HomeMy WebLinkAbout2004-P07480 - mechanical � PERMIT
CIT��OF ORONO
2750 Kelfey Parkway- PO Box 66 Permit Number: Po�aso
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249-4600 Date Issued: si��2ooa
SITE ADDRESS: 1489 Shoreline Dr
Wayzata,MIV 55391
PID: 11-117-23-23-0009
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 687.50 Valuation: $ 55,000.00
State Surcharge Fee: $ 27.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 716.50
APPLICANT: Kleve Heating&Air OWNER: Raymond&Nylene Newkirk
13075 Pioneer Trail 1489 Shoreline Dr
Eden Priaire,MN 55347 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 ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
C�'l.l.t�l_Y lifi ���K.�e.,�.
APPLICAN PE TEE SIGNATURE I SUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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�` �ECEIYED SEP 1 g 1D01
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATTON
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Permit 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 UNTII.THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs -Complete calculations, details and specifications are required for each heating,
ventilation,humidificarion-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. 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.
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-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 WII.,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one:�] New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: � r2, �l n J,.��1 VQ, z�p: �5��q I
Owner'sName: t��{�� F ( �ppp� /��n PhoneNumber: /2 — � cj�l�
Mailing Address: /g�I�Q Nj i n�1�Q pn�fl City: i(,'�'���C�Zip: 55 /
L3l�d.
Contractor's Name: Kleve HVAC znc Phone Number: 952-941-421 1
l�7ailing Address:13075 Pioneer Trail Cj�,; Eden Prairie Zjp; 55347
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 2 �
Make: L Q d C. LQf���
Model: f ►�(fi� ' J� ��3°
Fuel: f 'Y 1 Q� �
Flue Size: � �� � ;q
Input BTUs: ��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: LL.nn��L L,�.,�tnn
Model: ����(y -� � �5�U! `�2�
Tons: �,
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fueplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION •
No.�_Kitchen Exhaust duct recalculating cfm
No.��Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑LP Gas: gallons
❑ Other Gas opening
2
� 4
\,
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PERivIIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three 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 homeo�vner or licensed contractor.
Skip next section; Cost of Pernut � 15.00
State Surchar�e $ .50
Mail-In Fee y $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Nlinimum Fee of($35.00)
C� G
� r — x .012J � ��7• `��
(contract price) (minimum 53�.00)
2. State SurcharQe. ** Add the State Building Code Division a vlinimum Fee of(� .501
� 5 � � x .000� � �Z�.�'�/
(contract price) (minimum S.50)
3. Postaae and HandlinQ (Only mail-in applications) � 1.50
4. TOTAL PERVIIT FEE (Add lines 1-3 above) � ��(D� -r�- �
'CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,
equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items
must be added to the estimated cost or contract price for peanit fee purposes.In the event that there is a dispute on the amour.t of
the jcb cost,the Ciry may request the submission of a signed copy of the actual contract.
**The STATE SURCHARGE is.0005 of the conttact price under 51,000,000 or$.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,a�rees to do all work in strict accordance with
the ordinances of the City and the regulations e Nlinnesota State Building Code,and certifies that all statements made on this
application are compieteh'tru��d correct. �
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Applicant's Signatur • Date: Cj- � ' �Y')
Approved By: J
Date:
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4rn.e � < Address Plan��-�- ' Data�.. �
HEA7 LOiS CALCULJ►TIONS
±otal Heat Loss �� i S�J =Total Btu Input ( All windows d doorf ue w��thKstripped
� ,.,.
) FI/�I � Room � Lgth. • ••Wth. , ,. Ht.°1 ;t FI!�J��,' �:r'f `_'u<. Room I Lpth, , ••Wth. � " Ht.i�'
Na Width N�pltt No.o1 LiMNft. ArN Width H�pht NO.o1 UMMIt. AeN �
of p�e�e of Oane liqhtt o1 enck �q.ft. N�� of p�rw oi p�rn I U o1 enck
W.}t. �
�� -� a � � 3 �-r /� � �-�' ��. . I � :. �
.� =,:? �� i — � � ".� _ ! ._... / , �=
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f �� ,- i �'_ J7 L7 � - ; �` ! �-�7, !-�
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S C� r c� � ._ � �j � �/ P �.' r)�
S , a' �
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! ` —
_'�� 9 a ��/doon � .Z �L� Coe1. BTU T.. T�- ��j f 1d�Ot � CM/. 8TC!
�liltntio�Windows a'�. ~� �ry' � InfHtnibn Winaow� ��' � ! �v_r'J
,hlv�tion W/Ooora � 118 � � Infiltntioe W/Doas 178
niihntion S/Ooon » InfNtntion 5/Doors 71
:o.Wall � £xp.Wdl �� r I I
�lan d Doon �: �� � �_ _ Glw 8 Doors 'r j ! 34r48 r .- � .�
: � y�-r�" I �.^r " - � �r
ioc E:o.ridi ' b�i l� � � N�t Exo.WNl 1 1 ��. � i �:�.✓
} 4j�6 /� Z� LJ :�1. '�J6�
,.,.�c,�, �,' fU�:: �
I�ir,nq �3 2; / � I Gilirg `1 i 5,
,� �� � - �
��` � 7370". ��,� �,_. , Flow i -3 3
` j � I 7 10 �
�o�ai 9tu. I^'+';�j"� Total Biu. I 1 I �� � ,
t 1
=1. /�,3-'S � r„,�� fioan � Lpth. . ••Wth. , .. Ht. � ' � F1. `� � ?oom ypth. , ••Wth. . •• r�t� ,
No. �'� M��� No.of LirwNft. Ars� W�dtn H�iqMt No.of LlrwMft. An�
al p�n� of p�ne 1' n of enck p,ft. N�• of p�m ol p�m I b of ufck
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/ � i� C.��/doon �� � (� �oN. BTU I /doon � Ca�f. 8TU
+iRt�atbn Windows � � �!r(�'� Infih�suoo Windowi � • � j U'-1.
�
,fihrnion WlDods � 118 ?
�(� �������, Infikn2lo�W/Doon I / /� 718 �G��
(o
,��icntion SlDoon -^> I 71 � :� ;"'c Infiltrnion S/Doon I 77
ip.%WII �(/ 1 ,� Exa.Wall � -C<
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��w.3 000.. � ��3�48 � � �-, �� � �,�g � -. -
J a` � ..� / � �; .,o GIM�S Doon r LJ � �( / ';�(
i�t EYa.ri�ll :.i -_8 7 �,.� r '� /i _� � i _.
� 01� `,4 ,6 • . N�t Exo.Wdl � I �� %$ �_y �/
• !�� / `�.X� ,,.�' l �;(,�
,�r/,y 24f 3 �'J Cs�ii�q ��:�� ��j Y � %
�oor 7 10 F Ioor 7 1
'otel Btu. � ^ ^ �
` `� �' ;"� Total 8tu. �.S :x ! j
c'✓:-.•• �/`�--, Aoom I Lgth. • ,•,lVth. , ,. iit.: ; , ,•� �I. Room I lgth. , ,•Wth. . ,• �' ,
NO. W�dt� ��`�'� No.o� LirwNft. Aras WiAth H�ipnt No.of Lin�Mft. An�
01 p�ne o1 p�na li t+ ot�rack �q.tt. N�� of p�n� of Dane liphts ot cr�ck q.ft.
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tflvauon Windows � �-( �� Inliltr�tion Wiadpw� '�il, ��!_f . �^ �,f/� 3� f�(�
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���trat�on W/Door� 118 Infiltntion ri/Doort � � � •. •. �� � 7 78 1 (�
/ GC �-iI� - � a-Ja � o`
e�hnNon 5lDoon �-�Lt� �� < % x'.i Infiitrotion S/Ooors I��" ��G � ,� �S /j,G�� 71 , ^(,(�
=o.wai� . ' �y J
.� Eav.Well �;1��J;�1 ._. ..
i�u b Ooors f�'� ! 3`�A8� " J r,
I i ,( ����-.. , Glaif 5 Doors . ���v'_4 34-�+ ��,
�t c.:u. �vail - j �I ��^�`--�� ---�— 1 ' -•
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DATE TIME V
CITY OF ORONO CALLED IN 7-'6��
INSPECTION NOTICE SCHEDULED � ' 7 �otl�
PERMIT NO. � ���� COMPLETED
ADDRESS � /1�
OWNER S� � ��e�� CONTR. ���c.- �_.
TELEPHONE NO. �5��' 9�{�^ �i'�•��/
,
� DESCRIPTION ��� `� �-� ��,
� 01 FOOTING ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 AL 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
c�., COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
�STOP ORDEH POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (g52) 249-4600
OwnedContra�o te:
Inspector. '
White Copyllnspector's e Canary CopylSfte Notice
�C I� DAT TIME �
CITY OF ORONO ���� CALLED IN
INSPECTION NO CE SCHEDULED � �
PERMIT NO. C� COMPLETED
ADDRESS �`��g S/� U�'� l�� e �/'�
OWNER CONTR. ,
TELEPHONE NO. ��� g�� T��
� DESCRIPTION ��� �'�� �����'`.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: j� /� C���'L ILD
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOF REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (g52) 249-4600
OwnerlCopU`� n ite:
Inspector. <
White Copyllnspector's Fi e Canary Copy/Site Notice
�f TIME �
CITY OF ORONO CALLE������ ` ���
INSPECTION NO�CE �/�y/� SCHEDULED �
PERMIT NO.__��TbU COMPLETED
ADDRESS g� 5G� or��i r� re.
OWNER CONTR. �'�'� ����i
.�TELEPHONE NO. /c� v� � �I - ?"�-I�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITfON WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUiRED.CALLTOARRANGEACCESS.
Ca11 for the next in ction 24 hours in advance. (952� 249-46�0
OwnerlContract ' e:
Inspector. _
White Copyllnspector's File Canary CopylSite Notice