HomeMy WebLinkAbout2005-P08793 - mechanical � PERMIT
C�ITY OF ORONO
2 i� Keiley Parkway- PO Box 66 Permit Number: po8793
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/1/2005
SITE ADDRESS: 2L55 Shevlin Dr Unit#
W�yzata,MN 55391
PID: 03-117-23-34-0006 ,
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DESCRIPTION:
Proposed Use: Resideritial
Permit Class: General
Pemut Type: Mechanical Pernuts Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Pem�it Fee: $ 35.09 va�uation: $ 2,807.00
Statei Surcharge Fee: $ 1.40
Misc Fee: $ 1.50
TOT L FEE: $ 37.99
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APPLICANT: Ditter Inc. OWNER: Mr. &Mrs.Paulson
820 Tower Drive 2155 Shevlin Dr
Medina,MN 55340 Wayzata MN 55391
THE UNDERSIGNED HEREBY QUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WO IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING COD REQUIREMENTS.
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APPLICANT PERMITEE SIG TURE ISSLTED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT ��✓/ �j�
� Page 1 of 3
' CIT�'OF ORONO APPLICATION FOR MECHANICAL PERNIIT
f Boz 66(2750 Kelley Parkway)
Crystal Bay,MN 55323
GENERAL INFpRMATrON
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 two working days.
2. Permit cards will be sent by retum mail after a review is completed.PEItMITS qRE NOT VALID UNTIL YOU
RECENE A PERNIIT. WORI{11NST NOT BEG1N UNT(L,Tf�pERMIT CARD IS POSTED ON THE JOB STTE.
3. Mechanica!Designs -Comp ete c cu ations, eta.i s an spec cations are requi or eac eating,ventt alaon,
umi i �cahon- ehumidification,and air conditioning installation including heat loss/heat gain calculation,design
temperatures,equipment ratings and identification as to type,manufacturer and rnodel.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,
S. All work must be done in accordance with the Uniform Mechanical CodeJState Building Code requirements. . �
S. All work must be inspected(rough-in and fina,l).Call(952)249-4600.24-hour notice required.
7. House Heating Test Record must be submitted before fina1.
Iastructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.INCOMPLETE
APPLICAT'IONS WILL NOT BE PROCESSED. If you have questions,call (952)249-4600.
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Please check one: New Addition Repair R.��_" Resi�atial Commercial
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JOB SITE: ,�'}f`7 ,� � - � r '_ '— �'
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Owner's Name: �T���^�'�_ � �p'
�� � ��' P ione Number:_ ;�-�--.� � ��,�--- �/r� ��
Mailing Address: , �_ ` ,—�--T--�.-�
_ Ci�3'�.�����.� zip:___�;�--7-�-�/
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Contractor's Name: f' � -��, �-, f. Phone N�{aaber• ;/ . -' ����- `/��� ��
MaiIing Address: �����,�_,y�! �,��r___.__��3': ' � F 7�ip: �;E
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel: -------_ _--
Flue Size: �,_. ___.-- ��
Input BTUs:
Output BTUs:
CFM:
�i i r ur vxvlvv KrrLi�H 1 iviv r vx rvt�t;t�viLai.r r��civtt 1 Yage 2 of 3 ,,,�
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COOLING SYSTEMS '
Quantity: �
Make: ��11� �„��w.:; ,�
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Model: "-%� T �� � �
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Tons: �
H.Power
FIREPLACES
Gas factory fireplace
Woo�l burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
Na ---.Kits�ten Exhaust duct recalculating cfm
No. Bath Exhaust(must- ►ave duct outs�de) cfm
No. Other Fans: Locations �� �
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installatior�or Removal
Fuel oil: `ga ons --inside outside
LP Gas: gallons
Other Gas opening
PERMTT FEE CALCULATION(S)
3002 State Statute Yes This Section Applies
fihe 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) as a total cost of$500.00 or less;excluding the cost of the fixture or appliance:
and
3) Is improved, instailed or replaced by the homeawner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$
Mail-In Fee $
a ove oes not app y, o ow gui e �nes e ow: > � ;
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1. Contract Price* is .O l25%of job with a Minimum Fee of��.35.00) �,�j
------ �.. —,��" ._�`-- �
=>� i � X.0�25 $ ���
(contract price) — - (minimum 535.00) ----
2. State Surcharge. ** Add the State Building Code Divi�;�on a Minimum Fee of($.50)
_ . _.___....__`._ / ,,-� . .
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.�i. � f x.0005 $ � ���
�i r r ur vttviv v tirrLi�H i i�iv r vx ivi��nt�v i�t�L r�tuvii i Yage 3 of 3
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� � , (contract price) (minimum$.50)
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� Postage and Handling(Only mail-in applicat�ons) $ i�.5�,_
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4. TOTAL PERMIT 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 instsllation 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 Minnes�a State Buil�ying Code,and certifies that all statements made on this application are complete,true and
correct. � �� I __--- � `;
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Applicant's Signature:�� �` `'�t,'��`1�`` �Date: �� �f� �'�%
Approved By: �, Date:
file://C:�Documents%20and%20Settings�mimilDesktop\CITY%200F%200RON0%20APPLICA... 7/31/2003
� � DATE TIME �
CITY OF ORONO CALLED IN � �/�
INSPECTION NOTICE SCHEDULED ln/----�Z7'/C� /n��t1
PERMIT NO. �'bFS' � COMPLETED
ADDRESS 6� l.�"��: �,�0 i/�%v� D��
OWNER CONTR. ���E/2—
TELEPHONE NO. ��' � �� ��I� ��
� DESCRIPTION ��� /�-� G� �f
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SE TI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE �
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952� 249-4600
OwnerlContractor o i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice