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2003-P06059 - mechanical
PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06059 Crysta'r Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 2/25/2003 SITE ADDRESS: 3035 Casco Point Rd Wayzata,MN 55391 PID: 20-117-23-34-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 40.50 APPLICANT: Owens Companies,Inc. OWNER: Thomas Berthiaume&C.Kachenmeister 930 E. 80th Street 3035 Casco Point Rd Bloomington,MN 55420 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. APPLICANT PERMITEE SIGNATURE I ED BY SIGNATURE Copies: 1-File(Siznitures Required), 1-Applicant, 1-Month1y Reports, 1-Assessine, 1-Finance Page 1 ,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 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 249-4600. Please check one: New Addition Repair Replace Residential Commercial ' . + JOB SITE• , C��: 1i�l Zip: Owner's Name: ,j^ 'j a�,3Me Telephone Number: Mailing Address: <CYC,, C C1'JC?t4 City: Zip: Contractor's Name: Com ; -zp� � r.���C';� Telephone Number: Mailing Address: City: Zip: SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: _ Make: CC�hi✓ ' �v�C ;�C� Model: Fuel: Flue Size: .5 Input BTUs: 12-0n0 Output BTUs: 9��OC� CFM: _Z000 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 ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cf n 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) ter . U� x .0125 (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. N 3000 -00 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) $ L-1 o * 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: -03 4-17 Approved By: Date: Js� DATE TIME CjY-CrORONO CALLEDIN INSPECTION NOT/,I / [� SCHEDULED PERMIT NO. / U�(,0- � COMPLETED ADDRESS 3l) _3_. J Co _ < c., 1,,�1:—, OWNER CONTR. c-_z� TELEPHONE NO. DESCRIPTION 4 01 FOOTING 11 ME iAN1CALRL 18 EXCAWGRADING/FILLING Q 02 FRAMING13- M^E-CHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 j 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL ING FINAL 36 FOUNDATION/REMOVAL OWNE NTRACTOR TO MEET YOU: YES_NO COMMENTS: cc W Q. cc J O O LL W cc Q Z W W CC O W4/ MORK SATISFACTORY:PROCEED L) PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 next inspection 24 hours in advance. (952) 249-4600 Owner/Contract n AoitV Inspector. White Copy/Inspector's File Canary Copy/Site Notice .,00 rporation 420 HOUSE HEATING TEST RECORD S_ G APT. - FLOOR CITY (o!. j « --SUBURB PANT / p,rc /1�".^f� i /na OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ©f.✓/_'Al-r Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE 11014 EAG MAKE OF BURNER Model .�� G C , Model Serial f �/.B/ _ Max. BTU Rating INPUT MAKE OF FURNACE Model CNTROLS THERMOSTATA9'`�''�r°� Heat Plug Vent Size Valve O"7 KIND OF LINER Af(J,'-l• SIZE_m " NONE Limit a Draft Hood RegulaTor Limit Setting ��r—! r Filters Size Nu ber Fan Setting l 'jr fc Chimney Location Inside Outside Pilot Type %��_e ?,o 7 Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure • Percent CO �' rf Date Tested /�✓/`4j � Input CFH Percent 0Company Testing _� �Vw/-'W Stack Temp. "f Percent COZ. �`� Name of Tester Idee_, c I 11-135-481