HomeMy WebLinkAbout2002-P05740 - mechanical ,
CITY F R � PERMIT
� � � � Permit Number:
2750 KelleX Parkway- PO Box 66 P05740
Crysta�Bay, Minnesota 55323 Permit Type: Mechanical Pemuts
(952) 249-4600 Date Issued: ioii�i2oo2
SITE ADDRESS: 217o Shevlin Dr
Wayzata,MI�155391
P I D: 03-117-23-34-0018
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: MechaniCal Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolurion#: �
Sepazate pernuts required:
NOTICES/REMARKS:
Duct Work
FEE SUMMARY: Permit Fee: $ 52.50
Valuation: $ 4,200.00
State�urcharge Fee: $ 2.10
TOTA,L FEE: $ 54.60
APPLICANT: City View Plumbing&Heating OWNER: Mr.&Mrs.Wiens
1880 B Wayz�ta Blvd W. 2170 Shevlin Dr
P.O.Box 150 Wayzata MN 55391
Long Lake,N�N 55356
THE UNDERSIGNED HEREBY R�EQUESf S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WOR�IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE�tEQUIREMENTS.
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APPLICANT PERMITEE SIGIIIATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
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� CITY OF ORONO APPLICATION FOR MECHAlVICAL PERNIIT
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 instaliation 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 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 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 Commercial
JOB SITE:��� � S!; P J � ��,���- _ Zip: �� .5� )
Owner's Name: '��r�� a �, `�a 1^,�Q1r- TelephoneNumber:
Mailin�Address: '� �=��' _ �'''' `-( -
�� ���zr�.�,- � �? City: `"��. ; zip: :��3� .�
Contractor'sName• C;' �J�e_,,.� I �� -� �� TelephoneNumber "� �-�i '-- '� � 1 �
MailingAddress: �) ��h I \) City. �:..:-rr ., ' r ,/:, Zlr , ,, _ �:�
SYSTEM DESCRIPTION � � � � �' �t� � � E� � � `�,i � �/, �� '�
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�,_� -�-�-���C � � 1 � � � � -- ��
HEATING SYSTEMS ,�; ,t��� r�:�`, � �,:) �°.'��J ������'��`��'��"
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Quantity:
Make:
Model:
Fuel:
Flue Size:
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
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
4
f
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
pER.�I1�' FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
. � X .o12s $
(contract price)
2. State SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materiats, 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 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 Inspectionai 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 Ciry and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. �
� Date: 1 D ) � ��
Applicant's Signature: �� � �.�
T
Approved By: Date:
C/J�`�' � ��
�'D TIME
CITY OF ORONO CALLED IN
INSPECTION T CE SCHEDULED ?i
PERMIT N0. � ' � COMPLETED
ADDRESS --� � —] �:' ���j�' � 1 ,til I��-
OWNER CONTR. � � C.,�
TELEPHONE NO. �, �� PI��.��'Y��,j
� DESCRIPTION � �
� 07 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 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 FINAI 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
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� COMMENTS: �1`. � C�' �
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORAECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
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