HomeMy WebLinkAbout2007-P10959 - mechanical ' '' PERMIT
CITY OF ORONO permit Number:
, 2750�Kelley Parkway- PO Box 66 P10959
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/3/2007
SITE ADDRESS: 2216 Shadywood Rd Unit#
Wayzata,MN 55391
P��� 17-117-23-42-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 650.00 Valuation: $ 52,000.00
State Surcharge Fee: $ 26.00
TOTAL FEE: $ 676.00
APPLICANT: Massmann,GeoThermal&Mech. LLC OWNER: John J Henry III
27944 96th Street 2216 Shadywood Rd
Zimmerman,MN 55398 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.
--� �� ��ry'�
�
APP ANT P MITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
. �
ro�z c«����e o��v
s ��� Cit} of Orono
P.O.Box 66 Date Received: Permit�
��;,; �m O 2750 Kelley Parkway
.� '��'��?�y;q�� � Crystal Bay,MN 5>323 Approved By: Amount�:
���(��j���i�.$o` (952)249-4600
��Kos
' �� CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or]nspector and/or Fire Marshall)
GENERAL INFORMATION �
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a perrnit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details aiid specifications are required for each
heating, ventilation,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculatioil, design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on forin provided.
4. Wheii any new construction or remodeling is involved,a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work niust be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice'required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑ Repau�s ❑ Replace
Job Site/ Owner Inforniation: .
Site Address: �p�� (� ` `'►Lr�l,� Gt,��D� �d
Owi7 �` � Mailing Address:
�a h r� j_ }-l.z n f y .]7G
City: Zip:
Home Phone: Altenlate Phone:
Contractor Information:
Contractor:� (Ci,SS���y1 Vl (���w� Contact Person: �G �G�
Address: �7r'f�� ��r��f State Bond #: ����`jcl 1 �
City: �.�!-x�L'�ria.ra�,�.-, Zip:�Q Expiration Date: �t , Z�]
Phone: �,�p�-�// -.$�67�� Alternate Phone: 7(�3- Z��-_S 7Ca �/
� Insurance— Cui-rent: (�/��� , D b
1 c�� ��3 7, eb
. � .
� MECHANICAL SYSTEMS BEIIvG INSTALLED �
HEATING SYSTEA'IS
Quantity: � / �_ �
, br �
Make: U N�1�►'� _�")��
Model: � �0��Z �W��o C) l/�`la� 1
Fuel: ��.�L � I r� �L�G, �p �� .%'V n_1
Flue Size: � ��_ ����
���Put BTus: 7Z, Go� O60 /Oc�, a�c�
ou�ut BTus: 7 z,a�� Lo C��bv o `'�S; oa�
CFM: Z�ODd � �.�r ?, ao�
COOLI\'G SYSTEMS
Quantity: �
Make: �
ModeT: (��^ �7Z
Tons: C�
H. Power � t�/°
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buniing Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
[� No. � � Kitchen Exhaust � duct recirculating QG cfin
�i No. �_ Bath Exhaust(must have duct outside) S�_cfm
❑ No. ,.v o� 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:
�
4
, PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,tl�is section applies
The replacement of a Residential fixture or appliance that meets all tlu�ee 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 iinproved, installed or replacedby the homeowner or licensed connactor.
Skip next section,if this applies, Cost of Pernut $ 15.00
State Surchaige $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER$500,00 � '
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
rj�� �IOC.� x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $
(contractprice) (minimum$ .�0)
- �. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTP.L PERI�TIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT 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 tlie customer for the work done. If any materia!, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimaied cost or conh�act price for pernut fee puiposes. 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 conn�act.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(9�2)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
worlc in strict accordance with the ordinances of the City and the regulations of the State of
iV111111zSOta, aIl� CZI'ii17eS ti18t 3ii StBt��ICIitS 1Ti3dC vri t�"i1S 2j�jJIlCa�i011 c1Te CG112p�ete, tI'Ue ui,�
C017"eCt.
Applicant's Signature: Date:
3
Stone Forest http://www.stoneforest.com/?Table=Product&do=view&id=37
� � .
��
�
• • '
► General Info ► r Conta�t' ►Hon�
` I '� ;��;
ll � � �
' �� ' Bathtub�z
�-,r� ��
��_�i ` �,�� #C4o-72
_..._ _ _ .. �
72"L x 44"W x 26"H
;� �"` O 2000 Stone Forest,Inc.
� View Care Instructions
'! - View More Images
I• , _
New York City instailation
4i�s� `� ¢�� ,,
d 3``�.A s� . . .
m� �'
� � 1
I.J� ��;, n. -,.w
SS��r���F��1P'� •
� . $....t '�' , . �M��:�����'���y•'.e�;
. }''� �`�\ � � �� � .!�' � 'jq[!r�
.. � ° � �R4tii.,h .+r,, e. �a,>'�� " t
�,: .��fe4t�n��'"�.�ty'�; ��4' ���.
i�
b+ ,.- 'I�;: , p•.,
t.. ��. ,�: ,"��
. f 1`4. � � ��r,�
�Y
' ~.� �"Ti� Cli� tlI��a..�.+�,: ��(�I � .
u ,� i h
�
R+ .
��.�. � �.:" _
� _ � �iw�cn in bluc�graY�ranite.all
bathtubs are rnadc to order.most
colors available.
�
�
V `
�"`
p-^
�
�
��
GALL TOLL- fE 1 888 682 29�67 RaqUlNtlt Catalog
OO 2005 Stone rest,Inc� All ri h ed.None of the designs or photographs can be duplicated without the express permission of Stone Forest,Inc
5os- q �� � gg��
1 of 2 �,L��i l�� 7/24/2007 4:31 PM
Jul z4 07 08: 33a Up North Mechanical 651 -277-0515 p. 2
JUL-23�2097 12=35 QM:UERUE FURNITIRE 952-943-1881 T0:6512770515 P.2
JV1L—G.TLVN( iG' v i �� ���« .w� � �� � � �••�• . • '—^' —�
•- • ,� �'AUE 81'�n ;;,;z',�
" "'V�
�
•—�_ , . . ., �.
4 I/�' �....�r�.+�. � ' ,.,/�
/f �'�s.� , r�r��?fj�rn.ri 91f1fI-71�:F,;afgi-�nile ',�;;,.
/ � , ~�`-��` nl'11�3�'f�� - .�u.�:
`�� f �� y'�•.
.rl�Ci 21'? f0� • t'•''!~�
� a��'�ccr:'d�sl�, ��• _•.,
, Q 36 /2' E7'Rn� ��., • • , ,;,,,;�a'
. .r;� . r•
, � C2:h t��h�5 C�Np�.tp•Orsj�r iN1'I G7� ` ''`.
b�c�ntcmn.rj to�st,nL'jroc��r�:.}� � 1�:+
• �. .
; '
� .r.�n bE carvrd r�o 6t most�e►yin • ,�,:
asssmbl�ss Plr.,ise�s cly� �� ,� .;,
' K�,,�•—_� De o at' n' , � � ";'+�
and mcdei r�f draln'wh�n��Qrnn ' ;:,���;
�nd�v olher � �•� ."�,� � ��+�' �`>
pe►'C�_rr�uif�rmatron�- � S;
thtt might sife:3 ho;,v t}�•dci!►i �:t,;`'�;..
.,`;;,,�
1 �:c�s t� be rarve�Te'Kcc►r?r►o- •�� �=�,<
�.i \ 2 :iat� plumt�ng •'� ':�':�
� / � 5se b�r_k(or K'at,"W_•ajid . •��.�:::
�-- '— --...� _..../_-.._. u•wrA�?ev 3Ge:5. ' . ,
• :',
C40- Q BATN 'FUB . a ` '. '
na� ir_.pp.��f�.ib;. � , ���'::'
�r * UP(:�approved '.�;.y�,
� - , , ;
, s• _.� 4��Z. . . . :
� . . - : ,.,;;:���,
� ��, �:°.;,��;
. Zo. ry
� . �
. �—� � -� �- . . r•�:,i
, � ' ?
' ��:, � -
C40-72 BATI-I TU8 ''� �. , . ' ' •`
. , r 'J
..� , . ., �
� � •��.
��c: �t-4':�y` �'ti.
� •^� �'
I�
'0'
���
�� • _, � �� - Q� I�
� DATE TIME �
C CITY OF ORONO CALLED IN '�S O
INSPECTION NOTICE SCHEDULED ���� � % �
PERMIT NO. �' � �`1' 3`r COMPLETED
ADDRESS a a / G� ����� �-`'�
OWNER .dCe�-litti CONTR. l/C-�I.�� /t��'��
�� ���-a��.� � �-��.-n�-t--
TELEPHONE NO. '7(9 3 -- �L�4� ` �'-� G y
� DESCRIPTION
� 01 FOOTING 1 MECHANICAL��RI�_�/'` 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 NFI AL 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 OS 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
w
�
W
�
�
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
' ❑CORRECT WORK&PROCEED ❑ ISSUE CEFITIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�' CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the ext inspection 24 hours in advance. (J52� 249-4600
OwnerlCo � r, site:
Inspector. ^ -
White Copyllnspector's ile Canary Copy/Site Notice
✓
� �ATE �IM�Z
CITY OF ORONO CALLED IN
INSPECTION N C� SCHEDULED �- '6� ���
PERMIT NO. COMPLETED
ADDRESS Z�
OWNER CONTR.
TELEPHONE NO. � �2 - Z�� ' ��`c��
� DESCRIPTION �-�`�a � �, � ��
� 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
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
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
�
W
C
o � �ll��t Fo�+ ,�. �.� S.,�,�-�,o�
� (�v�� G—to v,� d - rv ;ce ��sC3
0
�
Q C�O S'Z. f�%1-��-J-
�
z
W
�
W
�
j
�i�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
(� P����rO� DATE TIM
CITY OF ORONO Y' `(�'1 �� CALLED IN a�-o� '�
INSPECTION N � SCHEDULED 'Z�` 3'O6`pIV�
PERMIT NO. COMPLETED
ADDRESS �I�D C�I�,I�LIN� �
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �
l� 01 FOOTING 11 M CH NICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 SEPTIG 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
J (/�/•�Q/rV
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR ❑ CITATION ISSUED
G INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContra o site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice