HomeMy WebLinkAbout2007-P10860 - mechanical . ,
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10860
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
4/2/2007
SITE ADDRESS: 120 Chevy Chase Dr Unit#
Wayzata,MN 55391
PI D: 36-118-23-41-003 7
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: PernutFee: $ 38•79 Valuation: $ 3,103.00
State Surcharge Fee: $ 1.55
Misc.Fee: $ 1.50
TOTAL FEE: $ 41.84
APPLICANT: Ditter Inc. OWNER: Mr. &Mrs. Caswell
820 Tower Drive 120 Chevy Chase Dr
Medina,MN 55340 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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APPLICANT PE EE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CITY USE ONLY
, ' Cit of Orono
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P.O.Box 66 Date Received: Permit#
� ��" 2750 Kelley Parkway
'�a ,"'�•�'� a��- Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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 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 Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,desigr.ter.:peratures,equipment ratin�s 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 finai). 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
e'�idential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs �R'ep}ace.
Job Site/Owner Information:
Site Address: V � �
,
Owner: Mailing Address: ' ��� � �
City: �� Gip: �"J��j.,�
Home Phone: �7 � —���( Alternate Phone:
Contractor Information:
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Contractor: �.� �-: Contact Person: � � C
Address: ��[� ��In'N- `r ��State Bond#: �' /� / `� ���
City: j � Zip: ����pi-ration Date: � � � � �
Phone: �� �-- � `7� �J�� Alternate Phone:
� Insurance—Current:
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�' : MEC�:CANI�AL SYSTEM�°BEINC Il�fi .: '=' � '�' `�
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HEATING SYSTEMS
Quantity:
Make: �(�� � �� `�
Model: �� �V � 1 �O �� I �D
Fuel: ��
Flue Size:
Input BTUs: r �'CJ(�
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Output BTUs: v v _ _ _
CFM: _���
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
'"Q Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. 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)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GA�LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S) ����
� � BASF,D OFF -2002 STATE STATUE . �
❑ Yes,this section applies
The replacement of a Residential fiacture 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;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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
' ;PERMIT FE�C�ILCLTL�4T.�t�i� � "=-JfJBS(�VER$SU(?`:0{I
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�/(/_� x.0125 $ �J��
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
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`� � X.00OS $ �'—'�
(contrac price) (mi imum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ t 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 installations are furnished by
the owner, tenant ar 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 Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION 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.
Applicant's Signatu : Date:� i � v �
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Reset Form
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� DATE TIME
CITY OF ORONO CALLED IN `f �
INSPECTION NOTICE SCHEDULED �-1 a� �
PERMIT NO. � i C�� 100 COMPLETED
ADDRESS � a� G h�.�P�.I CC�'lu�--�.
OWNER CONTR. �"�'<'-
TELEPHONENO. `'t�� �LI7�'" 3� � `
� DESCRIPTION �� �C.�"1^�t�1�� C_c��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTAIL. 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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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED Il IS UE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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