HomeMy WebLinkAbout2000-P03030 - mechanical PERMIT
CI��Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po3o3o
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(612) 249-4800 Date Issued: 9i26i2oo
SITE ADDRESS: 2205 Shadywood Rd
WAYZATA,MN 55391
PID: 17-117-23-43-0133
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,100.00
State Surcharge Fee: $ 1.05
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.55
APPLICANT: FIRESIDE CORNER OWNER: T D HULST&D D HULST
2700 N FARVIEW LANE 2205 SHADYWOOD RD
ROSEVILLE,MN 55113 WAYZATA MN 55391
TF�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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I D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHA1vICAL PERMIT
Box 66 (2750 Kelley Parkway)
• Crystal Bay, MN 55323
GENERAL INFORMAT'ION
L 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 Desiens - Complete calculations, details and specifications are required for each heating, .
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
�R� calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
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Data shall be presented on form provided. Identification of and specifications for water heating equipment ,7
- shall also be provided. �
a;� 4. When any new construction or remodeling is involved, a sepazate building permit must be obtained. ��
' S. Ail work must be dane i,-� accorua;.c� wit� the LT:i�nz: Mechanical Co�elStat� L�uilding Code
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requirements.
6. All work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required. � ,
7. House Heating Test Record must be submitted before final. ���
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Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification. � ' � �
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. >�'
Please check one: � New Addition Repair Replace � -y'.
� Residential Commercial
.: JOB STTE: ��.o Y �S�l..rw����c�. Zip: ��_3 7/ � :
Owner's Name: --T�,,-, �- '7�„� �{�.'., �- Telephone Number: 4'�/- 7 7 C`�
Mailing Address: .�,�-o�' Si.�����bc� x<� City: ��v�,�.-� Zip: �s�3y�
Contractor's Name: �// .�:��l �; ��3,-�J� Telephone Number: �,�, _���_�- ;�,4 !
Mailing Address: �-���v N --`«„- �,.�,�s� ��t City: ��:���,. /,/� Zip: S���r,�`
SYSTEM DESCRIPTION �
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HEATING SYSTEMS �
Quantity: 1 `
Make: '
/�t���-N...��-/�
Model: J/";e�„n�� �Z
Fuel: A,�:.#��r��� � , ,
Flue Size: � ;�� "� -
Input BTUs: �.���,�.�,��
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Output BTUs: �� ���
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CFM:
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COOLING SYSTEMS ' �'
Quantity: '�}
Make:
Model:
Tons:
H. Power
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WOOD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry �.:
Wood Stove (s} Franklin, other �r
Brand Name Model No. ;�'
, ': Mfgr's Min., Clearances, side , rear , min. flue dia.
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� �' VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm ��
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' FUEL STORAGE MUST BE APP VED BY FIRE MARSHAL �
( . RO )
Installation Removal ;
Fuel oil: gallons underground inside outside I
LP Gas: gallons ;
Other Gas opening �
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PERMIT FEE CALCULATION j
1. 1.25% of Contract Price* or Minimum Fee ($35.001
�/c,'-�.�jU x .0125 $ �C.,�,� ', -`�- c:c;
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(contract price)
2. State Surchar�e. ** Add the State Building Code Division I
Surcharge to each permit. ���`�-�� x .0005 $ /, ���
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50 "�
"" 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ ��, �O -� J-S� j
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted !
work including materials, labor, profit, and other fized 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,
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tcaar.t o:a;.y othc: p�y the reasonable �arket value of such ite.•ns mnsi �e 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, ;
j the City may request the submission of a signed copy of the actual contract. I
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** 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 i
State Building Code, and certifies that all statements made on this application are complete, true '
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and correct. ,
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` � A licant's Si nature: ��2�� ( � Date: `/- /t'vL%
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Approved By: Date:
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DATE� ��TIM�
CITY OF ORONO CALLED IN � �/�/ �S
INSPECTION NOTICE SCHEDULED � 1 �3d
PERMIT NO. c':17�'d COMPLETED ��- =� /' �C�
ADDRESS �a�DS s��PWboCk(�
OWNER CONTR. ����Slo�-� C�c✓�r`¢..✓
TELEPHONE NO. a7�'���
� DESCRIPTION C'� "' �� ' �lr1a-Q �ir��1A-G2>
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W C�CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
[1 INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac on site:
Inspector.�/'"l�L�2 ��'�s/,
White Copyllnspector's File Canary CopylSite Notice