HomeMy WebLinkAbout2005-P09184 (mechanical-a/c) PERMIT
CIT��OF ORONO
2750 f 'iey Parkway- PO Box 66 Permit Number: P09184
Crystal �ay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued:
9/15/2005
SITE ADDRESS: 3700 Casco Ave Unit#
Wayzata,MN 55391
PID: 20-117-23-31-0040
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 51.00 valuation: $ 4,080.00
State Surcharge Fee: $ 2.04
Misc.Fee: $ 1.50
TOTAL FEE: $ 54.54
APPLICANT: Sedgwick Heating&Air Conditioning Inc. OWNER: Mr. &Mrs. Dongoske
8910 Wentworth Avenue S 3700 Casco Ave
Minneapolis,MN 55420 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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A PLICANT PE ITEE SIGNATURE I SUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
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�ITY OF ORONO APPLICATION FOR NiECHANICAL PERh�T
�ox 66 (2750 Kelley Parkvvay)
Crystal Bay, NIN 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will 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 YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanicai 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. Ide�tification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remod�liug is involved, a sepa:ate buil_di.ng pe?�nit must be olatained.
5. Ali work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and finai). Call 473-7357. 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, call 473-7357.
Please check one: New Addition Repair � Replace
� Residential Commercial
JOB si�• , z�P: <���yI
Owner's l�tame: TelephoneNumber; 1�1d- ���k-���25
Mailing Addres City: Zip:
Contractor'sName: �pGWICK HEATING b AIR CONDRION�6�oneNumber:
MailingAddress: 8910 Wentworth Ave. S�ity: Zip:
Minneapolis, MN 55420
SYSTEM DESCRIPTION (952)881-9000
HEATING SYSTEMS
Ouantity: __._._
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: � Jc
Model:
Tons: �
H. Power
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�VOOD BURNING EQUIPMENT �
Wood stove with flue +
Wood combination or add-on
Factory fueplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATI�N
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
Ir'o. Other Fans: Locatians cfm
Total
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
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
°� x .0125 $ �1•�'d
��� �
(con[ract price)
2. State Surchar�e. ** Add the State Building Code Divisior� '-�" ' �. q
Surcharge to each permit. x .0005 $ �( -��
(contract price)
or $.50, whichever is greater
3. Posta�e and HandlinQ (Onty mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � s�
* 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 installation aze fumished by the owner,
tenant or any other party the reasonable market value of sucl� iiems 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 Ciry may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,00O,OOQ 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 Ciry for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the Ciry and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and conect. �
Applicant's Signatur`e:'� � Date: ��l U�
Approved By: Date:
�� ( � �'� DATE TIME �
CITY OF ORONO CALIED IN / �
INSPECTIO�OTICE SCHEDULED � // . ��
PERMIT NO. CS� I �S 4 COMPLETED
ADDRESS ��CY, C� C�SC-b �t!�
OWNER CONTR.���(g'� tC� �C_-.
TELEPHONENO. � �� �a` ^ �� � ��c�
� DESCRIPTION / � V
l� 01 FOOTWG 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIOtJ REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next� spection 24 hours in advance. (J52� 249-4600
OwnerlContr ar 'te
Inspector. P
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