HomeMy WebLinkAbout2003-P07096 - mechanical PERMIT
TY OF O RO N O Permit Number:
2150 Kelley Parkway- PO Box 66 P07096
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12/15/2003
SITE ADDRESS: 740 Willow Dr S
Wayzata,MN 55391
PID: 03-117-23-33-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Gas Pipe Dryer and Cooktop
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 500.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Lake Side Plumbing&Heating Inc. OWNER: Erik Myhran
12469 Zinran Avenue S. 6220 Pagenkopf Road
Savage,MN 55378 Independence,MN 55359
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.
APPLICANT PERMITEE SIGNATURE j ISSUED BY SIGNATURE
Conies: 1-File(Sienitures Required).1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 1 of 3
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT RECEIVEp
Box 66 (2750 Kelley Parkway)
Crystal Bay,MN 55323 DEC 152003
GENERAL INFORMATION CITY pF ORONO
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 Addition Repair Replace Residential Commercial
JOB SITE: 7y0 1Q,C Zip:
Owner's Name: /-!6.u7 Phone Number: 9t,1Z?-
Mailing Address: /b'? 114jY 7 City: 1104e"ys Zip: SS,?o,S-
Contractor's Name: G�/ S/D.� 1*02BZ Phone Number: '�S-J - o'Sy- 7-go 0
Mailing Address: ids/6� 7-1,cl24-A-1 4&,;iF City: cS.4 V�746 Zip: 5-53 7�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
12/11/2003
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3
If above does not apply,follow guidelines below:
1. Contract Price*is .0125%of job with a Minimum Fee of($35.011
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of(".50
x.0005 $
(contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ .3 7
*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 fumished 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,�tate Building Code,and certifies that all statements made on this application
are complete,true and correct.
Applicant's Signature: Date: -a��/�o3
Approved By: Date: _
12/11/2003
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 2 of 3
A
'
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 cfin
No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATIONS)
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
12/11/2003
\ V r ` DATE TIME
CITY OF ORONO P0765A �'� QALLED IN
INSPECTION NO 1C�E —'� 1 SCHEDULED 'rL�la. 3 1S
PERMIT NO. Vel COMPLETED
ADDRESS_ 171-16 CUA l I OW 9/2 ;
OWNER GC�ONTR. L0- & Sic � lc ,Y►��
TELEPHONE NO. /S 9 y — 7(o 0
Cc C)o fZ -to�
DESCRIPTION
4 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 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑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 ne i spection 24 hours in advance. (952) 249-4600
Owner/Contrac s e
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice