HomeMy WebLinkAbout2000-P02023 - mechanical �
� PERMIT �
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Po2o2s
Crystal Bay, Minnesota 55323
(612) 249-4600 �����Ype: 1v�echanical Permits
Date 2ilsioo
�� ....,.�;
SITE ADDRESS: 725 Sixth Ave N
WAYZATA,MN 55391
P I D: 25-118-23-3 3-0004
DESCRIPTION:
Proposed Use: Other
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioniing
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 232.50 Valuation• $ 18,600.00
State Surcharge Fee: $ 930
TOTAL FEE: $ 241.80
APPLICANT: Ditter�nc OWNER: SPRING HILL GOLF CLUB
820 Tower Dr 38 ADDRESS iJNASSIGNED
Hamel,MN 55340 MN 00000
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMI'ROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WTTH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
��:.� - � '
C,�����'J� SSLTED BY SIGNATURE �
Copies: City,Applicant,Assessor,Finance Page 1
�' } � �� v �°��
CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr
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 pernut 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, 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 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 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 249-4600.
Please check one: New �_Addition Repair Replace
Residential � Commercial
JOB SITE: �, "� "'� �. Zip:_5 5-.7 /
Owner's Name: -f,f��J�jf/LL G��% Telephone Number: .� 7 7-/,�'�
Mailing Address: �;,a-�5 �G li N �;c;/�I' �City: ;';��,��'� Zip: q�'� �S-3%/
Contractor's Name: %T T�j� lN�: Telephone Number: � 7,��y�5.��'
Mailing Address: �`.�0 `�`v�'�r' l�i`. CitY: ;- '-# ;:;;� Zip; -;5:_�y�C
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: ___
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: � �
Make: ��NN�,� LCiYN�)C
Model: G,.C•S C"�� ����-%C,3b
Tons: ;�G �
H. Power
��� . ,. r ...
- --� ,. - -- -.__ �' �
� �
I
j
� � �-I �;�
_.., ,
�
WOOD BURNING EQUIPMENT '
Wood stove with flue "
Wood combination or add-on
Factory fireplace with flue �
Factory Fireplace (s) Freestanding Masonry
Wood 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 �
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
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� � � G(; G G x .0125 $ � ,�,'?,��,�
�
( ontract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. 1 ;��ti C (;' . ��' x .0005 $ ��, �3 Lg
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � g-f, �0
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If ar_y material, equiprnent, 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 pernut 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.
Applicant's Signature: '�-�-' ��. � � Date: --/ �6�
Approved By: Date: Z- 1 '-t - a a
- �
i : .
- " � '
, �
, , _�
, .�: ,
DATE ` TIME
CITY OF ORONO CALLED IN �-�Y--�� � -=� r=
INSPECTION OTICE SCHEDULED 3•- 1- a�� �
PERMIT NO. � �Z3 COMPLETED ' �� �� � ��
ADDRESS �a5 �-� � '
�
OWNER f ' �, � ^ ' CONTR. �v�'l,' ��`�'�"�-'f- ��
TELEPHONE NO. � ``� � �� T � -S �
� DESCRIPTION CCI.-`� �'-nc��
� 01 FOOTING 11-� AAHfn4l-�fl�--_`` 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 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 INSPECT�ON
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 OtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d ORK SATISFACTORY:PROCEED ROJECT COMPLETE
W
� ❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. - PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac r n site:
Inspector.���P G--L�- - �j
White Copyllnspector's File Canary CopylSite Notice