HomeMy WebLinkAbout2004-P07981 - mechanical PERMIT
CITY OF ORONO
Permit Number:
2759 Kelley Parkway- PO Box 66 P07981
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 10/7/2004
SITE ADDRESS: 200 Wayzata Blvd W
Wayzata,MN 55391
PID: 36-118-23-43-0001
DESCRIPTION:
Proposed Use: Commercial-Busines
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: Permit Fee: $ 5,215.56 Valuation: $ 417,245.00
State Surcharge Fee: $ 208.62
Misc.Fee: $ 1.50
TOTAL FEE: $ 5,425.68
APPLICANT: United Sheet Metal OWNER: Wayzata Country Club
520 Front Ave. 200 Wayzata Blvd W.
St.Paul,MN 55117 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.
Zlet Or)7t,61A C41
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
46798/
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 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 WILL NOT BE PROCESSED. If you
have questions, call (952) 249-4600.
Please check one: New X Addition Repair Replace
Residential X -Commercial
JOB SITE: /kV bt/t5 iJll�iZlt. 8L //) Zip:
Owner's Name: iI yy 4 4 ,Zi- :)_It-s..y CLL+ ; Phone Number: �� -#73 -Yell,
Mailing Address:-6 i3C'X / 5'/ City: kit y L!i ry. /1.,/ Zip: 575'-'391
Contractor's Name: dp.br ) 5 t r Pi E:Pr- Phone Number: 4';7-418- 9/3t- /<EV44 Wn-P..y,.,�
Mailing Address: 524 tLe AVE- - City: Sr. / hJt. Zip: 537, ?
' •
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas factory fireplace
Wood 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) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation_ or Removal
Fuel oil: gallons underground inside or outside
LP Gas: gallons
Other Gas opening
. -
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; excluding 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 Permit $ 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($35.00)
417, 45 x .0125 $ LI5",s4
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50)
17,2-4< x .0005 $ 20 8 . &Z
(contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 54Z5,4-44.
*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 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 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$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict
accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that
all statements made on this application are complete,true and correct.
Applicant's Signature: Date: / I_L`._
Approved By: _ �$ Date: - Y
Reset Form
liinnnesota
lint;mots Building Codes and Standard Division
Commissioner of Administration
Building Codes and Standard Division Has Received and Filed a$25,000 Surety Bond,
As Required by MS 326.992,for Work Regulated
Commissioner of Administration by the State Mechanical Code
Has Received and Filed a $25,000 Surety Bond, To Stephen P.Kasper Bond No: 1010713
As Required by MS 326.992, for Work Regulated Doody Mechanical,Inc.dba Uni MB ID: 00312
by the State Mechanical Code Effective Date Expiration Date
8/20/2004 8/19/2005
To: Stephen P.Kasper Bond No: 1010713
Doody Mechanical,Inc.dba United She MB ID: 00312
520 Front Ave.
St.Paul MN 55117
Effective Date Expiration Date
8/20/2004 8/19/2005 MBFormRC
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`/i ( / l.A4 C�U ATTIME
CITY OF ORONO CALLED IN • al I(t+
INSPECTION NOT�E /� SCHEDULED - • k-"30
PERMIT NO. �'C)79g/ COMPLETED
ADDRESS 1 Ze-/A
OWNER CONTR. CcAQ-e7e-
TELEPHONE No.co-/- 4.5 - -7 `7 5 `�55 �`L.
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DESCRIPTION /' �� a r t
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
• CO ENTS:
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WORK SATISFACTORY:PROCEED PROJECT COMPLETE
RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑
❑CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner!Contracto�. '��
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Inspecto� �
White Copy/Inspector's File Canary Copy/Site Notice