HomeMy WebLinkAbout2001-P03630 - mechanical ' PERMIT
^IT� OF ORON�J
2750 Kelley Parkway- PO Box 66 Permit Number: P03630
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(95�) 249�600 Date Issued: 3�22�2ooi
SITE ADDRESS: 2160 Shevlin Dr
WAYZATA,MN 55391
P ID: 03-117-23-34-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
YP Air Conditioning
Gas Fireplace
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DETAILS:
Approved per resolution#:
Separate permits required: i
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NOTICES/REMARKS:
FEE SUIIAMARY: PermitFee: $ 75.00 Valuation: $ 6,000.00
State Surchazge Fee: $ 3.00
Misc.Fee: $ 1.50 '
1V1F1L r1;L: ',�' 79.5U
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APPLICANT: VOGT HEA G&AIR CONDITIONI OWNER: F G LARSON&J M LARSON
3260 GORHAM AVE 2160 SHEVLIN DR
ST.LOUIS P�ARK,MN 55426 WAYZATA MN 55391
TI�UNDERSIGNID HEREB�iC 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 BUII.DING CODE REQUIREMENTS.
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IS D BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERIVIIT
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, manufacturer 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 separate building pemut 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
Residentia! mmercial
Jos srrE: O � s r� zip:
Owner's Name: O Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: TING 8 AIR CONDITIONIN6 TelephoneNumber:
MailingAddress: ST LOUIS PARK MN 5�aas City: Zip:
SALES 929-6767 SERVICE 929-4011
SYSTEM DESCRIPTIOiV'
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HEATING SYSTEMS
Quantity: �
Make:
Model: jC3C�
Fuel:
Flue Size:
Input BTUs: yr, ��
Output BTUs:
CFM:
COOLING SYSTEMS +
Quantity:
Make:
Model: �C l
Tons: 1
H. Power
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WOOD BURNING EQUIPMENT � - Pi � �s�
�F ,R�.�'�t� � A7!l15t.! .�...i *t A�.•.+1'Ya
Wood stove with flue � �� ,�y;. � � y �- >�
�� � 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 , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations 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 �'EE CALCULATIOPI
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
` � x .0125 $ ��.��
(con ract price)
2. State Surchar� ** Add the State Bui m C de Division D�
Surcharge to each permit. �C��� x .0005 $ �-
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �CI, �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 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 tbe 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 Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant's Signature: Date: ��
Approved By: Date:
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Window� and Doors—Cracla e and Ate� � � Window� end Doon---Cr�tkege �nd Area
�-�VIAt� N�If�c Nn.ot In�►1 ft. An� WIAI� H�ILht No.of Lln��l ft. Ar�•
Ne. ef O�M oC 8�n• II�PI� of cr�ct N. !t. 1 I NO. a(Osn• of pan• I II(1�U of cr�ek p.fl.
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Infiltration � � ' D t � , //D lnfiltration
Glass �� �'1 �/�i c�,' Glaia ' -
Ex wall ' '
v 7G � 4.�".'3 �: E�.w.It i
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Ceiling ' I �(P�_y� � Ceiling j 1
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Total Btu. _Z�•�! Total Btu. !
Requir�d �Q. ft. E.D.R. or �q. in� W.A. 1.eader area � jt�i�ed�q. ft. E.D.R. or eQ. in�. WA. Leader arcR �
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I Fl.�sy..c,.�� Room l.eng f� Width ! Height ,� Fl,� Room!ungth VJidth Heig:rt
Wiedow� and Doon—Lrecka e and Area Windows �nd Doon--Cre<kage eod Are�
WId�A Ne1�nt No ot ,.LIn��1 fl. Ar�• Wldt� , Hel�nt No o( Uo��i fi T-Ar�• �
N�. ef Dan• ot p.n• lt�Au uf cr�ek p.(t. Ne. of D�n• � af p�n• !t�nc. , o[or�eM � �� It, i
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Int.w�ll ' ' Int.w�ll `
Ceiling �IY Ceiling '
Floo► ' , . 'Floor
To��l 8��. 7ota1 Bcv. -
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Required �Q. ft. E.D.R. or�q. in . QIA. Leader area ,Requited W. h. ED.R.or sq. in�. CVA.l,eader arca
�� F�!j�J Room �Len th V✓+dtY� �L. Heislst- a' �� Fl, . RAom 4 Length Width Height
Windowe and Doon—Craek ge •nd Aru Windo�w �nd Door}--CracksQe �n�d Are�a .��
N�W�A�n N�i�nt No.ot Lln���tt. Arw• IAt� N�I[ht Ne.o[ I Llw�al ft. ' Ar�• �
f p�n• �p.n• Il�llt• of craek p.fL N�. •(paM of p�e• Utht� •f Cr�tl M fL �
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Exv.wall � ' Etp,wal! i � 1
Net e:p. well A-C. Yet exp•w�ll i �
Tnt.wa�� � �Ot.w��� � �
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Ceiling ;_+� Cet�io6 { � `
�'�oor 'll�"S j +� � � 3� � Floor ; � �
Toc.; Btu. ^ ��,�,, /U Q�. ' ~ Tot�l Stu. ;
Rrqvired aq. ft. E_DR or w. io.. WA. Leader �rc�T Reduited�q, ft. E.O.R or .Q. i��. �L'A. l.e�dcr arc• ;
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D, AT� / TIME
CITY OF ORONO CALLED W �
INSPECTION N IC SCHEDULED = -� r� 3�'
PERMIT N0. G� � � COMPLETED � ,
ADDRESS vZ� � � X���
OWNER ���-F�- CONTR. �� �C
TELEPHONE NO. ��� v� ��- � � ��
� DESCRIPTION �'c_ � � �,,.,�� c'z,�C ��
LU 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING �fE'�`HANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOFi TO MEET YOU:_YES_NO
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� COMMENTS:
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�ORK SATISFACTORY:PROCEED C PROJECT COMPLETE
� [`CORRECT WORK&PROCEED C'. ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECTUNSAFECONDITION WITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
C7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr tor on site:
Inspecto�%G �� �LJ�
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