HomeMy WebLinkAbout2003-P06135 - mechanical ,� PERMIT
CITY OF �RONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06135
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3i2g�2oo3
SITE ADDRESS: 2314 Shadywood Rd
Wayzata,MN 55391
P I D: 17-117-23-44-0073
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-rype(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,674.00
State Surcharge Fee: $ 1.34
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.84
APPLICANT: Dependable Indoor Air Quaility Inc. OWNER: Steven&Karen Morkrid
2619 Coon Rapids Blvd 2314 Shadywood Rd
Coon Rapids,MN 55433 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.
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APPLICA PERM[TEE SIGNAT E ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Aoplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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i "' CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
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Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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. 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, manufactur�r and model.
Data shall be presented on form provided. Ideatification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a sepa����te buil�ling pernut must bc abtainecl.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requiremenu. ,
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 fmal.
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.
V Please check one: New Addition Repair Replace
Residential Comm cial ��''��
' Zip: �
, Jos srrE: �i�J� l� �1'1c�rlti���oocl
Owner's Name• �-��z (�1O2 k+�C1 • Telephone Number: �1 ;�-•�/ /-
Mailing Address:�3 i�i Sh��wcx>d IZ � • City: ���»'10. Zip:
-� Tele honeNumber: `{��
C o n t r a c t o r's Name: Q e p e Y ti�+4�1 P �i,v��:��1 /��Z P
MailingAddress:�L I�i (`�:G��'1 /ZGD i�a�1���:Ga �5���it,U City: ���n���C�.S Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS �
Q'1aIIt;t`,�:
Make: -��n i+Rr�l
1VIode1: ��,�r�j1��(L
Fuel:
Flue Size:
Input BTUs: (�r��(�O[� -
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make;
Model:
Tons: -
H. Power
1
WOOD BURNING EQUIPMENT
�Vood stove with flue
Wood combination or add-on
Factory fireplace with flue �
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , mi.n. flue dia.
Total
VENTILATION
. No. Kitchen Exhaust ducted recirculating cfin
No. Bath Exhaust (must be ducted outside) cfm
No. Qther Fa�s: I.,c�ztio:,� cfm
. Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ���`�
�(�7"� x .0125 $ U
(contract price)
2. State Surcharge. ** Add the State Buil ing Code Division �
Surchai•ge to each permit. 7 x .0005 $ � °
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ � � -
* CONTItACT PRICE or JOB COST means ttie actual or estimated dollaz amount charged for tne pemiitted
work including materials, labor, profit, and other fued costs. It is ihe amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are 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[here is a dispute on the amount of the job cost,
the Ciry 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�-iry for i ce o echanical Permit, agrees to do
all work in strict accordance ,i���ord' s o�;the Ci regulations of the Minnesota
State Building Code, and ' es a tateme de on 's a plication are complete, true
and correct. �.___� _- --'
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Applicant sSi
Approved By: Date:
V
AT TIME
CITY OF ORONO CALLED IN --�-x " �
INSPECTION NO��E SCHEDULED d 7 '
PERMIT NO. COMPLETED
ADDRESS I �� I`� '�
OWNER .Stz I/P.� ���'IC��� CONTR. `-���f'�- ,
TELEPHONE NO. �S a �7/ /���
� DESCRIPTION ! +�' � nG''`�
� 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLINCa
Q 02 FRAMING 13 MECH AL FI 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPL4INT
v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FI 35 HARO COVER REMOVAL
v UMBING FINAL . � 36 FOUNDATIOWREMOVAL
OWNE CONTRACTORTOMEETYOU.��YES_NO
� C MENTS:
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W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContract i :
Inspector.
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