HomeMy WebLinkAbout2000-P02317 - mechanical � _ � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po23i�
Crystai Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(612) �49�600 Date Issued: a�t2�oo
SITE ADDRESS: 2080 Shoreline Dr
WAYZATA,MN 55391
P I D: 15-117-23-21-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,880.00
State Surcharge Fee: $ 0.95
Misc.Fee: $ 1.50 MAIL IN FEE
TOTAL FEE: $ 37.45
APPLICANT: TOTAL COMFORT OWNER: R F SALDANA&D R SALDANA
12800 HWY 55 2080 SHORELINE DR
PLYMOUTH,MN 55441 WAYZATA MN 55391
THE UNDERSIGNID 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 BUII�DING CODE REQUIREMENTS.
. �
'AKi�°�IUN�'Pi�', ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
��. �
�I►�'u~�'t�`'�
" �` ` ri'u�-i 1
���5'I_�. .
CITY OF ORONO APPLICATION FOR MECHANICAL PERMI'T
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 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, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipmen[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 fmal). Call 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitied before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
i
Please check one: New Addition Repair �� Replace
Residential Commercial
JOB SITE: � " � � ' Zi ��.1 �
Owner's Name: � >.� � Z ' elephone Number: • �'�- �
Mailing Address• � City: r Zip: �j�' �1/
Contractor's Name: � � Z; Tele hone Number: - ��'-
Mailing Address: / — City: / � �Zip: �j=�
SYSTEM DESCRIPTION
HEATING SYSTEMS '
Quantity:
Make: j�E t�l f.�bX
Model: � � �/�
FueL• Gl
Flue Size:
Input BTUs: ,�Q
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
� ,'�'�`�„` , .«
. . . .. , . ... . . , .. " � .. . . . . . � . �. . , 1S� . �, �A��; �5� .- � �t�
. . . . . . . ,f `\ . . . �� . � � .� : �. . . . . . .. �. � .
� . . . � . . . . .. . . . . � �.r�
_ '4
� � . �. � . . � � . � ..� � 1 � . . . . � . . � :� . . � . � . . . .,.
t...
��- �. ,
�. , y -- ,. �
"'- `
.
>" � ;c _
,��,:
,
WOOD BURNING EOUIPMENT �`�
Wood stove with flue
- Wood combination or add-on '
Factory fireplace with flue
• Factory Fireplace (s) Freestanding Masonry �
� �., WoQd Stove (s) Franklin, other
�- : � Brand Name Model No. �
;�;
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION � ,
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
r'UEI. S�'Ot�' GE (MUST BE �Pt RO v�D BY FIt-2E MARSHAi,)
- Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
; -
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
` � � g� .� x .o125 $ =i�.G�
(contract price)
f �
2. State Surchar�e. ** Add the State Building Code Division
��: Surcharge to each permit. x .0005 $ ,G�'
%`;'' or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 .:
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ t �;
4:
�"�;�' * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted ��"
'�'�� work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
4��� customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable riarket value of such items r.zust 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.
;, � - f;
** 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 Inspectional 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 City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
. ;
and conect. �
�
� Applicant's Signature: � Date:
Approved By: Date: `7- l 1 � (��
�; �
:r - : <
. :
.
, . .
, ,
r� _ �, i� � � � ,.:.
� s `
1 , • . � -. �
DATE TIME
CITY OF ORONO CALLED IN .- ,�oo �,� a
INSPECTION TICE SCHEDULED _,���-Qa �I� Q�
PERMIT NO.�� COMPLETED L ~Z'�� �
ADDRESS � 4 k� ' � �//
OWNER;�Q���a a CONTR. �a-e
TELEPHONE NO. ��� �7� �7��
� DESCRIPTION
� 01 FOOTWG MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 W L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
FINA 14 SEWER HOOK-UP 06 PROGRESS
� MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� C TS:
� ,
W
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
GW�'JORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
� v
W�❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
' CITATION ISSUED
C7 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac or on site:
, c- �
Inspector.�
White Copyllnspector's File Canary CopylSite Notice