HomeMy WebLinkAbout2004-P08231 (mechanical) � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelle y Parkwa y - PO Box 66 Pos23i
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: iii29�2o04
SITE ADDRESS: 2528 Casco Point Rd
Wayzata,MN 55391
PID: 2o-i i�-z3-2i-oois
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 49.23
Valuation: $ 3,938.00
State Surcharge Fee: $ 1.97
TOTAL FEE: $ 51.20
APPLICANT: Al's Master Plumbing OWNER: Marie Svang
3041 Aldrich Ave S 2528 Casco Point Rd
Minneapolis, MN 55408 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICA PERMTTEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant. 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL 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 two working days.
2. Permit cards will be sent by return mail afrer 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 Desi�ns-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.
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 Unifarm Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.24-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 (952) 249-4600.
Please check one: New Addition Repair l�place
Residential Commercial
Jos siTE: �`�Z�� e.ci.Sw �r�, .��� �c�- z;P: �5��"1 I
Owner's Name: '� v� e�y�. Phone Number: tj�-Z- l.,�l `j,- '�ZZ-;S�j '�
Mailing Address: tt.��.�-Q._ a City: Zip:
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Contractor's Name: �(5 (����.�-� ��°��\P�hone Number: i,�l�_ - ��L-Z " `'�Z-��
Mailing Address: `'xji���f� � l��-�t ;��, �.6;ity: !-� (,���j Zip: — ^�j
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SYSTEI�I DESCRIPT[ON
HEATING SYSTEM�
Quantity:
Make: t�
Model: I,�C:t�� f Z' n���
FueL �� �d�'� (�r,�
�N
Flue Size:
InputBTUs: �ZS��
Output BTUs: ��b�`���
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
F[REPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside or outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
requirements:
1) Does not require modification to electrical 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 contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
� -1 )G`•.��� xA125 $ �`"I . �l'
(contract price) (minimum$35.00)
2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of($.50)
x .0005 $ I. ��
(contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -��< �"I
*CONTRACT PR(CE 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,]abor,or installation is 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$1,00Q000 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 d the regulations of the Minnesota State Building Code,and certifies that
all statements made on this applica�ion aze �plete,true and conect.
1 :
Applicant's Signature: ���� ���� Date: ���� —��
Approved By: Date:
' �;. � :
,� �. Reset Form
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Job.No._ ,. ". . ., • : ` _—_ ---- ---._....:..:. . ` ':: Pag� __ of �
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Windows a�d Doo�s—GacScage and Area Windows and Doors—Gackage and A�ea
. Desi W�dth Height No. Lin.ft. Area Width Hei9ht No. �i�.ft. A�ea
9- f ane f an ht vack .ft. �5�9• of ane of ane hts crack .ft.
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�CITY OF ORONO CALLED IN �rD�E, _/�� TIME
c�J
INSPECTION NO ICE SCHEDULED J��� / •�DU
PERMIT N0. � % COMPLETED t ��
ADDRESS 2 5�-� C��C'� �'� �
OWNER CONTR. �� �s �-'�-���
TELEPHONE NO. _ l.-�' �� ��-2�- 5 Z`�"Z- ��'�'�
� DESCRIPTION
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� 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 05 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlConUactor site•
Inspect .
White Copyllnspector's Ffle Canary CopylSfte Notice