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HomeMy WebLinkAbout2005-P08901 - mechanical ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08901 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 6/30/2005 SITE ADDRESS: 2709 Walters Port La Unit# Excelsior,MN 55331 PID: 21-117-23-23-0045 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 52.31 Valuation: $ 4,185.00 State Surcharge Fee: $ 2.09 Misc.Fee: $ 1.50 TOTAL FEE: $ 55.90 APPLICANT: Sedgwick Heating&Air Conditioning Inc. OWNER: William&Susan Dunkely 8910 Wentworth Avenue S 2709 Walters Port La Minneapolis,MN 55420 Exclesior MN 55331 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. dv"L�"� ms, M=ALI APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 w q6 CITY OF ORONO APPLICATION FOR MECHANICAL PERN19T Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL LNFORMATION 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 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 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 473-7357. 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 473-7357. Please check one: New Addition Repair ✓ Replace Residential Co ercial JOB SITE: 7.04 Y Zip: Owner's Nam : /j ° Telephone Number: 1171-ei�27 Mailing Address:—V\,L�j= _ City: Zip: Contractor's Name: SEDGECK Hrr -klI EthoneNumber: Mailing Address: Cit Zip: NG 89 6� twr:�rl� ��0 SYSTEM DESCRIPTION �� Minneapolis, Wer, 35420 HEATING SYSTEMS (952)881-9000 Quantity: Make: x' Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: B Iry Tons: H. Power a _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. Total VENTILATION No. Kitchen Exhaust ducted recirculating cfm 1`:o. Bath Exhaust (must be ducted outside) cfrn No. Other Fans: Locations cfm Total 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) 41 Y - x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division -5 Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handling (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. Applicant's Signature: Date:.CA �_ Approved By: Date: 1Q ✓ DATE TIME CITY OF ORONO CALLED IN 1,7'•W INSPECTION N SCHEDULED d14� PERMIT NO. ICof COMPLETED ADDRESS _-,270 9 OWNER CONTR. :;��Z r.✓,L k WI-4 , TELEPHONE NO. � � iP 2000 DESCRIPTION 1 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25W— OOBURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 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 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W cc J O a cc O LL W cc Q Z W z W CCO O WWORKSATISFACTORY:PROCEED 1-1PROJECTCOMPLETE � ❑ W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next nspection 24 hours in advance. (952) 249-4600 Owner/Contra n s Inspector. White Copy/Inspector's File Canary Copy/Site Notice