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HomeMy WebLinkAbout2003-P07121 - mechanical I�Y` F R N PERMIT C � � � � Permit Number: 2750�elley Parkway- PO Box 66 Po�i2i Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits (952) 249-4600 Date Issued: i2�22i2oo3 SITE ADDRESS: 2166 Shadywood Rd Wayzata,MN 55391 P I D: 17-117-23-42-0011 DESCRIPTION: Proposed Use: Residential Permit Class: General Pemut Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined DETAILS: Approved per resolurion#: Separate pernuts required: NOTICES/REMARKS: Gas Line FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 250.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: Aspen Ventilation&Heating Co.(See Con OWNER' Scott&Deah Udell 9815 Pioneer Trail � 2166 Shadywood Rd Loretto,MN 55357 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / AP CANT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Renorts. 1-Assessin¢, 1-Finance Page 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 permnts by mail or in person at the City offices. Applications will be reviewed and a pernut 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 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 temperature5, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on fann provided. Identification of and specifications far 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 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. I�tiCON1PLETE APPLICATIONS `Z�II,L NOT BE PROCESSED. If you have questions, call (9�2) 249-4600. Please check one: ❑ New �Addirion ❑ Repair ❑ Replace [�Residential ❑ Commercial JOB SITE: � � (o �c� �vNc�C� (�—Gx - Zip: Owner's Name: c-o►-f (J cl 2.(� Phone Number: l�iailing Address: S� ►�r..� Cit;��: ��I/c��� Zip• �a,,., Ir���!c�-�'� Contractor's Name: ¢� 1j�e�� �� Phone Number:�6 3 � yy�" 7�S � nlailing Address: 9��5 �+'oneu' �T'rx-i I Cit�•: _��ee.+�`c�l� Zip• �..5'3S'� 1 � � � � PERMIT FEE CALCULATION(S) 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; excludine 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 Mi 'mum Fee of $35.00 d y 5 `-' � X .�125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 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 installation is fumished 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. A licant's Si ature: t.�%��-•�-- 1 � pp � Date: �Z Z � Approved By: Date: 3 � � � SYSTEM DESCRIPTION - HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTLJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES G�S 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 ha�-e 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 s�� � /aDAT�� TIME CITY OF ORONO cnLLED IN 7�'������� � INSPECTION I SCHEDULED �L�-.�I,C.� � PERMIT N0. I Z' COMPLETED << �' ADDRESS Z � W�D� OWNER CONTR. TELEPHONE N0. ��Z 2'� s0 7�0 � DESCRIPTION �4c�- Tesf -- �s L�� � 01 FOOTING 11 MECHANICAL 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 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 MAINL 21 COMPWNT v 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W C A—1/Z� T GZ�C or.�l.�s��/f-�P /2 -{-� G r� a � 0 � W � Q � W � W � � ��ORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contracto n s' . Inspector. White Copyllnspector's File Canary CopylSfte Notice