HomeMy WebLinkAbout2002-P05816 (Mechanical) PERMIT
CITY �F ORONO permit Number:
275a Kelley Parkway- PO Box 66 P05816
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ii�s�2oo2
SITE ADDRESS: 127o Arbor st
Wayzata,NIN 55391
PID: 10-117-23-31-0029
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pernrit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 158.09 Valuation• $ 12,647.00
State Surcharge Fee: $ 6.32
TOTAL FEE: $ 164.41
APPLICANT' Countryside Heating&Cooling OWNER' Jeff&Andrea Fullerton
� 6511 Hwy 12 � 1270 Arbor St
Maple Plain,MN 55359 Wayzata MN 55391
TI�UNDERSIGNED HERF.BY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
NIINI�IESOTA BUII.,DING CODE REQUIRED�NTS.
- �,c.�°'(
APPL ANT PERMII'EE SIGNATURE SSUED BY SIGNATURE
Covies: 1-File(Si.�niCures Requi�ed),1-At�nlicant 1-Monthlv Renorts, 1-A�essing, 1-Finance Page 1
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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 off'ices. 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. PERMTTS 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). Ca11249-4600. 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, ca11249-4600.
Please check one: New Addition Repair �—�'I�eplace
✓/Residential 'Commercial
JOB STFE: t �� � (�(Z�pcZ �-�. Zip: 553� \
Owner's Name: �"ia�t�cZ�o r� Telephone Number:
Mailing Address: S Av�nE City: Zip:
Contractor's Name:Ca�t nr-ccL����p� �.�� -� �L� Telephone Number: 7�3 -���� 1 f��a
Mailing Address: �s�� ��w��c �a— City:ma�c P r.���Zip: s'S3 s�'
SYSTEM DESCRII''rION
HEATING SYSTEMS
Quantity: !�
Make: 1�2�t/j N—c
Model: 35c�r�/1�f o3(�4z>
Fuel: �+ e�
Flue Size: � ��
Input BTUs: �p �
Output BTUs: 37 .51�
CFM: �zp�
COOLING SYSTEMS
Quantity: �
Make: �3�Ys�N s
Model: SSo A��c�3a �
Tons: �. 5 �
H. Power
a
FIREPLACES
Gas factory fireplace ;
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION i
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfrn
No. Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oi�: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
ta ��'� x .0125 $ l 5� .�i
contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. la, (��'� x .0005 $ Co .3�
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � f �..r+ 1
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 fumished by the owner, tenant or
any other pazty the reasonable mazket 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 5.50-whichever is greater. j
For valuations over$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry 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: l 1-� �O�--
Approved By: Date: �
I
I
DATE TIME V
CITY OF ORONO CALLED IN �
INSPECTION NOT SCHEDULED ��' �
PERMIT NO. J COAAPLETED �=
ADDRESS l a � /�2!���L
OWNER CONTR. Cov�1`rco S��
TELEPHONE NO. C.��� � o� l O o 0 �'
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� DESCRIPTION /� '��S� o�'1 9GS �� °`"�"
W 01 FOOTING 11 MECHANICAL RI 18 IXCAV/GRADINGIFILLING
Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FlNAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALI.. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PR�EED ❑ISSUE CERTIFICATE OF OCCUPANGY
0 ❑CORREG7'WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CRATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION RE�UIRED.GALLTO ARRANGE ACCESS.
Ca11 for ne inspection 24 hours in advance. (g52) 249-4600
Owner/Con o
Inspector.
White Copyllnapector's Flle Canary CopylSRe Notice
(L�� DATE TIME
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CITY OF ORONO CALLED IN
INSPECTION NOTICE��gtb SCHEDULED ��p1
PERMIT NO. COMPLETED
ADDRESS �o��(�l �'{�CJ(�Y � �
OWNER CONTR. "L.-I ���
TELEPHONE N0. CD� '�o�f� '���� �'.��.
� DESCRIPTION � � �
ty Ot FOOTING 11 MECHANICAL RI 18 D(CAV/GRADIN(3/FILLING
� 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/INEfLANOS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL � 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERlCONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOflARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN ❑CRATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for x in pection 24 hours in advance. (g52) 249-46��
Owner/Contract on�' :
Inspector.
White Copyllnspector's File Canary CopylSRe NoHce