HomeMy WebLinkAbout2001-P04151 (mechanical) �ITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po4isi
Crystal Bay, Minnesota 55323 Permit Type: 1vlechanical Permits
(952) 249-4600 Date Issued: s�2�2o01
SITE ADDRESS: 3233 Casco Circle
Wayzata,MN 55391
PID: 20-117-23-43-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 59.69 Valuation: $ 4,775.00
State Surcharge Fee: $ 239
TOTAL FEE: $ 62.08
APPLICANT: Countryside Heating&Cooling OWNER: Mr.&Mrs. Spilseth
6511 Hwy 12 3233 Casco Circle
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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APPLI� CA PERMITEE SIGNATURE [SSUEDBYSIGNATURE
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Copies: 1-File(Sienitures Reauired). 1-Applicant, 1-Monthlv Reports, l-Assessin�. 1-Finance Page l
CITY OF ORONO APPLICATION FOR I�IECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GE�tERAL INFORMATION
1. You may apply for mechanical permits 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 return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECENE A PERMIT. WORK MUST NOT BEGIV UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditionin� installation includin� heat loss/heat gain
calculation, design temperatures, equipment ratinas and identification as to rype, 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 fmal.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCO�IPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New Addition Repair ✓ Replace
�Residential Commercial
JOBSITE: 3a33 C.C�SCO C�(ZcL C Zip: SS `3� 1
Owner's Name: S p i �-S�.�-N Telephone Number: � 5����� - 7�S �
Mailing Address: �A�M C. City�: Zip:
Contractor's Name: Cou�-��s�pC E-�-�-��L�� Telephone Number: �7 6`3 �- �1 Q-16��
MailingAddress: LS�� ��tu;A� �� City: MA��L P�A�r�ip: 5535�',
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: i
Make: �3 R4 ea��'
Model: 3 3 i A�V�3�Q�5—
Fuel: N • � •
Flue Size: �
Input BTUs: �� �_
Output BTUs: �� �L-
CFM: �a.p p �
COOLING SYSTEMS
Quantity: �
Make: l3yZ�C 1�,t�T
Model: Ssb l�t�X��
Tons: �.���
- H. Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERIVIIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
��"1S .�6 x .0125 $ Scl �7
(c ntract price)
2. State Surchar�e. '�"` Add the State Building Code Division
Surcharge to each permit. x .000� $ a t 3 c1
or $.50, whichever is greater (contract price)
3. Postage 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 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. �
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Applicant's Signature: � . _ - Date: 8 4 1
Approved By: �� Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ���.�� �-�•�
PERMIT N0. Pa�I �5 I COMPLETED '-0
ADDRESS �a 3 3 �C�S C D Ct r.
OWNER CONTR.Co�in T�uS'�'cSL�
TELEPHONE NO. Z Sc� `� 7� ' l �S �
� DESCRIPTION �C �"� .• � �vrn�C� .l- /}�' �
lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT .
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 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� �lORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ��CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra tor on sit :
Inspector.!Z�(�CC���!/�-S
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