HomeMy WebLinkAbout2006-P09824 - mechanical •► PERMIT
CIT%� OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09824
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/2/2006
SITE ADDRESS: 1890 Shadywood Rd unjt#
Wayzata,MN 55391
PID: 17-117-23-24-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-rype(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 84.15 Valuation: $ 6,732.00
State Surcharge Fee: $ 3.37
Misc.Fee: $ 1.50
TOTAL FEE: $ 89.02
APPLICANT: Flare Heating&Air Conditioning OWNER: M E MASLOW&S S MASLOW
9303 Plymouth Ave N. Suite 104 1890 SHADYWOOD RD
Golden Valley,MN 55427 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.
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APPLICANT PERMITEE SIGNATURE ISSLJED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CITY USE ONLY
City of Orono
�' ? ���� P.O.Box 66 Date Received: Pennit#
�:�a ,:, 4 ' 2750 Kelley Parkway �
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�s� %� ' Crystal Bay,MN 55323 Approved By: Amount$:
��P�%*�y��x,�-.��`� (952)249-4600 � �
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building OftScial or Inspector and/or Fire Marshall)
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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desians—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.
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(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
� Check All That A 1 ) �
�Residential ❑Commercial(Approval Required}
❑New ❑ Additional ❑ Repairs [�eplace
7�
Job Site/Owner Information:
Site Address: � � U l/1/f�(, G�.
Owner: J I tv� ��, // ��S/ V✓ Mailing Address: ��/'Y�Pi
City: Zip:
Home Phone: l�0� � � J ' � I p�a' Alternate Phone:
Contractor Information:
Contractor:�''��Y� �j Contact Person: 1���
Address"I "/�J � rnD �N l' "�� State Bond #:
City: �9 t�� V � I' �Zip: 7J��xpiration Date:
Phone: �� � 7�� � I � b� Alternate Phone:
❑ Insurance—Current:
1
: � �
•
' MECHANI+�AL�YST�MS B�ING 1N�TALL�D
HEATING SYSTEMS
Quantity: I
Make: �W, � �
Model: ��l/V � t�V ✓� ��
Fuel: �
!�
Flue Size:
Input BTUs: � � ��� �
output BTus: � ���
cFM: aa�0
COOLING SYSTEM�
Quantity: _
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other.
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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�. CE��T�.�����L���T�����?�' �` . .
' BA����J�F-�Q�}2 STATE STA'�UE
❑ 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 ar less;excludine the cost of the fixture or appliance: and
3. is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pennit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
FERMIT'�EE��r�A"T�C�N � -308��3VEI�$SQU.Ot�
If above does not apply;follow guidelines below:
l. CONTRACT PRICE * is 1.2�of contract price with a(Minimum Fee of$35.Of!)
��
� x .0125 $ � �
( ntractprice) � (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fe of$.50)
Od �i�
� X.000s $ , �
contrac pricef (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
oa
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ •�
■ * 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 installations are fumished by
the owner, tenant or any other pariy, 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 ofthe Building Department at(952)249-4600 for the price.
MECHANI�A�PE�'�"'A�'PLi�ATION AGI���EI�T
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 State of
Minnesota, and certifies that all statements �nade on this application are complete, true and
correct.
Applicant's Signature: Date: p� � D
Reset F+or`r� • •
3 1
CU— ' DA E / TIME "
C TY F ORONO CALLED IN /�
INSPECTION NOTICE SCHEDULED �
PERMIT NO..�n9S?7� COMPLEfED
ADDRESS /��'l� �S^�1�0�� LL.�P
OWNER CONTR.
TELEPHONE NO. � '" 7 Z
� DESCRIPTION � `J
� 01 FOOTING 11 ME HANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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
c�., COMMENTS:
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W ORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑COHRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the x in pection 24 hours in advance. (952) 249-46��
OwnerlCon c sit :
Inspector. `
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