HomeMy WebLinkAbout2005-P09366 (mechanical) 2
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09366
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
10/28/2005
SITE ADDRESS: 2732 Caroline Ave Unit#
Wayzata,MN 55391
PID: 20-117-23-24-0041
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pern7its Permit Sub-type(s): Ventilation
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: Practical Systems OWNER: Charles&Susan Percival
4342B Shady Oak Rd. 2732 Caroline Ave
Hopkins,MN 55343 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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APPLICA ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
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FOR CITY USE ONLY
' City of°Orono
• 4O� P.O.Box 66 Date Received: Permit#
�", � 2750 Kelle Parkwa
�;�;�,,,. Y Y
a �l�'ZJ[;�!'= �• Crystal Bay,NIN 55323 Approved By: Amount$:
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�+ �y�,n�,�.�o~ (9�2)249-4600
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CITY OF ORONO —MECHANICAL PERMIT
(All Conunercial permits nuist be approved by the Building Official or Inspector and/or Fire Marshali)
GENERAL INFORMATION
1. You may apply for mechanical penluts by mail or in person at the City offices. Applications will
be reviewed and a pemut will be issued within two working days.
2. Peinut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. W ORK MUST NOT BEGIN UNTTL THE
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Meehanical Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilatioil,hunudification-dehunudification, and air coi7ditioi7ing iilstallation 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.
4. When any new consn-uction or remodeling is involved, a separate building pernut 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.
(24-48 hour notice required)
7. House Heating Test Record must be subinitted before final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Co�nmercial(Approval Required)
❑ New ❑ Additional �Repairs ❑ Replace
Job Site/�Owner Information:
Site Address: �,� �<k r�:, �►� %`�v�
Owner: � f��,v�a..� Mailing Address: ,y� c�:�"�
� ��� � ��
City: ����� Zip:
Home Phone: Altei��ate Phone:
Contractor Information:
,�
�'" � � �'��i 5 Contact Person: �Y1✓1 1��
Contractor: � � ��� ,�c,,�^
Address: ���� �i ��1,����� �u,� State Bond#:
City: �o �C�h Zip��3 Expiration Date:
Phone: `'�S 3`�13�"� ��"� Alternate Phone: ,�j���;��1' �73 5
❑ Insurance —Cun-ent:
1
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MECHANICAL SYSTEMS BElNG INSTALLED , �
HEATING SYSTENIS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �Iodel No.:
VENTILATION � � �/
2� IcCi�� �:�S,:S 'T�n� ��-vr �r��--`]
No. � Kitchen Exhaust�_duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STOR4GE(MUST BE APPROVED BY FIRE MARSHALL) �1L�`z� ����'� '1 ;`��� �
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
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� PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes, this section applies
The replaceinent of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to elech�ical or 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 conhactor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surchaige $ .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 below:
1. CONTRACT PRICE * is 1.25%of conn�act price with a(Minimum Fee of�35.00)
� , �;L;
� /�C•' � x.0125 $
(contract price) (minimum�35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50)
x.0005 $
(contract price) (minimum S .�0)
3. POSTAGE&HANDLING(Only ou Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted 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 installations 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 pernut fee puiposes. In the event that there is a dispute on the
amount of the job cost, the City may request the subnussion of a signed copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of flie Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Perniit, agrees to do all
wark 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
correct.
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Applicant's Signature: � � Date: �� ",��� �5
3
��c � /�� AIE TIME �
C�ITY OF ORONO CALLED IN � C�
INSPECTION NOTIC �,�f SCHEDULED � '
PERMIT NO. C-�-` ��OMPLETED
ADDRESS 7 � ��
OWNER CONTR. �
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TELEPHONE N�����I�� 1���.� r •�T�`l— / ��
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� DESCRIPTION � � �)�
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 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
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C': ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContra K �' 'te:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
�`� �`'' ��'� (!—` T TIME
CITY OF ORONO CALLED IN �D
INSPECTION � SCHEDULED �� �
PERMIT NO. COMPLETED
ADDRESS oZ,To3�
OWNER CONTR. �/�CLG
TELEPHONE NO. 9S2 �J�,3 f g(�
� DESCRIPTION ��� �
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHiN HOURS. C PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
';� CITATION ISSUED
❑ INSPECTIOfJ REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-460�
OwnerlContr e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice