HomeMy WebLinkAbout2005-P08437 - mechanical PERMIT
�•ITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P08437
�;rystal Bay, Minnesota 55323 Permit Type: Me�hani�al Per�ts
(952) 249-4600 Date Issued: 2iio�2oos
SITE ADDRESS: 3015 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-34-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Mu1rr'�"" ms
Permit Type: Mechanical Permits
DETAILS: �
�,
Approved per resolution#: �"j
Separate pernuts required: �
�
�' �� --
-`>
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 475.00 Valuation: $ 38,000.00
State Surcharge Fee: $ 19.00
TOTAL FEE: $ 494.00
APPLICANT: Countryside Heating&Cooling OWNER: Daniel&Helena Seidel
6511 Hwy 12 3015 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 SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
-,
^ � C
.'��z-�� 2��z� �'"��---�..�-{ �, �. �/J
APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthly Reports, 1-Assessin�, 1-Finance Page 1
'� �j f�y�
� , �>7�7
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 worlcing days.
2. Perinit cards will be sent by return inail 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 Desi�ns - Complete calculations, details and specifications are required for each
heating, ventilation,humidification-dehumiciification, and air conditioning installation
including heat loss/heat gain calculation, design teinperatures, equipment ratings and
identification as to type, manufacturer and�nodel. 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 sep�rate building permit inust 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 tinal.
Instructions
Complete all items on this application. Computc the permit fce. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you
havc questions, call (952) 249-4600.
Please check one: �New Addition Repair Replace
� Residential _Commercial
JOB SITE: „�� l 5 C��c c� FT �� Zip: SS���'
Owner's Name: _S�C;/ D C" L Phone Number:
Mailing Address: 3 U/5 C,a�'CU F'T City: ��%/"�� Zip: j�'�
, (��
Contractor's Name: �--�UN�'��S�O` (�T�" �phone Number: �;�3 ��I�—��o���
Mailing Address: /oS l��f w7 I v City:t'lAP�: Fui�� Zip; ,S"S'3S�
T
SYSTEM DESCRIPT[ON
HEAT[NG SYSTEMS
Quantity: �
Make: ��'�— /-��T�
Model: 35 OF�A✓C)EQ(7$v
Fucl: ►`f�'r
Flue Size: 2� F��
Input BTUs: /J ���`J
Otttput BTUs: 7�l �`��
CFM: �����
COOLING SYSTEMS
n
Quantity: �"
��i�r'��
Make: '��tL
Model: �����`��
n
Tons: J+� ��
H. Power
('IREPLACES
( �
s�/���as factory fireplace
c Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
_ (�l Pr�r� ti- G-w
Brand Name _*s���'��` `�� `-� �� Model No. �r �-t �' ' i, �`'✓
VE1vTILATION ,
C
No. �Kitchen Exhaust�duct recalculating�cfin
No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or Reinoval
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 a��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 or appLiance:
and
3) Is improved, installed or replaced by the l�omeowner or licensed contractor.
Skip next section; Cost of Permit � l 5.00
State Surcharge $ .�0
Mail-In Fee S 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
C O��
,`� �`�'�`� x .012 S � ��/ �
(contract pricc) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
� �,`'
� �''�'-'� x .0005 $ � r
(contract price) (minimum$.50)
3. Postage and Handling(Only�nail-in applications) � -�6-'
v��
4. TOTAL PERMIT FEE (Add lines 1-3 above) S �� �� ��. �
*CONTRACT PR10E or JOB COST means the actual or estiinated dollar�mount charged for the permitted work
including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work
done. If any material,equipment,labor,or installation is furnished by thc owner,tenant or any other party the
reasonable market value of such ite�ns must be added to the estimated cost or contract price for pennit fee purposes. In
the evcnt that there is a dispute on the amount of the job cost,tllc City may request the submission of a signed copy of
the actual contract.
**The STATE SURCHARGE is.0005 of the contract price under$I,000,000 or$.50-whichever is grcater.For
valuations ovcr$1,000,000 call the Department of Inspectional Seivicc;s fior the price.
The uudersigned hereby applies to the City for issuance of a Mechanical Perinit,agrees to do al]work in strict
accordance with the ordinances of the Ciry and the re t� ��f the Minnesota State F3uilding Code,and certifies that
all statements made on this appli� io ompl�e, f and"correct.
Applicant's Signature: Date: � ����'���
Approved By: Date:
Reset Form
�Df � � V
DATE TIME
CITY OF ORONO �' CALLED IN � I i b/ U�
INSPECTION NO/TJICpE// SCHEDULED �/ /5�D� � ��(?
PERMIT NO._,1"�� !1 7� 7 COMPLETED
ADDRESS ,�C�l5 ( `Ct�J C c,'� �7� /��C'�
OWNER CONTR. ( '�� �,�i'►,C� �d�--
TELEPHONENO. 7� - 7� �� � ���C� ���,�
� DESCRIPTION `/`'�CG �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOH TO MEET YOU:�YES_NO
� COMM NTS:.
� � .
4 r ;�ctn� ( �,c�� : b '
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 'J CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContrac r n site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
G`� DATE TIME
CITY OF ORONO CALLED W ��/���
INSPECTION NO�ICE SCHEDULED ��-/y-Cf %�'�P•�
PERMIT NO. I�o�y3� COMPLETED
ADDRESS ��i/� CC4S`C-G � /�-�'•
OWNER CONTR. ��2�/� fi��e i c-'E�z.�lf�
,� rJ
TELEPHONE NO. �v �c�'�o� I ��
� DESCRIPTION
� 01 FOOTING �1i�MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 AL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
� WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContract site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice