM: =�� ,� COOLING SYSTEMS f �, �; ; Quantity: ;;ti� Make: �/ �' �; Model: � �D� � � Tons: J \ r � H.Power � '' ;� FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ❑ Installing a Gas Line Only �� ❑ Wood burning factory fireplace with flue ❑ Wood Stove �� ❑ Wood stove with flue Brand Name Model No. VENTILATION No. Kitchen Exhaust duct recalculating cfm � ` No. Bath Exhaust(must have duct outside) cfm � No. Other Fans: Locations cfm � .�, FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ' ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ��` ❑ Other Gas opening � 2 , y . .: , . , . , ,, „ , : .. : , 3 .� . � �.: . � �. .. . ' . . � _ .,. '.. �.: . � . �.. .. ,-� y .\ . .. . . .l �,. .. . . .!. . �. � � . .. . . � . . � . - . � .. . � � � -. . .. � � . �. � � . . : . . �.. _ x... . ..., .... ._ t' . . . i ...� a � . .. �. . .. � .. .. .. . .v . _._ . . .. .,. . , "-. . . PERMIT FEE CALCULATION(S) i;, 2002 State Statute ❑ Yes This Section Applies -�� ; � The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) � U �v• W x .0125 $ I�' � (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) �U �U. W x .0005 $ ��0 (co�tract price) (minimum$.50) 3. Posta�e and Handling(Only mai[-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ I O� ' l O '"CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work in�luding 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 is 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 Deparhnent 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 c ect. i Applicant's Signature: Date: APR `� 6 200� "`"� , Approved By: � Date: 3 I-� T rl TIM � CITY OF ORONO CALLED IN ✓ � eO�v� � \� •� INSPECTION SCHEDULED 2�,d5 a`' PERMIT NO. �� COMPL TED ADDRESS � �� S OWNER CONTR. TELEPHONE NO. �' ��` ��4 � DESCRIPTION l� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � - � � � O � � O � W � Q � Z W � W � � d � WORK SATISFACTORY:PROCEED PROJECT COMPLETE v W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the next in ection 24 hours in advance. (952� 2�49-4600 OwnerlContr r sit • Inspector. -- White Copyllnspector's File Canary Copy/Site Notice