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HomeMy WebLinkAbout2003-P06545 - mechanical _� PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P06545 Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits (95��49-4600 Date Issued: �/16�2003 5 SITE ADDRESS: 3770 Shoreline Drive(City Park) Wayzata,MN 55391 PID: 17-117-23-34-0003 DESCRIPTION: Proposed Use: Other Permit Class: General Pernut Type: Mechanical Permits Pemut Sub-type(s): Mulriple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 846.34 Valuation: $ 67,707.00 State Surcharge Fee: $ 33.85 TOTAL FEE: $ 880.19 APPLICANT: Allied Mechanical Ssystems of Hutchinson OWNER: City of Orono(Lift Station#30) 340 Michigan St 1799 Lakeview Ter Hutchinson,MN 55350 Long Lake,MN 55356 THE UNDERS E QUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGRE 0 ORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNE B ODE REQUIREMENTS. �: ��-.� C�i�r,� c. ��'z� I T PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1 � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT ' 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 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 UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs-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, 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 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-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 WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: � New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial f JOB SITE: �aJat�e F�,c�e � r� �� Zip: �533h Owner's Name: ,� o� c�1r� Phone Number: MailingAddress: `e'z SO Kei� �a� �,,�, City: C��b���'� Zip: �533_� Contractor's Name: �')�;e� ���c1,n�cc�,� Phone Number: �O —s� �7�l 3� MailingAddress:��,��.� ��Q� City: �n`�v�.5�� Zip: +�►') :;� ; -� � � � � ;, , � � :; 1 ;y: �. .�: � - -- -- - �r� SYSTEM DESCRIPTION . � HEATING SYSTEMS � Quantity: 1�"N-U�-� ^(L� N'J-Z '�lt� � ftttZ�J '1 ek �� Make: 1 �d�1Ne � Q f'�'S-.��� C/��'�!�� �' ModeL• LGS �'JSf� �CS 1,� �— �")� �; � Z=f/Z� Fuel: /u� C1 o1J. �45 • �, /� � �' � Flue Size: �� Input BT'CTs: �j� [� �(') 37� Output BTUs: �.�d (ZQ CFM: � '?e�s�o� ^' �31— COOLING SYSTEMS �� Quantity: (��- , C�- Z Make: ��� a-+�c7� 5" Model: E',1�-1��'") C - �-� Tons: +s H.Power FIREPLACES GAS LINE ONLY r''� ❑ Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. rf��..:�', . VENTILATION No. Kitchen Exhaust duct recalculating cfm No.�_Bath Exhaust(must have uct tside) �cfm No. ?i Other Fans: Locations__ `�.Sc'j�: 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 � �� , � . _ , .� . ��.� ..._, - _ . _ . _ � � ; . � re rx '�,�' ?� 4 '" " � a . , PERMIT FEE CALCULATION(Sl � 2002 State Statute ❑ Yes This Section Applies � `� �� The replacement of a Residential fixture or appliance that meets all three of the following requirements: x 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 <x 3) Is improved, installed or replaced by the homeowner or licensed contractor. - Skip next section; Cost of Permit $ 15.00 State Surcharge$ .50 Mail-In Fee $ 1.50 q s ; If above does not apply, follow guidelines below: � .3 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) '`'! � �i�a 70-1.C� x .0125 $ �y(o, 3� � contract rice � � P ) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of � � ($ ...0) ; �: (Q 7, ���'7.c�x .0005 $ ����� (contract price) (minimum$.50) �- `; �� 3. Postage and Handlin� (Only mail-in applications) $ —r-�- � � � � 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��,� � F � �*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including marerials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done.If any matenal, � equipment,labor,or installation is fumished 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. F� **T'he 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. � T'he 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 Mi nesota State Building Code,and certifies that all statements made on this "� application are complete,true and corre t. � / °� _� Applicant's Signature: G /-7 � Date: Q� .& •� Approved By: Date: � � ;,a 3 � :� �� �: . ,�� , , � , , � , , , :. _ � � � " , : . . � - � , : �m , . _ .: - ., v : . ��� _� DAT TIME V CITY OF ORONO cnLLED IN g` `03 INSPECTION NOTJ�CE��� SCHEDULED �U.' �U�J+M PERMIT N0. �� MPLETED ADDRESS �'l� � ✓-4� Irit� ,� OWNER CONTR.�-II��� /�, TELEPHONE NO._ ��a `1 7 I c� 3 9 c� � DESCRIPTION Ut�e�CDr � �'�---�. � 01 FOOTING 11 MECHANIC I 18 EXCAV/GRADINGJFILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSUTATION 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DE - NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 9 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 G FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO EET YOU: ES_NO � COMMENTS: �(�►'� 'T7�L�C.�� �C(,�� �� W � o �,f�- U � �;"�,C�-'�__i��C�,V�. a o� 0 � W � Q � W � W � � d W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑ RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOPORDERPOSTED.CALIINSPECTOR O CITATIONISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (g52) 249-4600 OwnerlContr r s te: Inspector. � White Copyllnspector's File Canary Copy/Site Notice