HomeMy WebLinkAbout2003-P06206 - duct work PERMIT
C�TY �F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po62o6
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Perniits
(952) 249-4600 Date Issued: a�is�2oo3
SITE ADDRESS: 2745 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-23-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-rype(s): Duct Work
Pernut Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 995.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Ditter Inc. &Ditter Properties OWNER: Mr. &Mrs. Steven Peterson
820 Tower Drive 2745 Casco Point Rd
Medina,MN 55340 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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT �� �. �Z' Page 1 of 3
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� r'ITY !JF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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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 after a review is completed. PERMITS ARE NOT VALID LTNTIL YOU
RECEIVE A PERMIT. WORK MUST NOT BEG1N 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. 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. A(1 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-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 Replace Residential Commercial
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JOB SITE• �����,� �'�.S��L� �,��/I I � Zip: -��� - - -
Owner's Name: ��f'-Q�`C z ���"]�tv �'�Nf_;y�� • Phone Number:
Mailing Address: -�����__ City: Zip:
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Contractor s Name: - i r � l�� . Phone l�Tumber: .�
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Mailing Address: ,�Z�i�- (G��t- I � Y" . City: � 1(,� ��y�i��� Zip: ._i_`����(
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs
Output BTUs:
CFM:
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 2 of 3
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COOLING SYSTEMS
Quantity:
Make:
Model:
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 E�chaust 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 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 a500.�0 or less;exciuding tne cost of the fixture or appiiance:
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) ---
- - —-----
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� X .o12s $ _j� .
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division aMinimum Fee of($ .50)
___ _ _ _ __ _
c,�=:�
x .0005 $ o �J �
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of'3
� . � • (contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ 1.50
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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 far the work done. If any material,equipment,labor,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$1,000,000 call the
Department of Inspectional Services for the price.
The undersigned hereby applies to the C' 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 Minnes State � ing Code,and certifies that all statements made on this application are complete,true and
correct. ' �
A licant's i nature: • / ����
pp S g � � Date. �
-- — — _ _ ___ -- -
Approved By: � Date:
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DATE T�ME
CITY OF ORONO CALLED IN ���
INSPECTION N IC SCHEDULED � - 3
PERMIT NO. � COMPLETED
ADDRESS ��
OWNER CONTR. /�'
TELEPHONE NO. ���� �S' ��C1,�
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� DESCRIPTION
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 HANICAL FINAL 19 LAKESHOFiE/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
v 07 DEMO-FINAL 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� _ WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe ne inspection 24 hours in advance. (952) 249-4600
OwnerlContracter'o si e:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notfce