HomeMy WebLinkAbout2002-P05131 - mechanical ITY OF ORON PERMIT
� Permit Number:
2750 Kelley Parkway- PO Box 66 P05131
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: si2i2oo2
SITE ADDRESS: 2224 Shadywood Rd
Wayzata,MN 55391
PID: 17-117-23-42-0003
DESCRI PTION:
Proposed Use:
Pernut Class: General
Pernvt Sub-type(s):
Permit Type: Mechanical Pernuts
DETAILS:
Approved per resolurion#:
Separate permits required: pther-(Run Gas Line)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,253.00
State Surcharge Fee: $ 0.63
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.13
APPLICANT' Standard Heating&Air Condirioning Inc. �WNER: Mark&Susanne Griffm
� 410 W Lake Street 2224 Shadywood Rd
Minneapolis,MN 55408-2998 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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PLICANT PERMITEE SIGNATURE D BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Avt�licant, 1-Monthlv Reuorts, 1-Assessing, 1-Finance Page 1
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APPLICATION FOR MECHANICAL PERMTT �
CITY OF ORONO ;�
Box 66 (2750 Kelley Parkway) ��'
Crystal Bay, MN 55323 4�
�
GENERAL INFORMATION y�
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. Permit cards will be sent by retum 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 ferm provided. Ideatification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a sepzra�e building gemut 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 Commerci n �'�
JOB SITE: �i �Gr � �/ Zip:
Owner's Name: Z h T��l�e hone Number: � � -' ��S�
Mailing Address �-� �- Q �..1� I'� • � fp✓� Zip:
Contractor'sName: elephoneNumber:
MailingAddress: City: Zip:
SYSTEM DESCRIPTION
_�
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HEATING SYSTEMS
Quantiiy: — --------- ---------
Make:
Model:
Fuel: �
Flue Size: r'�
Input BTUs: `�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry 4`
Wood Stove (s) Franklin, other
Brand Name Model No. _ :
Mfgr's Min., Clearances, side , rear , min. flue dia. R�;�
Total �
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VENTILATION �
No. Kitchen Exhaust ducted recirculating �_ cfm �
No. Bath Exhaust (must be ducted outside) cfm �
�,To. Ot��er Fans: I.ocatians �f� ��
Total �
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) :`�
Installation Removal
Fuel oil: gallons underground inside outside ��;�
LP Gas: gallons �`
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Other Gas opening �;�
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PERMIT FEE CALCULATION `�
1. L25% of Contract Price* or Minimum Fee ($35.00) �
x .0125 $ �5�� �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �Zs �, x .0005 $ �
(contract price) §
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications j $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _�'�f , �� f
* 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 are fumished by 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 pemut 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. "'`
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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 state ts made on this application are complete, true
and correct. � ���
Date: l ��—� �
Applicant's Signature: -
Date: �
Approved By: �
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._ . _ .�,.. . ,_-, . , � : _ . s. _...�.e.,�.�.:,R�...
s:-
DATE TIME
CITY OF ORONO � CALLED IN �
INSPECTION N ICE SCHEDULED �S-�
PERMIT NO. � �� . COMPLETED
ADDRESS �� v2����li,l �.��,,`I��
OWNER. G'�� CONTR. ��Cx��(/�,,� f����2•
TELEPHONE N0. �9 �a- Y�/ 7�a_�
� DESCRIPTION �--.� — �y�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAY/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:�ES_NO �y�Jn %,�S�i��C�11
� COMMENTS: ����-�� � v��f-�
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
0 CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46�0
Owner tor on site:
Inspector. ' �
ite Copyllnspector's File nary Copy/Site Notice