HomeMy WebLinkAbout2003-P06091 - mechanical � PERMIT
' CITY OF ORONO Permit Number:
2 7 5 0 K e l l e y P a r k w a y- P O B o x 6 6 P 0 6 0 9 1
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 3/10/2003
SITE ADDRESS: 1125 Spring Hill Rd
Wayzata,MN 55391
P I D: 26-118-23-43-0004
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 625.00 Valuation• $ 50,000.00
State Surcharge Fee: $ 25.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 651.50
APPLICANT: Kleve Heating&Air OWNER: Addison&Cindy Piper
13075 Pioneer Trail 1125 Spring Hill Rd
Eden Priaire,MN 55347 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�c�--e ..�, ..��-�..-► e���
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Auvlicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, �i�i 155323
GENERAL INFORMATION .
1. You may apply for mechanical pernuts by mail or in person at the City offices.Applications will be
reviewed and a permit will be issued within two worldng days.
2. Permit cards will be sent by return mail a$er 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 r�is-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 (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. Si� and date the certification.
INCOMPLETE APPLICATIONS WII,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: [�New ❑ Addition ❑ Repair ❑ Replace Q Residential ❑ Commercial
JOB SITE: II�� 5���� ����� IZd� Zip. 553� �
Owner's Name: 1JAcJ .�G��cl y t�,o�er- Phone Number:
Nlailing Address: I I�S S,�r,•,c u��� �►.d City• ('7�n.o Zip• 553`� 1
Contractor's Name: Kle�e W V 1�G � Phone Nu�er• 9 S2_S'y�-/��JI
Mailing Address: 13�75 �o:,e�.r-'�ra�l City: ��e•�, r,�;�i� Zip; 3y^
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SYSTEM DESCRIPTIOIY
HEATING SYSTEMS � �
Quantih'� / 1
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Make: - 1"+�PrIe55 �o�le,r �°>� Co�.� nr � _ M ,� )S�I �, Ar
Model: �S 1 o ye��xa s��ler a�rla9nd�2/ 36M67CB ,bo;/tr,oM h�pi4l� ?/yt+►gxB�,;kr,vtNJ,.
Fuel: YI G.,�' �e%C�'. �/�C�-, e,lec+�
Flue Size: 3�(�C'
Input BTUs: �"7 d��� �'_�. ��° Qov 3� o a o ,�� p
�. , �`�,� 6
Output BTUs: ��c�,�� Ca•
c�: . ��o o laoo go 0
COOLING SYSTEMS
Quanrity: � � �
Make: �,� ��C'�, �P.ii�.��
Model: f/SaL-dyS J��6- 036 f�S�,-D��
Tons: 3 �
H.Power
FIREPLACES GAS LINE ONLY
(� Gas factory fireplace� 3 ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No._�Kitchen Exhaust 6��duct recalculating S^60 cfm
. No._�Bath Exhaust(must have duct outside) 7a ea. cfm
No.,�_Other Fans:Locations n�cro,,,,,au�, M�A .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
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SYSTEM DESCRIPTION
HEATING SYSTEMS �
Quantity: � _
Make: /`'1Q���1�
Model: �./b F/� U• N, .
Fuel: r1o..�'
Flue Size:
s'�a
Input BTUs: ��j�d� �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
aWood burning factory fireplace with flue
Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) ��
No.,�Z _Other Fans: Locations J�+-�er � (,e�w�,Y �op 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
1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, AN 55323
GENERAL INFORMATTON
1. You may apply for mechanical pernuts 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. PERMTTS ARE NOT VALID
UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS ,
POSTED ON THE JOB SITE.
3. Mechanical DesiQns-Complete calculations,details and specifications aze 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 (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 WII,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: [�New ❑ Addition ❑ Repair ❑ Replace Q Residential ❑ Commercial
JOB SITE:_ I 1�� SP�_� a��� �d� Zip: 55 3� ►
Owner's Name: ?�qcl �G��d y '�,�,�,- Phone Number:
Mailing Address: I I�S �,�r,.,c U��� IZd City• (''r�tio Zip• 553� 1
Contractor's Name: KIe�� HV 1�G � Phone Nu�er: S2-�y�-��II
Mailing Address: 13a�5 �ohe�.r-�,T-�il City: �4�e•�, �n;��� Zi �—
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1
PERMIT FEE CALCULATION(S)
2002 State Statute ❑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; Cost of Pannii $ 15.00
. . . State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of(535.001
�j4,0 D 0 x .0125 $ �a��
(contract price) (minimum$35.00)
2. State Surchar�e. **Add the State Building Code Division a Nlinimum Fee of($ .501
50, 0 DO x .0005 $ s�S
(contract price) (minimum$.50)
3. PostaQe and Handlin�(Only mail-i�: applicatio�:s) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���.��
*CONTRACT PR�CE or JOB COST means the actuai 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 is 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 Ciry may request the submission of a signed copy of the actual contract.
*'The STATE SURCHARGE is.0005 of the contract price under 51,000,000 or$.50-whichever is greater.For valuarions over
S 1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit,agrees to do all work in strict accordance with
the ordinances of the Ciry and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
appiication aze complete,true and correct.
Applicant's Signature: Date: � � 0 3
Approved By: Date: 3 !I O 3
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DATE TIME
CITY OF ORONO CALLED IN Y'Z�'�3
INSPECTION NOTICE SCHEDULED _�� _z��
PERMIT N0. (Of��� COMPLETEO
ADDRESS � I�` ��/�i i'1 G �1�����
OWNER CONTR. �C�Qevn (-��
TELEPHONE NO. -�a ��� T ��� ' ��1'/'� .'c�
� DESCRIPTION
� 01 FOOTING HANICAL RI 18 EXCAV/GRADING/FILLINCa
Q 02 FRAMING 13 19 LAKESHORE/WEfLANDS
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 MAINL 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUtRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlCon r on site:
Inspector.
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D� TIME
CITY OF ORONO CALIED IN
INSPECTION OTICE / SCHEDULED '�-�O /�;o �
PERMIT N0. �� COMPLETED
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ADDRESS_�� A�^"� �P ��
OWNER CONTR. � �— �l�
TELEPHONENO. 9SZ �i� 1 � Z//
� DESCRIPTION �
� 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED 'Z -03 �/;30
PERMIT N0. �COMPLETE[Z
ADDRESS ��� S�� �-0 ���
OWNER CONTR.s�-t �'«�_
TELEPHONE NO. ��� -�� �"-- s� �3
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� DESCRIPTION �
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Q �RAMING 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. 27 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 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance. (g52) 249-460�
OwnerlContract site:
Inspector.
White CopyMspector's File Caoary CopylSite Notice
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DATE IM , �
CITY OF ORONO CALLED IN V��`d � 7•
INSPECTION NOTICE SCHEDULED �� `. 3G
PERMIT N0. ��'�� COMPLETED �'
ADDRESS ��Z'� `�(`irY •�lI�a�.
OWNER CONTR. ��-�✓-� E'�S
TELEPHONE NO. Q� �' �'�`�"� �-L-�I
� DESCRIPTION �'r -�S� ,, 'I��vd� ����
� 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
Z04 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-FINAI� 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ �9 PLUM_�_B�j1S'iA}' 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOl1RS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46�0
OwnedContracto si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
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CITY OF ORONO CALLED IN '�=.3'�
INSPECTION NOTICE /�, SCHEDULED 7-7-03 r�
PERMIT N0. i COMPLETED
ADDRESS ��� f
OWNER CONTR. .�%M��?��
TELEPHONE N0. �/1 f o� �� ��O
� DESCRIPTION � V`�L
� 01 FOOTING 11 MECHANICAL RI 18 AV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
. 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLU L 36 FOUNDATION/REMOVAL
2 OW ER/CONTRACT TO MEET YOU: ES_NO
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the ext inspection 24 hours in advance. (952) 249-4600
OwnerlContra site:
Inspector.
White CopyMspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED w �f�� ��
INSPECTION NOTICE scHeou�Eo �� t
PERMIT NO. ��'�1 nnq'I COMPLETED
ADDRESS �`��`�� �f�r'2��r�l �,�
OWNER CONTR. �
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� DESCRIPTION /` J
� 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 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 S T FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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� BEFORE COVERING
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-46��
OwnerlContrac ite:
Inspector.
White Copy/lnspector's ile Canary CopylSite Notice
DATE TIME
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CITY OF ORONO CALLED IN 3�
INSPECTION NOT SCHEDULED �g' � �
PERMIT NO. ��� COMPLETED
ADDRESS �� � ��1 �
OWNER CONTR. l�l�fitZ
TELEPHONE N0. �S-� �f`f l �/3 �I
� DESCRIPTION
� 01 FOOTINCa 11 MECHANtCAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 ECHANI L FI 19 LAKESHORE/WETLANDS
O03 INSULATION BURNER/FIREPLACE 34 TREE REMOVAL
Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q � F��- 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
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOYERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249-46��
OwnerlContracto
inspector.
White Copyllnspecto�'s File Canary CopylSite Notice