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HomeMy WebLinkAbout2003-P07057 - mechanical ITY F R N PERMIT C � � � � Permit Number: 2750 Kelley P�rkway- PO Box 66 Po�os� Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-�60b Date Issued: 12�3i2oo3 SITE ADDRESS: 2229 Shadywood Rd Wayzata,MN 55391 P I D: 17-117-23-43-0144 DESCRIPTION: Proposed Use: Residenrial Pernut Class: General Permit Type: Mechanical Permits Pernut Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernritFee: $ 103.84 Valuation: $ 8,307.00 State Surcharge Fee: $ 4.15 Misc.Fee: $ 1.50 TOTAL FEE: $ 109.49 APPLICANT: Ditter Inc.&Ditter Properties OWNER: Pat&Sarah Donalan 820 Tower Drive 2229 Shadywood Rd Medina,MN 55340 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. ��' l�� �� APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1 �jt-TY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 1 of 3 # CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal�ay, MN 55323 I�ECEIVED GENERAL INFORMATION �E� � � ���� 1. You may apply for mechanical permits by mail or in person at the City offices. Applicat������ed and a permit will be issued within two 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 Designs -Complete calculations, details and specificattons 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(952)249-4600. 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 (952) 249-4600. Please check one: New Addition Repair Replace Residential Commercial JOB SITE: �ZZ`% ��CF�y���Dv�Q �OLt�• Zi �33` � P� � Owner's Name: �f- 4 S(���, I�,n��a i1 Phone Number: Mailing Address: ZLZ�� Sl��/k��A�r�n�� L�i;c�[� City: (;�vur�L; Zip• ��3� f i Contractor's Name: .� -� C - Phone Nu ber: ?�- �(�� -�j��,�' Mailing Address: �,2� l c'�c.�/� �,� City: r'1� � « Zip• �S�y t�+ SYSTEM DESCRIPTION HEATING SYSTEMS � Quantity: Make: �'r�� Model: �J�(I�'(�� �,l Fuel: Flue Size: In ut BTUs: ^� P �����}�l.� —� Output BTUs: CFM: file://C:\Documents%20and%20Settings�nimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 l.11 T Vt' VI�VIVV HYYL1l,H11V1V t'VK 1V1�1,riH1V1l.;HL Yr,K1V111 Yage 2 0� ► COOLING SYSTEMS " Quantity: Make: � f �' t ModeL• �I � � Tons: � L H.Power FII2EPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. Kitchen Exhaust duct recalculating __ cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) Installation or Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening 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;excluding the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ _ 15.00 __ State Surcharge$ .50 Mail-In Fee $ 1.5�— I�a�ove oes not ap yp �o[�w gui e mes e ow: 1. Contract Price* is .0125°/a of job with a Minimum Fee of($35.00) ------- - — ,�C cv x .0125 $ � �1J• �Ll __-- ----- -__ — _ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division aMinimum Fee of($ .50) - ----- — �- r � c�ii x .0005 $ `I � �, �' file://C:\Documents%20and%20Settings�mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 l,l! �Vt' Vl�V1V V HYYL1l,H 11V1V I'Vl�1Vl�l,riH1V1l,HL Y�K1V111 Yage 3 of 3 � (contract price) (minimum$.50) , 3. Postage and Handling(Only mai[-in applications) $ _ 1.50 --- -- -- > 4. TOTAL PERNIIT FEE(Add lines 1-3 above) $ _ ���� �/ *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 is furnished 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 permit 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 issuance of a Mechanical Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Min sota State Building Code,and certifies that all statements made on this application are complete,true and correct. � A licant's Si nature: I � Date: �_�/�/�.� PP g �1-�-_ _I��—_ — A roved By: -� _ Date: _ ___ PP ------ -- file://C:\Documents%20and%20Settings\mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 �� a ✓ DAT TIME CITY OF ORONO CALLED IN I2' v INSPECTION N ICE SCHEDULED � �3b PERMIT NO. S COMPLETED ADDRESS � OWNER NTR. � TELEPHONE N0. ��3 T Z� 7ScJ b � DESCRIPTION �(�'�-- � � 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER7FIREPLACE 34 TREE REMOVAL Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 OEMO-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 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W C j O a � O � W � Q � 2 W � W � � � d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑COHRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR HEINSPECTION TEMPORARY V BEFORECdVERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN �STOP OROER POSTED.CALL iNSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (g52) 249-4600 OwnedContra site: Inspector. White Copyllnspector's ile Canary CopylSite Notice