HomeMy WebLinkAbout2001 - P03664 - mechanical PERMIT
CITY OF ORONO
27550 Kelley Parkway - PO Box 66 Permit Number: P03664
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4/2/2001
SITE ADDRESS: 2601 West Lafayette Rd
EXCELSIOR,MN 55331
PID: 21-117-23-21-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
YP Air Conditioning
Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: Practical Systems OWNER: D J OLSON&B J BOWERS
14226 Norden Dr 2601 WEST LAFAYETTE RD
Rogers,MN 55374 EXCELSIOR 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.
)i
, — \----\\I
6 04 Ct,Pfl 727
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Pagel
0 .-))�
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 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 P Addition Repair Replace
Residential Commercial
JOB SITE: a G 0 / west Z4 , ye1-1r ed Zip:
Owner's Name: 4)u 5 s Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: e, t,c' . l -s� c � ,5 Telephone Number:
Mailing Address: /ya.)6 /Icy,-c0 p,. D,- City: oeo- e,s Zip: Ss 3 `?`-i
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: /�/c
Model: ef2/X v R/?vpss,/
Fuel: /kJ
Flue Size: a ` dvc
Input BTUs: ss(soe�
Output BTUs:
CFM: /,i coo
COOLING SYSTEMS
Quantity: j
Make: XP-ifYo v /c
Model: /AtmHo34-sob //L/DJ/,Jo-sob
Tons: 3 roir ass
H. Power •
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. 3 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)
6,oo0 x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
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:
v `e
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E t� SCHEDULED �0 9:"444
PERMIT NO. . 5'LP& _I COMPLETED "( 'u
ADDRESS c9b0 / J 1-414-yeilt.
OWNER 2.60( � CONTR. Pr'c-c-i e-- Ty S-
TELEPHONE NO. 7 Cis 3 cid- g��-Co
E DESCRIPTION eL L-(-"
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 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
ct
4.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
acA5 Lw° S:/4f P1/Ltr l�lGa 37- o-"tC.
2:
O
o
U bi tv/e i lv� l
w
CC
Q
W
Z
LU
CC
ORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
W CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
El 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 ins. -ction 24 hours in advance. (952) 249-4600
Owner/Contractol
Inspector./
/
ite Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E //"" SCHEDULED 3
PERMIT NO. bbC1 COMPLETED ' �1( `
ADDRESS 2 % •
OWNER CONTR.� P/� �
y
TELEPHONE NO. ?Co 3 as ,,F-cz
�: DESCRIPTION 414 -
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 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 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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
Q..
CC
O
>~
CC
U..O
W
CC
LU
LU
CC
O14.13PORK SATISFACTORY:PROCEED v OJECT COMPLETE
W
❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
C ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
Li CORRECT UNSAFE CONDITION WITHIN HOURS. - PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlCont/yx�or on site:
Inspector. GL>,'L dcz-zzg
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION 9Tg SCHEDULED
PERMIT NO.56 COMPLETED � '�'l
ADDRESS 3.6-0 / c,f e /�Gl
OWNER C/Sdii ' /3eikeie/' CONTR. Prcic,`i c ( 5 jySt r<c.,s
TELEPHONE NO. 7b3 _7k,i-Lz,
DESCRIPTION C.-61 ._ C� 1
• 01 FOOTING MECHANICAL 18 EXCAV/GRADING/FILLING
02 FRAMING -13-AIECFIANICAL 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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
1.14 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
Q..
0
cc
0
W
cc
W
O ,,,___////����,,,
W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
CI 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/Contra t on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice