HomeMy WebLinkAbout2008-P12018 - mechanical � � PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 p12o18
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 5/2/2008
SITE ADDRESS: 108 Chevy Chase Dr Unit#
Wayzata,MN 55391
PI D: 36-118-23-41-0034
DESCRIPTION:
Proposed Use: Religious
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 187.50 valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 195.00
APPLICANT: D.T'S Heating&Air Cond OWNER: Mark D Williams
6060 Labeaux Ave 108 Chevy Chase Dr
Albertville,MN 55301 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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APPLICA T PERMIrEE SIGNATURE ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOK CITY'USE ONLY
City of Orono
����� P.O.Box 66 Date Received: Permit# �
� 2750 Kelley Parkway
�� ��'��'��,`= � Crystal Bay,MN 55323 Approved By: Amount$:
���v,�.�o` (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by tl�e Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernut 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 Designs—Complete calculations, details and specifications are required for each
heating,ventilation, humidification-dehumidification,and air conditioning instaliation 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
requirements.
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 Apply)
-�es' ential ❑ Commercial(Approval Required)
New ❑ Additional ❑ Repairs ❑Replace
Job Site/ Owner Information: .
Site Address: %j «���v�_�'ti��sf 1'Jr;��
Owner: ���S" L.�-��;���-,s Mailing Address:
c�ty: 1�/��z��� z�p:
Home Phone: Alternate Phone: �/„z-�,�J-�So
Contractor Information�:
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Contractor: �v�S�r-,�s,��� Contact Person: /��,� (�/�.,,���
Address: �o�o Lah fJ�.� �vL State Bond #: 7do�43���t
City: � � Zip: ss�,� Expiration Date: �'/�/o�
Phone: 7,�•�-yy7-�6(� Alternate Phone: �/,I-3.Z�-E,�/�/
❑ Insurance—Current:
1
/ s� 1
i
MECHANICAL SYSTEM`S BEING 1NSTALLED
HEATING SYSTEMS
Quantity: �
Make: �z�t,,,,�N
Model: 6�'�'I N9.r�09�
Fuel: ir/�7�
Flue Size: 3" ��t/�-
Input BTUs: _�d 04a
Output BTUs: �6,Ga4
CFM:
COOLING SYSTEMS
Quantity: �
Make: �-�.);,,.,�,v
Model: (�SG).36�,/�
Tons: ��
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model I�?o.:
VENTILATION
[2�' Na � Kitchen Exhaust �� duct recircularing 25� cfm
❑ No. Bath E�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: ,/��,� -�- �;�,z•�/a�c
2
PERMIT FEE CALCULATION(S)
BASED OFF — 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excluding 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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) � $ 1.50
Total Permit Fee $
'= �"- a PERMIT FEE �ALCU'LATION(S)—JOBS 0�'� $��:f�:�� ���
If above does not apply; follow guidelines below:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
/s"q��/ x .0125 $
�act price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
(S G+oe, �/ x.0005 $
(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
pernutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the wark 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 puiposes. 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)249-4600 for the price.
�,. e..,���.; MECHANICAL'PERMIT APPLICATIOl�T AGREEMENT �` �, f::u,s
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 Signa _ Date: s�����
3
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CITY OF ORONO CALLED IN ���"
INSPECTION NO ICE SCHEDULED __���� �
PERMIT NO. �b I COMPLETED
ADDRESS �,D� C�'L�`"�-I �_� c-2�
OWNER CONTR. ��T�S f��
TELEPHONE NO. ��0 �� � - a�CD �
� DESCRIPTION Y�— F-�'-�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPT F L ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YO . YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. L; pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-460�
OwnerfContractor onsit�:
Inspector. � r//�1��
White Copyllnspector's File Canary CopylSite Notice
<<� `� Ir � TIME �
CITY OF ORONO CALLED w � �
INSPECTION NOTICE scHE�u�E� " � -���
PERMIT NO. ���L'I� COMPLETED
ADDRESS �.� C��}' tC�--�� . I ,
OWNER ONTR. ����J ��I�
TELEPHONENO. � � �L�l � � c� `C1' �
� DESCRIPTION \
� O FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�:�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on sit �
Inspector. t
White Copyllnspector's File Canary CopylSite Notice