HomeMy WebLinkAbout2005-P09476 (Mechanical) PERMIT
C.lTY 'OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09476
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
12/12/2005
SITE ADDRESS: 540 Barrett Ave Unit#
Wayzata,MN 55391
PID: 02-117-23-31-0052
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: � 35.00 valuation: $ 1,450.00
State Surcharge Fee: $ 0.73
TOTAL FEE: $ 35.73
APPLICANT: Serbus Heating&Cooling OWNER: Mr. &Mrs.Robert Jaffray
272 Industrial Blvd. 540 Barrett Ave
Waconia,MN 55387 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.
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AP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
FOR CITY USE ONLY
0�,�, City of Orono �
• �O� `�'� P.O.�3ox 66 Date Received: Permit# I
(j �;,;. 2750 Kelley Parkway
�'a ���lti�� C stal Ba MN 55323 A roved B Amount�:
1`-- E j' rY Y, PP Y i
�e���,y�t,�c` (952)249-4600 �
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CITY OF ORONO — MECHANICAL PERMIT
(All Commercial permits must be approved by the Buildin�Official or lnspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by n�ail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pemut cards will be sent by retuin n1ai1 after a i eview is completed. PER'vIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERNIIT. WORK MliST NOT BEGI'� L��'��TIL THE
PER'VIIT CARD IS POSTED ON THE JOB SIT�;.
3. Mechanical DesiQns—Complete calculations, details and specifications are required for each
heating, ventilation, hunudification-dehunudification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment rarings and identification as to
type, manufacturer and model. Data shall be presented on foml provided.
4. When any new construction or remodeling is involved, a separate building pennit must be
obtained. •
5. All work must be done in accordance with the liniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call (952)249-4600.
(24-48 hour notice required)
7. House Heating TesC Record must be subnutted before final.
TYPE OF PERMIT
(Check All That Apply)
��Residential ❑ Commercial (Approval Required)
❑ �ew � Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information: �
Site Address: .��v ��,���� /,�-rf
Owner: ����� , �c�� Mailing Address:
c�ty: z�p: 5"S 3 9/
Home Phone: Alternate Phone:
Contractor Infornlation: �
�,,� 'Ln 1 � �
Contractor: `�`"r'``S Cf�^��j��. ContactPerson: �`�
�
Address: Z�� �Q�S��-( ��`'�� State Bond #: Cf3 Z77 67
City: (,������� Zip:5���� Expiration Date: �����
Phone: �I�Z�Y3��1� Alternate Phone:
❑ Insurance — Current:
1
�;;�:�:�z,���,�;��,�'���,� ;' MECHA.NICAL,SYSTEMS BEING INSTALLED �� �� � -
HEATING SYSTEMS
Quantity: / .
Make: �NE �
Model: C�Z�%o`�
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS �
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Bumuig Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
. � PERMIT FEE CALCULATION(S)
� BASED OFF - 2002 STATE STATUE ` j
❑ Yes, this section applies
The replacen�ent of a Residential fixture or a�pliance that meets all three of tl�e following requirements:
1. Does not require n�odification to elech�ical ar gas service.
2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee (If Applicable) � 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 �
If above does not apply; follow guidelines belo�v:
1. CO�TRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$35.00)
� � ,��,� x .0125 �
T
(contrac[price) (minimum�3�.00)
2. STATE Si;RCHARGE ** Add the State Bldg Code Div. Surcharge (nli�imum Fee ot�.50)
x.0005 $
(contract price) (minimum 5 .50)
3. POSTAGE K HANDLING(Only on Mail-In Applications) � 1.50
4. TOTAL PER�ZIT 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 installarions are furnished by
the o��mer, tenant or any other part}�, the reasonable market value of such items must be added to the
• estimated cost or contract price for pernut 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 Building Department at(9S2) 249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pernzit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
cot-rect.
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Applicant's Signatur_e,:-'�').,ti,�g,� __ _ Date: ��1�,,�D�
3
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� � � �� DATE TIME �
CITY OF ORONO CALLED IN �Z< <ZI CS
INSPECTION NOTICE I SCHEDULED tZ� r�S �
PERMIT NO. Pfei�' 4�I l/.' COMPLETED
ADDRESS ��,�I� i�rP�- Vr�
OWNER CONTR. _ J/�,R-�
TELEPHONE NO. '� �'-��
� DESCRIPTION ���" ��a-���- ��GC�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q
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
Q 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP C
i
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU; YES_NO
� COMMENTS:
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W� ,�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. ,; pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ It�SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
Owner/Contractor on site:
Inspector. 1.,�./ r �
White Copyllnspector's File Canary CopylSite Notice