HomeMy WebLinkAbout2001-P04736 - mechanical j � PERMIT
CITY OF ORONO Permit Number:
2750 Keiley Parkway - PO Box 66 P04736
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: i2ilsi2ool
SITE ADDRESS: 2224 Shadywood Rd
Wayzata,MN 55391
PID: 17-117-23-42-0003
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: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT: Ron's Mechanical,Inc. OWNER: Mark& Susanne Griffin
12010 Old Brick Yard Road 2224 Shadywood Rd
Shakopee, MN 55379 Wayzata, MN 55391
THE UNDERSIGNED 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 BUILDING CODE REQUIREMENTS.
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APPLI ANT PERMITEE SIGNATURE ISS BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Apnlicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1VIN 55323 = �, e��i
GENERAL INFORMATION
1. 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. Pemut 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 DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form 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 obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 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.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB STTE: 2 2 24 SHADYWOOD RD Zip:
Owner's Name: MAR K & su�AN C;R T F F T N Telephone Number:g 5 2—4 71—7 0 5 6
Mailing Address: 2224 SHADYWOOD RD City: Zip:
Contractor's Name: R o n' s M e c h a n i c a 1 , I n c. Telephone Number: 5-8 5 8 5
Mailing Address: 12010 Old Brick Yard Rd City; Shakopee Zip: 55379
SYSTEM DESCRIPTION �;�
HEATING SYSTEMS
Quantity: �
Make: Ca,rvui,Y
Model: 5$Ymp p�
Fuel: 1�(a
Flue Size:
Input BTUs: �ot�p
Output BTUs: �}�{�4 pD
CFM:
COOLING SYSTEMS ��
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Quantity: '
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Make: '
Model:
Tons:
H. Power �
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' WOOD BURNING EQUIPMENT `` k�
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� �� `` Wood stove with flue r�-`
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` . ., Wood combination or add-on F ' , �-� ��
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� E � Factory fireplace with flue ���., ` � ;� , �
f "� � , �. "' Factory Fireplace (s) Freestanding Masonry ' � �':.
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�` � '` � Wood Stove (s) Franklin, other � f.�� ;
Brand Name Model No. ' �'`��`'
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� '; '� Mfgr's Min., Clearances, side , rear , min. flue dia. ��-'�� '` �
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� 1'�r VENTILATION �.1 �`4�
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� `;k'�r No. Kitchen Exhaust ducted recirculating cfm ..
No. Bath E�aust (must be ducted outside) cfm ' '
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�� �� .� No. Other Fans: Locations cfm Y� � 5� ' x��
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',�` � �� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ��� z t '
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� � � '� Installation Removal �� � �
�` " ''�` Fuel oil: gallons underground inside outside
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�,� �`{=��� . LP Gas: gallons `�
� � `: ' Other Gas opening �a
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�,' �� `� ��� PERMIT FEE CALCULATION � �' �
�� 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �'f
�� ?�c7 x .0125 $ �.SL� �k-: .��
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�`x (contract price) ' , ��
��, _. � 2. State Surchar�e. ** Add the State Building Code Division , j,� � ��
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� Surcharge to each permit. x .0005 $ ;_ �,4
�°� `,�� �: or $.50, whichever is greater (contract price) �'`>
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�c„ ,x 7
3. Posta�e and Handlin� (Only mail-in applications) f $ 1.50 �°� � ��
���' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �}0.'SC� �; F,� ��
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�;'�_ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted *.�
� ;�° .�€:: work including materials; labor, profit, a�d other fixed 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, ,'�;
`'� �� �- ��' �,r� tenant or any other party the reasonable market value of such items must be added to the estimated cost ' � .'
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��,�4����� y`�'� �`,;; or contract price for permit fee purposes. In the event that there is adispute on the amount of the job cost, �,,;: ; M�'
�` ^ `°F�` ` ��` the City may request the submission of a signed copy of the actual contract. ;��v;,� ��?
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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. ;�
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.� � The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do ;;
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� � ` ° all work in strict accordance with the ordinances of the City and the regulations of the Minnesota ;��
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r_z,� ` State Building Code, and certifies that all statements made on this application are complete, true ,,
'' ` and correct. 'f
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� �:A Applicant's Signature: Date: �k �
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�°. Approved By: Date:
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►/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TIC� SCHEDULED �� " �
PERMIT NO. C' � COMPLETED ���-- � -3�''
ADDRESS - � �S� t"�`C
OWNER ONTR. ��- ��-��--��
TELEPHONE N0.
� DESCRIPTION �:t,i;`�Y�-��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING �' ��MECHANICAL FINA—L—� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD � �CE 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
? 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:
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� �+WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on site:
,,� .
Inspector.�,�.��C ° �.-��-� �1 j
White Copyllnspector's File Canary Copy/Site Notice