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Home My WebLink About2007-P10832 - mechanical PERMIT CITI� O� ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10832 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 Date Issued: 3/19/2007 SITE ADDRESS: 1860 Shoreline Dr Unit# Wayzata,MN 55391 P�� 10-117-23-42-0004 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 78•�5 Valuation: $ 6,300.00 State Surcharge Fee: $ 3.15 TOTAL FEE: $ 81.90 APPLICANT: Contractors Building Supplies LLC OWNER: Troy Broitzman 4060 Maple Hurst Dr S 1860 Shoreline Dr Rockford,MN 55373 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. l� v ! APPLI ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE :' Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � ''. . •� �OR C[TY USE ONLY ,�p�\ City of Orono O o� P.O.Box 66 Date Received: Perniit# : �;n:.;.} 2750 Kelley Parkway a �h��?.�„r'� � Crystal Bay,MN 55323 Approved By: Amount$: ��';,,��`��y.a.$o (952)249-4600 dy+�go CITY OF ORONO—MECHANICAL PERMIT (All Commercial perntits must be approved by the Building Official or Inspector and/or Fire Maishall) 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 two working days. 2. Permit cards will be sent by i�eturn mail after a review is completed. PERMITS AR.E 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, humidification-dehumidification,and air conditioning installation including heat]osslheat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and mode}. Data shall be presented on form 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�nal}. 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) �j Residential ❑ Commercial(Approval Required) � � New ❑Additional ❑Repairs ❑Replace � � Job Site/Qwner Information: Site Address: ( � � /`��i ��! Owner:1xi��i�-�'J��j Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: f r'� / Contractor: �U��LIL�'� !�� Contact Person: � /4� %� Address: ��Ga/ti�LFi��fD�State Bond#: / Z i � / �� City: �! Zip;��N Expira�ion Date: , U 8 � Phone: �� 7��b Alternate Phone: ,�/z- �SD Co 9�� Q��- G/Z. �;�� ❑ Insurance—Current: 1 � � I � \ � ♦ MECHANICAL SYSTEMS B�ING INSTALLED . HEATING SYSTEMS � Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Wood Burning Fireplace � Wood Stove n��Z p,� l Wood Stove With Flue �cJ—�� j�' �'v Brand Name;/�/�TIi�T�� Model No.: VENTiLATION �j.�-i / �� / / �l' 7 � ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ 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 � - . , PERMIT FEE CALCULATION(S) BASED'OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of tl�e 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]lomeowner or licensed contractor. Skip next section, ifthis applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50. Total Permit Fee $ PERNIIT FEE CALCULATION(S)-JbBS OVER`$500.00 If above does not apply; follow guidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) /0�� , �O x .0125$ (conh•act price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HA;•:`:i_ING(G;.ly on Mail-In Applications) $ ].50 4. TOTAL PERMIT FEE(Add Lines l-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 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 Building Department at(952)249-4600 for the price. 1VIECHANICAL PERMIT APPLICATION'AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance witli tl-ie ardinances of tl;e City ar�d the regulations af the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � Applicant's Signature: Date: � b 7 3 Minnesota Department of Labor and i�dustry Construction Codes and Licensing Division L T Building Codes and Standards 443 Lafayette Road N.,St.Paul,MN 55155-4341 ' � . Phone: (651)284-5068 Fax: (651)284-5749 www.doli.state.mn.us TTY: 651 297-4198 .• � Work covered by the State Mechanical Code(Chapter 1346): BOND NUMBER: 929413686 including gas installations, heating,ventilation,alr Amount: $25,000 condttioning,fuel burning�refrigeration(GMVACR) EFFECTlVE DATE: January 16, 2007 Pursuant to the terms of this instrument Contractors Building Supplies LLC �as Principal 4060 Maplehurst Drive South with its prinapal o�ce located at:(address,city,state,zip) _ Rockford, MN 55373 _company phone number. 612-850-6996 �and _ � � �_�,a corporation licensed to transact a surety business in the State of Minnesota,with its principal office located at 101 so. Phillipps Avenue, Sioux Falls� SD 57104 as Surery,their successors,assigns,and legal representatives are held and finnly bound,joinUy and severally,to the State of Minnesota and any third party sustaining financfal loss within the terms of this bond fo�payment in the amount of Twenty-Five Thousand Dollars ($25,000),as provided in Minnesota Statute 326.992(a). This bond is for the bene�t of persons suffering financiai loss by reason of the contractors failure to comply with the requirements of the State Mechanical Code(Minnesota Rules,Chapter 1346)when perfor�ing-. work in the State of Minnesota. The condition of this bond is that the Principal has contracted to do gas,heating,ventilaGon,cooling,air conditioning,fuel burning,or refrigeration work within the State of Minnesota. if the Principal faithfully complies with the State of Minnesota Mechanical Code and indemnifies any person dealing or transacting business with the Principal from any loss or damage occasloned by the failure of the Principal to compiy with any of the laws and rules of the State of Minnesota,then no obligation under this bond shall acxrue;otherwise, this obligation shall remain in full force and effect. Your bond must be renewed wlth a continuation certiftcate submitted to Construction Codes and Ucensing Dlvislon.Renewal is due annually from the effective date of the bond or continuation certiflcate.The aggregate liabiiiry of the Surety,regardless of the number of daims made against the bond or the number of years the bond remains in force,shall in no event exceed$25,000. The bond may be cancelled by the Surety,as to future liability,by giving written notice by Certified Mail,addressed to the Principal at the address as stated in this bond,and to the Construction Codes and Licensing Divisian, Department of Labor and Industry as the address appears on this bond.Thirty(30)days after the mailing of that notice,this bond shall be null and void as to any liability thereafter arising, the Surety remaining liable,however,subject to all the terms,conditions,and provisions of this bond,for any and all acts.Govered by this bond up to the date of the cancellation, APPLY INSUI�ANCE Signed and Witnessed this 16 day of January 20 �� COMPANY SEAL By B WITN TO PRIN �PAL SIGNATURE PW qPAL SNiNATURE • By QV � q�, � Q�/Western Sur ty o y WISN O SURETY SIONATURE SURETY • � By SU PANYREPRESENTA &GNATUREANOTITt.E , ttorney-lt�^�'SC-� C� � � f' � •• ' i � •' •' Mail the following items to: Department of Labor and Industry, Financial Services,443 Lafayette Road N.,St.Paui, MN 55155. After these items have been processed,your company name wfll be posted on our website and you wiii receive a certificate in the mail valid for one.year. - Page 1 filled out completely including all signatures and insurance company seal(embossed or stick on). Page 2 with the appropriate Business Acknowledgement and Surety Acknowledgement w(th all signatures. _ Valid Power of Attorney attached. _Check for E15 fee,payabie to Depa�tment of Labor and Industry.Checks retumed for no�-payment will be charged a$20 fee. (M.S.604.113,subd.2). Approved bonds are on our website in the Bond List. Bc_me001 10105 Page 1 . . ✓ DATE TIME CITY OF ORONO CALLED IN �� INSPECTION OTICE SCHEDULED �'Z ' a PERMIT NO. ��g3� COMPLETED ADDRESS �� - OWNER �,h�.r-�" CONTR. TELEPHONE NO. � �oZ- �S�D - �O � �, � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNE FIREPLACE 34 TREE REMOVAL Z 04 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o i - A� � �e�— � '/ C � 0 � w � Q � Z W � W � j a W ❑WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ��`r-� +� �^ �_qp�� TIME " L CITY OF ORONO CALLED IN INSPECTION IC SCHEDULED 3- � �' 3C PERMIT NO. � COMPLETED ADDRESS OWNER CONTR.�1�7AfT_ �S ��.�_` �'S �9 9�� °' -� TELEPHONE NO.�� z � � DESCRIPTION ��- �P � 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-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 a o �r a(��/�1!� �'h/in�v��[ �l/ � � �c�c�s ,Ut�T ��r f � '�,� ,� C-I�'AiA,�c� � � �'o� �S�bd'fC�S W � Q � Z W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED !_' ISSUE CERTIFICATE OF OCCUPANCY W O {'�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V B�FORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice