HomeMy WebLinkAbout2000-P02936 (Mechanical) PERMIT
G I TY O F O RO N O Permit Number:
2750 Kelle y Parkwa y - PO Box 66 P02936
Crystal Bay, Minnesota 55323 Pet'mit Type: Mechanical Permits
(612) 249-4600
Date Issued: 9illi2oo
SITE ADDRESS: 1449 Bay Ridge Rd
WAYZATA,MN 55391
PID: 10-117-23-34-0003
D�SCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 156.00
APPLICANT: A-1 HEATING&AIR CONDITIONING OWNER: G D&D B WESTBY
6090 PAGENKOPF ROAD 1449 BAY RIDGE RD
MAPLE PLAIN, MN 55359 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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APPLICANT PERMITEE SI NATURE IS UED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wili be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL �
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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 heatin„
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 �nal.
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• � �- .�— Zip:
Owner's Name: ` � Telephone Number:
Mailing Address: City: Zip:
Contractor's Name:��( �,, � �¢G . ;.,z�r Telephone Number: 76 3,Y>9-/Y�`'3
Mailing Address: �0���,,�2 �Q City: k'a�., Zip: � S 3 5-°/ ;
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �- � (
Make: �,a ��,�•�.�,�.,,�
Model: C.'vreo��s'c'�q�o ��ud�iyo 1�9'60�9�-�,
Fuel: � _ ,,,,��p�.�..�
Flue Size: �" 6`�
Input BTUs: �IS�, oor� lY�� oo c�
Output BTUs:
CFM: t � t�o Z��eO
COOLING SYSTEMS
Quantity: l r '
Make: �t,a,�oc,�.�,Q �w«.,.�.�
Model: �C B(8 ��- A h c= R �/8/�a'�
Tons: j �/,� �( _
- H. Power
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FIREPLACES
L� Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
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VENTILATION
No. �_ Kitchen Exhaust � ducted recirculating cfm
No. �_ Bath Exhaust (must be ducted outside) cfm
No. �_ Other Fans: Locations ���Q�z� 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) ` �_C
1 ��� L� �' D `'�`� x .0125 $ I JC��
(contract price)
2. State Surchar�e. ** Add the State Building Code,,Division
Surcharge to each permit. / ;� , �`;-�':C
� ` `' x .0005 $ [� � �% �'
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ `-�:�0
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* COI�ITRACT 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.
' i nature: Date: / �
Arrlicant s S g � ��
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN /���- � �=0 G` � �C��--
INSPECTION/�OTICE�} SCHEDULED ,%�'- �r��' � ���«�
PERMIT NO/`�/ '-�/ -��' COMPLETED _C=� �
ADDRESS /� �� /����iv�.�� ��
OWNER ���JL'��f?�CONTR. � - � �p���
TELEPHONE N0. ' `��� `�g�3
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� 02 FRAMING 13 MECHANICAL 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 � �'�
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Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
Inspector. 1/'�'//��� �i�
White Copyll�spector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLE ` �'�� ��`� ��"1
INSPECTION�OTICE � - -U 1 ��3 G �
PERMIT NO. i � ���� COMPLETED _y��'_�� _C� • �"
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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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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OwnerlContr or on site•
Inspector. l-� ��
White Copyllnspector's File Canary Copy/Sfte Notice
'Q�1TE�� TIME
CITY OF ORONO CALLED IN �-
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PERMIT N0. 6 COMPLETED �
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TELEPHONE N0. �-� � r �'�'��
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Z04 WALL BD. 12 WATER NOOK-UP 17 SITE INSPECTION
Q OS 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
Owner/Contr r on site:
Inspector.��/�r��/L ��-t/l_S�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �-G-� �� ' �%�'"�
INSPECTION NQ�ICE SCHEDULED Z �PM
PERMIT NO. I_t-' Z�I��' COMPLETED �� �
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� 02 FRAMING 13 MECHANICAL INA�L —% 19 LAKESHORE/WETLANDS
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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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr or on site:
Inspector. �/��'��G�-V��
White Copyllnspector's File Canary CopylSite Notice