HomeMy WebLinkAbout2005-P08777 - mechanical CITY OF ORONO PERMIT
2750 KelleyrF�arkway- PO Box 66 Permit Number: P0877�
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)2�9-4600 Date Issued:
5/25/2005
SITE ADDRESS: 1265 Shoreline Dr Unit#
Wayzata,MN 55391
P��� 02-117-23-34-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pernvt Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00 valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 104.00
APPLICANT: Absolute Heating&Cooling,Inc. OWNER: Terri Jenstad&Gary Petersen
1085 Brown Rd. S 1265 Shoreline Dr
Wayzata,MN 55391 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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), I-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
�
FOR CITY USE ONLY
� City of Orono
O'Q�'�'�'O Date Received: Permit# i�
P.O.Box 66 •,f
, � 2750 Kelley Parkway �
,� �������;>> �• Crystal Bay,MN 55323 Approved By: Amount$: �
, � ����r��.$o (952)249-4600
�seaoa �
CITY OF ORONO-MECHANICAL PERMIT ��
(All Commercial pennits must be approved by the Building Otticial or Inspector and/or Fire Marshall) j��a
�.
GENERAL INFORMATION :�
�
l. You may apply for mechanical pennits by mail or in person at the City offices. Applications will ��
be reviewed and a permit will be issued within two working days. �
2. Pernut 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 Desi�ns—Complete calculations, details and specifications are required for each
heating,ventilation, hunudification-dehunudification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to ',%'
type,manufacriu�er and model. Data shall be presented on form provided. `''
4. When any new consriuction or remodeling is involved,a separate building permit must be
ob'tained.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
� � (Check All That A ly) �
�Residential ❑ Commercial(Approval Required)
❑ New �Additional ❑Repairs ❑Replace
Job Site/ Owner Information:
Site Address: ��� ��U�-t-L� �� ��-i
Owner: �"2-� P���2S ��`3 Mailing Address: ��ZA'��
City: C�j�sJ c� Zip: S��`��
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �Sa��� ���C�r Contact Person: �_ ���f��I
Address: Ic��S ��.-���� S , State Bond#:
City: �o�1c3 Zip:�3a 1 Expiration Date:
Phone: ���- ��� S�O� Alternate Phone: ��L- `��� �o�
❑ Insurance-Current:
1
�
•
MECHANICAL SYSTEMS BEING 1NSTALLED �
.
HEATING SYSTEM5
Quantity: � }
Make: �S�,Q�rv� A-tJ
Model: �q � — 0��
Fuel: � ��
Flue Size: �- \ Q�L
Input BTUs: �O �
Output BTUs: �`� k--
CFM: �►.��i '
COOLING SYSTEMS
Quantity: `
Make: �.Ar-�
Model: �� �'`'
Tons: �/"L ��`J
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming Fireplace
, � ❑ Wood Stove
: ❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. � Kitchen Exhaust duct recirculating � cfm
❑ No. �� Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
_ FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
_ Other:
� GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
� �
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,
' �� - ' :� �
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PERMIT FEE CALCULATION(S)
� BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee 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 connactor.
Skip next section,if this applies; Cost of Pern-ut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minin2um Fee of$35.00)
�
���j('� x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
a�
�C�Y'X� x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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 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 installations 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 pmposes. 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 Building Department at(952)249-4600 for the price.
MECHArTICAL PERMIT APPLICATION AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
A licant's Si ature: Date: '�/Z5/O S
P� �
3
�i� DATE TIME J
CITY OF ORONO CALLED IN
INSPECTION I SCHEDULED
PERMIT NO. 7 COMPLETED �_ '
ADDRESS �
OWNER CONTR.
TELEPHONE NO. 9.5�-- T 7.3 S �a
� DESCRIPTION � / `�� � �C D
� 01 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 WATEA HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGfiESS
� 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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector. / . f���
White Copyllnspector's File Canary CopylSite Notice