HomeMy WebLinkAbout2004-P08273 - mechanical � LF
�� PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Pos2�3
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�its
(952) 249-4600 Date Issued: i2�g�2oo4
SITE ADDRESS: 2208 Shadywood Rd
Wayzata,MN 55391
P I D: 17-117-23-42-0005
DESCRIPTION:
Proposed Use: Residential
Pernzit Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Misc. duct,venting,gaslines etc.
FEE SUMMARY: Permit Fee: $ 36.25 Valuation: $ 2,900.00
State Surcharge Fee: $ 1.45
TOTAL FEE: $ 37.70
APPLICANT: Horizon Contractors,Inc. OWNER: Barry&Mary Bennett
8197 Horizon Drive 2208 Shadywood Rd
Shakopee,MN Wayzata MN 55391
THE UNDERSIG EREBY REQU ERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES ALL W STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOT � � IN DE REQUIREMENTS.
PPLIC NT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits Uy mail or in person at the City offices. Applications will be
reviewed and a permit will Ue issued within two working days.
2. Permit cards will Ue sent Uy return mail after a review is completed. PERMITS ARE NOT VALID
LTNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi r�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, equipinent ratings and identification as to type, manufacturer and
inodel. Data shall Ue presented on form provided. Identification of and specifications for water heating
equipment shall also Ue provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must Ue done in accordailce with the Uniform Mechanical Code/State Building Code
requireinents.
6. All work must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must Ue suUmitted Uefore 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: ���'� S�^o-��,��� I�k __ Zip: SS��3
Owner's Name: Phone Number:
n
Mailing Address: �;?a0$ �c,� - City: �i/C�.y z� L Zip: 55�3�3
Contractor's Name: �izi� �irR..��,S-�- Phone Nu ber: ���-���`���
Mailing Address: S'1�!'7 ►-�vr�u�. ljr , City: S Zip: SS37�`
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SYSTEM DESCRIPTION '
HEATING SYSTEMS
:�;
Quantity: �
`;,�
M ake:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLINC SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY `
❑ Gas factory fireplace � Installing a Gas Line Only
❑ Wood Uurning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating efm
No. Bath Exhaust(must have duct outside) cfm � p
No. / Other Fans: Locations �-� cfm �s'""'+ �`mr`"'
FU�+L STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Q r,���a� �cJ� �
❑ Installation or ❑ Removal Qas� �'�n��k •
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside � ���Qr�.� �� �`� °`S
❑ LP Gas: gallons
❑ Other Gas opening � � ��Qp c�a 5 -�'� � �"0``'�"�
Q J z�,;E Qa y��( Qc���.
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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; excludinQ 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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
$aae� �C�G x .0125 $ ;
(contract price) (minimum$35.00) '`
;
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handlin� (Orrly rnail-i�i npplicatio�ls) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $
*CONTRACT PR]CE 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 pennit 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 iss nce of a Mechanical Permit,agrees to do all work in strict accordance with
the ordinances of the City and the regulatio e Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correc
Applicant's Signature: Date: �'Y
Approved By: Date:
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C� �� DATE TIME ✓
CITY OF ORONO ALLED IN _� �
INSPECTION I SCHEDULED � �
PERMIT NO. o�' � COMPLETED
ADDRESS a d D7� /�/
OWNER ONTR.i�01"l7.�7CJ
TELEPHONE NO. ��� ���
� DESCRIPTION /�/I e �/�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING HANIC 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU�YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTIOIV TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952) 249-460�
OwnerlContra ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice