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Home My WebLink About2004-P08046 - mechanical � `' PERMIT CITY OF ORONO Permit Number: 2750 Kelley,Parkway- PO Box 66 P08046 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemuts (952) 249-4600 Date Issued: ioi�i2ooa SITE ADDRESS: 2190 Shadywood Rd Wayzata,MN 55391 P I D: 17-117-23-42-0007 DESCRIPTION: Proposed Use: Residenrial Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 75.00 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 78.00 APPLiCANT: Minnesota Valley Heating&Air OWNER: Ronald&Roberta Potas ET AL CO-Trustees 5310 Pine Cone Lane 2190 Shadywood Rd Carver,MN 55315 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 ORDINANCFS AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � C AP ICANT PERMITE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required). 1-Avnlicant 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 T CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL 1NFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pennit will be issued within two working days. 2. Permit cards will Ue sent Uy retui-�i mail after a review is completed. PERMITS ARE NOT VALID LTNTIL YOU RECEIVE 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-dehuinidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall Ue presented on fonn provided. Identification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate building permit must be oUtained. 5. All work inust Ue done in accordance with the Unifonn Mechanical Code/State Building Code requirements. 6. All warl:must Ue inspected (rough-in and tinal). Call (952) 249-4600. 24-hour notice required. 7. House Heating Test Record must Ue suUmitted Uefore final. Instructions Complete all iteins 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: �� \'�o�� Zip: Owner's Name: Phone Number: Mailing Address: `Z�qo Sl�rro.l� w000� c�� City: G,;;�� Zip: Contractor's Name: w�n� �a.tly �V�C___ Phone Number: q�..) `ys^ � �'Z Mailing Address: S3�a �� Cn�� l-� City: �'o,rv r�' Zip: 3�-Z/ i � - y . . 1 � i � 7 . i i SYSTEM DESCRIPTION • HEATING SYSTEMS Quantity: � Make: w�o.+.�01. Model: U!3X y U Fuel: �U��' Flue Size: �� aL. Input BTUs: gdr�� Output BTUs: �s"� �c�J CFM: COOLING SYSTEMS Quantity: � Make: v...�v� Model: (�_l.((� E- 3` Tons: H , S t�h ;r H. Power /L i/.1�, 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 6 �� 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 . . : , : t , _ � .. . ,. . , . - .., : . . ; . � . . _ y , , ` .. .. ,_ .. . �. , / , r � ¢ PERMIT FEE CALCULATION(Sl 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or a.��pliance 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; excludin�the cost of the fixture or appliance: and � 3) Is improved,installed or replaced Uy the homeowner or licensed contractor. Skip next section; Cost of Pern�it $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines Uelow: 1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00) � CY? �r� X .�I2.5 $ (contract price) (minimum�3�.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) a x .0005 $ (contract price) (minimum S.50) 3. Posta�e and Handlin� (Only nrail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $ *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 furnished Uy 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 oP the accual contracc. ' **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 tnade on this $ application are complete,true and correct. Applicant's Signature: r� � � �� Date: (v--? �v�� , Approved By: Date: 3 i: {: , ?: � ; C� C%�� D TE TIME v CITY OF ORONO �E� �� INSPECTION NOTICE SCHEDULED �0� ��"�YI't PERMIT NO. P�._.,S�D�� COMP�ETED ADDRESS 2l �G ,�67�r��' � G,�� OWNER CONTR. �YI�.� (_J�_� TELEPHONE NO. /� ��t�� 2�-�_�-7�zS � DESCRIPTION �c� - ��1� 37�� 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALI. 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 � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the n t inspection 24 hours in advance. (952� 249-4600 Owner/Contr o�ite: Inspector. White Copylinspector's Fi e Canary CopylSite Notice D E TIME � � � G ,-� CITY OF ORONO CAL�ED IN — � INSPECTION NO CE �f SCHEDULED � U " �'� PERMIT NO. �7 COMPLETED ADDRESS '�l Gc��OG� OWNER �'h CONTR.�� !/�-l�; J'�1. TELEPHONE N0.� � g� .��o�S � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 3 MECHANICAL FI 19 LAKESHORE/WETLANDS y 03 INSULATION / 24/2 BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 a o �I�.G�3�� C� � � 0 � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTfO(V RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 24J-4600 Owner/Contra r it : ; Inspector. White Copyllnspector's File Canary CopylSite Notice