HomeMy WebLinkAbout2000-P02735 - mechanical "�` PERMIT
C I TY O F O RO N O Permit Number:
2750 Keiley Parkway - PO Box 66 P02735
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: �i26�2o0
SITE ADDRESS: 3468 Shoreline Dr
WAYZATA,MN 55391
P I D: 17-117-23-43-0095
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 699.00
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State Surcharge Fee: �9?�
Misc. Fee: $ 1.50
TOTAL FEE: �3y,83�'
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APPLICANT: DEPENDABLE INDOOR AIR QUALIT OWNER: L BENZEL&D BENZEL TRSTE
2619 COON RAPIDS BLVD 3468 SHORELINE DR
COON RAPIDS,MN 55433 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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AYPLICAN'I'PERMITEE SI NATURE I�LJED BY SIGNATiJRE
Copies: City,Applicant, Assessor, Finance Page 1
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CITY OF ORONO ���� 2'r���$PLICATION FOR MECHANICAL PERMIT �
Box 66 (2750 Kelley Parkway) ��`� J
Crystal Bay, MN 55323
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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 UIVTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating, �. � -
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain A:
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. f,:
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided. �`
4. When any new �onstruction or remodeling i� im�oh�ed, a separate building permit must be �b+.ained. :;r
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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
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Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. �
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INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. �
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Please check one: New Addition Repair Replace ;�
�1 ` � Residential Commercial
JOB SITE:_���-f�'���(1i�'l l4�� • {-:"°' '`�-. Zip: ���r�I
Owner's Name -���,%'4 i _ �2�,. - i_, �\��'; i��, Telephone Number: �1'� �- ���� 1 l t`�
Mailing Address: (`���si�&�, City: Zip: ,
Contractor's Name:�pfKDABLE t�4000f2 AIR QUALII7. !!�_ Telephone Number:' '���`;'" 1 r'�-r�y'�
t.:
MailingAddress: ��q�pON RAP{DS BOULEVAR�City: Zip: �_�_��la��+'�
�OON RAPIDS. NiN 66433
SYSTEM DESCRIPTION
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HEATING SYSTEMS
Quantity:
i
iviake: �ti���4_�`tt_����
Model: ~v��'��
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Fuel: _� `�
Flue Size:
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Input BTUs: ;�-���, � ;- ,�-.� , ;
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: '
;£�
Model:
Tons: �` `� ��
H. Power �`'
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
�r���� ,�.C'` x .0125 $ ��) .C�� .
(contract price)
2. State Surchar�e. ** Add the State Building Code Division t�
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Surcharge to each permit. (r��� , ����� x .0005 $ '
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only 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 installation 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 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 correct.
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Applicant's Signature: � �— --�'--- ` �� � Date: � 8 �������%
Approved By: Date:
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DAT � TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED - ^' �
PERMIT NO. _�� COMPLETED �, � 3�
ADDRESS �S2R �5��e I l✓L(, ��►�
OWNER CONTR.�_ ___ _ __
TELEPHONE NO. ��Z �'"7�I Z�
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� DESCRIPTION �nI''� �
ly 01 FOOTING 11 Ivt � 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICA�INAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
c� COMMENTS:
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W� �1'yVORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W �a`�CORRECT WORK&PROCEED �C'I�SUE CERTIFlCATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOAARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
I CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContra r on site:
Inspector. \
White Copy/inspector's File Canary CopylSite Notice