HomeMy WebLinkAbout2001-P04310 (mechanical) PERMIT
CITY OF ORONO Permit Number:
2750 Kellcy�Zarkway - PO Box 66 P04310
Crystal �ay, Minnesota 55323 Per'mit Type: �vtechanical Permits
(952) 249-4600 Date Issued: 9�6�2ooi
SITE ADDRESS: 3195 Casco Cir
Wazyata,NII�155391
PID: 20-]17-23-43-0023
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 312.50 Valuation• $ 25,000.00
State Surcharge Fee: $ 12.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 326.50
APPLICANT: Kleve Heating&Air OWNER: Paul&L,eann Hanssen
13075 Pioneer Trail 3195 Casco Cr
Eden Priaire,MN 55347 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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APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Cooies: 1-File(Sienitures Reauired). 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
�'I'I'Y OF ORONO APPLICATION FOR MECHANICAL PERMTT
rBox 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 '
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GENERAL INFORMATION ,_ .
1. You may apply for mechanical perrqits by mail or in person at the City offices. Appficatio�s`vaill 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. Mechanical 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. Ideatification 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 �vork must be done in accordance with the Unifor.n Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this appiication. 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
JO� jIIlL'': _7,in:
Owner's Name: Telephone Number:
Mailing Address: �/9S (� �,r�, ��i� City: �� Zip:��
Contractor'sName:�Ip� Nu�F( k TelephoneNumber: �j y(•</d[�
MailingAddress:J��� Q'��Rzi,,, �_�,Q City: �Zip:j�7
SYSTEM DESCRIPTION
HEATING SYSTEMS 1
Quantiry:
Ivlake:
Model: �ura� IS� (-f(�CA�`T�CYO
Fuel: 1�Ja� CSa.a N��- �m4�
Flue Size:
Input BTUs: y�j �j..�ron
Output BTUs: �n�,�p S�7_,�_
CFM:
COOLING SYSTEMS 1
Quantity:
Make: �n��r�.�� ,4 ti��1�1�
Model: �C,�(�}2. (�1�n��.._-- .
Tons: _��� �
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H. Power
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WOOD BURNING EQUIPMENT �
Wood stove with flue
Wood combination or add-on
Factory fireplace 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
VENTILATION
No. f Kitchen Exhaust � ductecl recirculating �� cfm
No. � Bath E�aust (must be ducted outside) ,ja� cfm
No. �_ Other Fans: Locations � _ . . _ cfm
Tb�al
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FFE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.UU)
�?� x .0125 $ o • � �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. ��j�ppp x .0005 $ � •cS0 _
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only 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 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 fumished 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. �
Applicant's Signature: Date: •
Approved By: Date:
/ DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTION /�C / SCHEDULED �-��"��/ �
PERAAIT N0. �`� ��( � COMPLETED �� ��
ADDRESS � `Jr� l �t �
OWNER CONTR. `�—
TELEPHONE NO. ��-5� `��— `7`.�.�f
� DESCRIPTION
l� 01 FOOTING 11 MEGHANIGAL RI 18 EXCA�//GRADING/FILLING
Q02 FRAMWG _, 13 MECHANICAL FINAL� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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GW�VORK SATISFACTORY:PROCEED J$PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor ' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
V DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �/ SCHEDULED
PERMIT N0. `� U� ✓' o COMPLETED —2 "� �•� `/�
ADDRESS .�%l 1 ��0 ��.'�
OWNER CONTR. �eu-�h l7i��/�t�`--�'�
TELEPHONE N0. (Q I��� � �,�(� � '�lYv'�
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� DESCRIPTION
� 01 FOOTING 1 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 1 L FINAL 19 LAKESHORE/WETLANDS
y 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENT : �
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WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� CORRECT WORK&PROCEED ❑ ISSUE CEFiTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContra on site:
Inspector. -��
White Copyllnspector's File Canary Copy/Site Notice
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED Q
PERMIT N0. �e,�� COMPLETED O J '�� / • 3O
ADDRESS � ��j� � .d��� ( ,t2
OWNER CONTR. •
TELEPHONE NO. � a � �/ Y�-I i
� DESCRIPTION ���
� 01 FOOTING t 11 MEC NICAL RI 18 EXCA`//GRADING/FILLING
Q 02 FRAMING 1 HANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEH/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACT R 0 ME YOU: YES N �`
� CO MENT : � �-�%�c'J�- '�U I,�I�ji.� �G.,-�.
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector.���� �{-%/I�
White Copy/lnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO C � SCHEDULED -D '4 A�
PERMIT N0. 3�� COMPLETED ` "E) �
ADDRESS _�/Q`�J C�S C O %l'.
OWNER CONTR.�T��.�G1P_
TELEPHONE N0. � v� R�f �� /�
� DESCRIPTION ��2%�QS fi Ci � �lS.�d • /-�� •'- ,��Qi�t�
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� �NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �d�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OFDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContr ctor on site:
Inspector. ���- ��
White Copy/inspector's File Canary Copy/Site Notice