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HomeMy WebLinkAbout2005-P09331 - mechanical PERMIT CITY ,�F�RONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09331 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 � Date Issued: 10/20/2005 SITE ADDRESS: 99 Sixth Ave N [7nit# Wayzata,MN 55391 P��� 25-118-23-44-0012 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Pemvt Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 113.75 valuation: $ 9,100.00 State Surcharge Fee: $ 4.55 TOTAL FEE: $ 118.30 APPLICANT: Kleve Heating&Air OWNER: Mr.&Mrs.Briscoe 6365 Carlson Drive Suite G 99 Sixth Ave N Eden Priaire,MN 55346 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. � �-� �� � AP�CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 � . . v >, FOR CITY USE ONLY City of Orono O�'��O P.O.Box 66 Date Received: Permit# 2750 Kelley Pazkway ����t��,. Crystal Bay,MN 55323 Approved By: Amount S: � (952)249-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 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 Desiens—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. 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. (24-48 6our notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 $�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ,�]Replace Job Site/Owner Information: Site Address: �"/ l.��n�U '" ►�a� � Owner: -I J�YZ, �f 1 �CUPi Mailing Address: a ��ri: D�onfl Z�p: 5���1 � Home Phone: 1J��2� ��� ��7� Alternate Phone: Contractor Information: Contractor:K1PVP utg_ �. A fr Inc CO11t1Ct PeT'SOIl: CY1a T'1 PT'1P_ Mai�c�lr Address: 6365 Carlson Dr. Ste GStateBond#: Rr.T-561165 City: Eden Prairie Zip: 55346ExpirationDate: 8/14/05 Phone: 952-941-4211 Alternate Phone: g52-345-7242 ❑ Insurance-Current: 1 ti � , � HEATING SYSTEMS Quantity: � � Make: I l�l'Qi Model: (,����(WVCI��� `�� � Fuel: �� Flue Size: � N �� Input BTUs: � `�� Output BTUs: ' CFM: COOLING SYSTEMS Quantity: � Make: �. �� ModeL• � ;JV O Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ 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:�run l/ �� • 2 � 1 ' , . , � ,�;v , . , . , w � �r� � . � ,. . , ''„�, -�: �� � � � , � ; �, . �� � � �. � . �,.#�� �.�; �,<.����, �� ❑ 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 homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ � � _ '.�'� ���ERIl�TI� -EEfC�CLTI:�iTI =S _��b���VER°$54U�D,�X`'`.��`lK�;��� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) �� / �� X.oi2s$ / �'�,1� (L��ntract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) � x.0005 $ ���� contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � I o • �O ■ * 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 fumished by the owner,tenant or any other party,the reasonable mazket 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. .. `�"'��'�•��`�° '��1VIEC�NICAL',PERMIT�ApPLICATION"AGREEMENT " . < ��.�..,:, � 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 State of Minnesota, and cert' es that all statements made on this application are complete, true and correct. Applicant's Signatur . Date: �J_ , s� rw �,� a x ,• � � -. ,,�R , `�: ���+ Reset Form��;�_�;^��,� E. , �, .,,;��.• . " � +::�i� ..,�-s�l.a,_.,:� . ...; 3 , Ic,( �-- /D Q��� TIME CITY OF ORONO CALLED IN � INSPECTION N TICE SCHEDULED � :� PERMIT NO. 3 COMPLETED ADDRESS 7� s��c���� OWNER � CONTR. TELEPHONE NO. 9S 2 ��/ � `� / � DESCRIPTION /�'` �7'�' � 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z0 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q�INAL �� 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 J 10 PLUMBING fINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO �, COMMENTS: � W a J O � � O � W � Q � Z W � W � � � d W ORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-46�� OwnerlContra�#o� s e: � Inspector. ��- White Copylinspector's Fi Canary CopylSite Natice � ( V I �� D TIME CITY OF ORONO CALLED IN ��� INSPECTION NO SCHEDULED !/-�'t-OS y :3A� PERMIT NO. � COMPLETED ADDRESS %9 5������ OWNER�I'�Scde ln�Z &�� `��07� CONTR. � TELEPHONE NO.____ _9SZ- '�l�� � Z� I � DESCRIPTION �� - �+"n�'e ,� � �-(�(n/�r�-�r- � 01 FOOTING 11 MECHANICAL RI �18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe ne inspection 24 hours in advance. (952� 249-4600 OwnedContr r n Inspector. White Copyllnspector's File Canary CopylSite Notice