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Home My WebLink About2005-P08752 - mechanical CITY��F ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: po8752 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 Date Issued: 5/19/2005 SITE ADDRESS: 1265 Shoreline Dr Unit# Wayzata,MN 55391 P�� 02-117-23-34-0010 DESCRIPTION: Proposed Use: Residenrial Pernvt Class: General Pemut Type: Mechanical Pernuts Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Sepazate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 160.06 valuation: $ 12,805.00 State Surcharge Fee: $ 6.40 TOTAL FEE: $ 166.46 APPLICANT: City View Plumbing&Heating OWNER: Terri Jenstad&Gary Petersen 1880 B Wayzata Blvd W. 1265 Shoreline Dr P.O.Box 150 Wayzata,MN 55391 Long Lake,MN 55356 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. i � APPLI T PERMI EE SIGNATURE � � G� ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r ra FOR CITY USE ONLY 1 ,�` City of Orono � � O'¢'��YO Date Received: Permit# P.O.Box 66 �;,,,,� 2750 Kelley Parkway a '�j`!?h,�?., � Crystal Bay,MN 55323 Approved By: Amount�: �� '��,yj�+i,�$o~ (952)249-4600 �$sxa CITY OF ORONO-MECHANICAL PERMIT (All Commercial perniits must be approved by the Building Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Peinut cards will be sent by retuni mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERivIIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating,ventilation,htmudification-dehunudification, and air coi7ditioning 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. 4. When any new consn�uction or remodeling is involved, a separate building pernut 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(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 ply) [�Residential ❑ Commercial(Approval Required) ❑ 1�Tew ❑Additional ❑Repairs [�Replace Job Site/ Owner Information: Site Address: �� -� s�0�� 1�l�1� �l J � Owner: l�Gt�C�� { ��'�SO� Mailing Address: 54; Yy'�"� City: �C OY�� Zip: S � 3� I Home Phone: � ��=�� 'a�� Alternate Phone: Contractor Infornzation: Contractor:�� I�� ContactPerson: �Vah� ��rl/'i 'I�Yv Address: ��G Q �•�aY�� 'VO� State Bond#: I�-I b3�� I � City: L4/'� � 1'� �, Zip:�3S-bExpiration Date: Phone: CIS� �'S�3$�� Alternate Phone: b/� ��"�3lr� ❑ Insurance-Current: 1 � MECHANICAL SYSTEMS BEING 1NSTALLED � _ �'� . HEATING SYSTEMS Quantity: � Make: ��(?�(I�j � Model: � � Fuel: �o� s Flue Size: 3 ��T'v� Input BTUs: ' d �Q� Output BTUs: I a�I�00 0 � �o;)e� COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FiRF,PLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ' ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin � � � �� ❑ No. Bath Exhaust(inust 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: � ` 2 , � . ` :� k � �. �. ., �; . � � � : . � �. r t . . � ' PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The 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. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeov�nier or licensed connactor. Skip next section, if this applies; Cost of Pernut $ 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 L25%of contract price with a(Minimum Fee of$35.00) �c��J�O x.0125 � (contract price) (minimum 535.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ _ (conh�act 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 meaiis the actual or estimated dollar amount charged for the pernutted 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 puiposes. 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. MECHANICAL 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. ✓ q Q� Applicant's Signature: Date: � 3 � T TIME '/ � � � V CALLED IN INSPECTION �y v SCHEDULED "o� 10.�30 PERMIT NO. �/ �/ O COMPLETED ADDRESS �a�S S � � OWNER CONTR. C� Ul(�7 TELEPHONE NO._ ��a�O�S oZ�� DESCRIPTION_�� "��—�/'l,��l�I� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 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 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d � ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �; pHOTO TAKEN INSPECTOR WILL RETURtJ ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlCon o s te: Inspector. White Copyllnspector's Fite Canary CopylSite Notice