HomeMy WebLinkAbout2005-P09237 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 Keltey Parkway- PO Box 66 P09237
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Perniits
(952) 249-46�0 Date Issued: 9/28/2005
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 Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
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 O A L WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUI I CODE REQUIREMENTS.
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A�PLIC PERMITEE SIGNATURE ISSUED BY SIGNATURE ���
Copies: 1-File(SignaturesRequired), l-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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� City of Orono
� ��" P.O.I3o�66 Date Received: Permit#
���e ,, � ` 27�0 Kelley Parkway
�t� �'��� t;� (�2)2 9�46 ON»323 Approved B}�: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the I3uilding 011icill or Inspector and/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed ai�d 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE J06 SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilatio��,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 fonn provided.
4. When any new construction or remodeling is invofved,a separate building permit must be
obtained.
5. All work must be done in accardance with the Uniform Mechanical Code/State Building Code
rec�uirements.
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 PERMIT
Check All That A 1 )
[,7J Residential ❑ Commercial(Approval Rec�uired)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Inforination:
Site Address: S�%}C �.•-.S�Gt'' 1 t, l<<,��
Owner: c�n ��� �1 Mailing Address:
c�ty: (���,�� z�p: SS3� �I
Home Phone: Alternate Phone:
Contractor Information:
Contractor: � Z
(c,,�.z�'r � T ft�'�• �C�;.f�� Contact Person: ��� E-., t ��-�c�c%�
Address: �s�� �'f"� � State Bond #:
City: �a�'�r �4.i� Zip:�,��� Expiration Date:
Phone: 7�3'�7`� - /��'t,' Alternate Phone:
❑ Insurance—Current:
1
,
.
� �� � MECHANICAL �YSTEMS BEING INSTALLED �" � �
HEA'I'ING 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: �-I(�F�ICt E�r Model No.: �t/J� �H.�y y
V ENTI LAT[ON
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ I�lstallation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMI"I' FEE CALCULATION(S)
. BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets all three of the fo(lowing 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,if this applies; Cost of Pennit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT F�E�CALCULATION(S -JOBS OVER $500.00 � �
If above does not apply;follow guidelines belo�v:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�L�i[% x .0125 $ > (a5�%
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum P'cc ofS.50)
,��V x.0005 $ /� �L
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only oi�Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ � ( + G (�
■ * 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 Buildin�Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLTCATION 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.
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Applicant's Signature: / � Date: � �
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Reset Form
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E — TIME
CITY OF ORONO CALLED IN ��-3� �S
INSPECTION NO CE SCHEDULED ll/-OS /6,�
PERMIT NO. D COMPLETED
ADDRESS 3030 ��GO � �
OWNER CONTR. [�P
TELEPHONE N0. 7(0 3 �7q ( �D O
� DESCRIPTION �T �' �� � G� �
� 01 FOOTING 11 ECNANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS
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
i09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBIN INA 36 FOUNDATION/REMOVAI.
� OWNE CONTRACTOR TO MEET YOU: Y _NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED f_l PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR W{LL RETURN
_7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor An ' e:
Inspector.
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