HomeMy WebLinkAbout2003-P06019 - mechanical PERMIT
CITY, GF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6oi9
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3is�2oo3
SITE ADDRESS: 2948 Casco Point Rd
Wayzata,MN 55391
P 1 D: 20-117-23-31-003 6
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: $ 125.00 Valuation: � 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Burns Mechanical OWNER: Paul F. 7ohncox
MN 2948 Casco Point Rd
Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APYLICANT PERMITEE S[GNATURE ISSUE Y SIGNATURE
Copies: 1-File(SiQnitures Rec�uired), 1-Applicant, 1-Monthlv Reports, 1-Assessina, 1-Finance Page 1
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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 pernut 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ng s -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 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 WII.,L 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: �` � , � , t "�; .�
� �/ L� `� �� ;'�'� �,;�! l� � ,� Zip:
Owner's Name: _ � �i� � � � ����� �-�'X Phone Number:
Mailing Address: _.��� �t4� �°c4��� �� �• �� ��a� City: ;� �<< � �c � Zip:
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Contractor's Name:� Phone Number• �
Mailing Address• City: Zip:
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �j
Make: �{��L
Model: v
Fuel: N
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Flue Size: Z
Input BTUs:
Output BTUs: ZJr�
CFM: ��ZoO
COOLING SYSTEMS
Quantity: 3
Make: �"�<<--
Model: �Z SE�1�
Tons: 2
H. Power
FIREPLACES GAS LINE ONLY
,� --- [�, Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name f-i���� ' ' ,�� ; �� ��� Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. �_Bath Exhaust(must have duct outside) 00_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
2
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; excludine 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)
/ : .
%�',�� �_ x .0125 $ � �
(contract price) (minimum$35.00)
2. State Surcharge• ** Add the State Building Code Division a Minimum Fee of($ .50)
/': � c. x .000� $ � .
(contract price) (minir.tum$.50)
3. Posta�e 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 is fumished 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.
**T'he 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: � � � ,;
Approved By: Date:
3
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� DATE TIME
CITY OF ORONO CALIED IN Z/�/��
INSPECTION NO CE SCHEDULED _1��T/2/Dc�- •�
PERMIT N0. ' C �� COMPL�Eo �
ADDRESS C � ��'�. � <` C- �`'�
OWNER CONTR. �
TELEPHONE NO. �L'�� �"�L� � :�CO��
� DESCRIPTION (/v�x �" / /�{ ' fC��G� s—/4
� 01 FOOTING 11 MECHANICAL RI 18 EXC V/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL �J 36 FOUNDATIOWREMOVAL
� OWNERlCONTRACTOR TO MEET YOU:}�YES_NO
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� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspe ion 24 hours in advance. (g52) 249-4600
OwnedContractor s' :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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\ � i/� �
�L I �� OF ORON� ��CALLED I
SPECTION NOT SCHEDULED �- � Z� " ` �
PERMIT NO. �l COMPLETED
ADDRESS ���/ �� ('�,��� �L�f-
OWNER CONTR. �
TELEPHONE NO. �� ` � � �` �;�
� DESCRIPTION � � ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRA NG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 COMPIAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe nex inspection 24 hours in advance. (g52) 249-4600
OwnerlContracto e:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice