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HomeMy WebLinkAbout2005-P09172 - mechanical ' PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p09172 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: 9/14/2005 SITE ADDRESS: 3030 Casco Point Rd Unit# Wayzata,MN 55391 P��� 20-117-23-43-0052 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Pern,it Sub-type(s): Ventilation Gas Line Inspection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 58.75 va�uation: $ 4,700.00 State Surcharge Fee: $ 2.35 TOTAL FEE: $ 61.10 APPLICANT: Countryside Heating&Cooling OWNER: K Forss& A Ronningen 6511 Hwy 12 3030 Casco Point Rd 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. � � . �f� - �1 - �" � � �'�� �i���..-- �� '�-'" APPLICANT ITEE SIGNATURE ISSUED BY SIGNATURE Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1 � MECHANICAL SYSTEMS BEING INSTALLED HEATING SYSTEMS Quantity: Make: Model: FueL Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION � No. � Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY F[RE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What& Where: �� / 7j7a� '�"' ��}C t.s�� F�rel la��-' 2 ` � � a �7�� 71 � �i. r� �� b FOR CITY USE ONLY " �, City of Orono �� ��'� P.O.Bo�66 Date Received: Permit# d� Q��' 2750 Kelley Parkway .t, §'�� � Crystal Bay,MN 55323 Approved By: Amount$: a �p �t�;,` �ac`♦% (952)249-4600 �yo!a�;i CITY OF ORONO—MECHANICAL PERMIT (AII Commercial permits must be approved by the 13uilding Ot�f�icial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications wi11 be reviewed and a pennit 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desians—Complete calculations,details and specifications are re�uired 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. 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 requiremei�ts. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERM[T Check All That A I ) '�-Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional `�Repairs ❑ Replace Job Site/Owner Information: Site Address: ��5�_. �.<---S C.�= i' �`- � � Owner: �Cr1 � r 'r►1 Mailing Address: >c� j�- C�:_S« ��'1- kc�, City: C.�,�;i�, Zip: '7� 7�7 Home Phone: �� �'���—� � �` Alternate Phone: Contractor Information: Contractor: L�=��-�;�c�r C�k,�}-(w��� Contact Person: ����- �r�=� ���� Address: C 5<< �w-� �� State Bond#: City: l�uP�� ���-+i�� Zip: '�� Expiration Date: Phone: 7E � ���`I-1���' Alternate Phone: ❑ Insurance—Current: 1 � E'ERMIT FEE CALCULATIQN(S) � ° � � BASED OFF -�2002 STAZ'E S"I'ATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap�liance 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 ar appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT,FEE CALCULATION(S -JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) `/ 7c� �._�L' X .o�2s $ ,�..,Y. �5. (contract price) (minimum$3�.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fec of�.50) �� 7GZ, �� x .0005 $ f. �� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on 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 installations 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 Building Department at(952)?49-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: Reset Form 3 VIO � DAT TIME � CITY OF ORONO U CALLED IN �D� INSPECTION N IC SCHEDULED D— -0 /; � PERMIT NO. ���!7 a� COMPLETED ADDRESS `3�� C�'� ��'�� OWNER CONTR. �G'����f:.�' ' " TELEPHONE NO. 76.3 jL79 ���� � DESCRIPTION I�P��" °` � �''�'e ����'`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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;; pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n�e t inspection 24 hours in advance. �952� 249-Q6QQ Owner/Contr , n ite: Inspector. White Copyllnspector'�File Canary CopylSite Notice