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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. �' -� /J � '/� ,G�— ���..Y —'� \ � '�'�- �- � `"'7�'1_"'[ ��L' `' APPLICA ERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ] . M ' 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$: � l,il.: �+ �y�,n�,�.�o~ (9�2)249-4600 �$eKoB � 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 • ` � 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: � . r ' ' � � 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. S .� 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. � ` � � �7 TELEPHONE N�����I�� 1���.� r •�T�`l— / �� ., T� b' � DESCRIPTION � � �)� ' f�C_�' �/�`�`v� � 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: � W � r � " t,cltC.l.. �.1 0 � � � P6 9 0 0 9 f31 dq� ✓ W / � 9 2 7 S- P I wwb �� Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C': ISSUE CERTIFICATE OF OCCUPANCY W � ❑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: � W � J � O � � O ` �� ti � Q � Z W � W � � d 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