HomeMy WebLinkAbout2002-P04868 - mechanical PERMIT
CITY OF ORONO Permit Number:
27�0 Kelley Parkway - PO Box 66 Po4s6g
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Perniits
(952) 249-4600 Date Issued: zi4i2oo2
SITE ADDRESS: 110 Chevy Chase Dr
Wayzata,MN 55391
P I D: 3 6-118-2 3-41-004 6
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 49.25 Valuation: $ 3,940.00
State Surcharge Fee: $ 1.97
TOTAL FEE: $ 51.22
APPLICANT: Plymouth Plumbing&Heating OWNER: Kenneth&Laura Higgins
6909 Winnetka Avenue N 110 Chevy Chase Dr
Brooklyn Park,MN 55428 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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APPL[CANT PE ITEE SIGNATURE ISSUED BY SiGNATURE
Copies: 1-File(Si�nitures Required), 1-Aoplicant 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATIOI!' FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 553?3
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 2 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 specitications are required for each heatinQ,
ventilation, humidification-dehumidification, and air conditioning installation includina heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be p�ovided.
4. Whe,i any nev� construction or remc3eling is involved, a �eparate bui:ding permit must be c;,tained.
�. All work must be done in accordance with the Ur.:_orm Mechanical Code/State Building Code requirements.
6. All work must be inspected (rough-in and final). Call 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 WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE: - . Zip:
Owner's Name: -Telephone N mber �5�)4_7��q,�Q
Mailing Address: ` City: ` ip: �G,�(,�'�
Contractor's Name: . ` e ephone N er ' ''- 7
Mailing Address: ` ' y: � Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: ��� _
Model:
Fuel: �
Flue Size:
Input BTUs: ��
Output BTUs: J
CFM:
COOLING SYSTENIS
Quantity: �
Make:
Model: G
Tons:
H. Power
, �
FIREPLACES
Gas factory fireplace
Wood burnin� factory fireplace with flue
Wood Stove
W�od stove «�ith flue
Branci i�iame iviodci i�u.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. �_ Bath Exhaust (must be ducted outside)�� cfm
No. Other Fans: Locations cfm
�C,v�r�c� IY=QGZ1�� �`'�5't-�.� '. c"�V�`�� �,
FUEL STORAGE (MUST B�PPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: Qallons underground inside outside
LP Gas: gallons
Other Gas openin�
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($3�.00) `f ,
��� . �U x .O 12� $ �-1��C�
(contract price)
2. State SurcharQe. ** Add the State BuildinQ Code Division
Surcharge to each permit. �.( , x .0005 $
or $.50, whichever is greater (con�racc price)
3. Postaae and Handlina (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ —��,-,--t�`a�_
* 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 are furnisbed 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 Ciry may
request the submission of a si�ned copy of the actual contract.
** The STATE SURCHARGE is .000� of the contract price under$1,000,000 or $.50 - whichever is grea[er.
For valuations over $1,000,000 call the Department of Inspectional Services for the price.
Tre undersigned hereby applies to the Gity 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.
Applicant's Si;n e:
� � /� Date: `�p�
Approved By: Date:
✓ . . .
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED �/�/
PERMIT NO. G COMPLETED << 4 �
ADDRESS__f/O �-�..z�, C���e�—
OWNER CONTR. � _.C���" 7�.
TELEPHONE NO. �"� ��� S
� DESCRIPTION � � I"r�
� 01 FOOTING 11 E RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION OOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
W 09 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
LU IN N 36 FOUNDATION/REMOVAL
� CONTHACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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�WORK SATISFACTORY:PROCEED 1�PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED /� ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContrac r o s' .
Inspector.
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