HomeMy WebLinkAbout2007-P11197 - a/c PERMIT
CITY�OF ORONO
Permit Number:
27`� Kelley Parkway- PO Box 66 P11197
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
7/9/2007
SITE ADDRESS: 131 Chevy Chase Dr Unit#
Wayzata, MN 5539]
PID: 36-118-23-41-0021
DESCRIPTION:
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Proposed Use: �,�..— '
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Air Condirioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 36.13 valuation: $ 2,890.00
State Surcharge Fee: $ 1.45
Misc.Fee: $ 1.50
TOTAL FEE: $ 39.08
APPLICANT: Ditter Inc. OWNER: Patrick Moyneur
820 Tower Drive 131 Chevy Chase Dr
Medina,MN 55340 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC[FIED
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 PERMITEE SIGtiATURE S UED BY SIGNATURE
Copies: 1-File(Sigr:atures Reguired), ]-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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• FOR CITY USE ONLY
�/���� City of Orono
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P.O.Box 66 Datc Received: Permit#
���_: �`�, 2750 Kelley Park�vay
.� �j� � I' Crystal Bay,MN 55323 Approved By: Amount$:
��' '�� tvyo�� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits musl be approved by the I3uilding Otficial or lnspector and/or Firc Marshall)
GENERAL INFORMATION
L 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 PERM[T. 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,veniilation,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.
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
requ irements.
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
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�esidential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs l�place
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Job Site/Owner Information:
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Site Address: - �� `1. �� y%��
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Owner: _ g �1 �� i - ��;�(� J/i
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City: � ' ��- "�- Z�p� �� / � �C'
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Home Phone: , �� Alternate Phone:
Contractor Information:
Contractor: ,NC,. ontact Person: �`"
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Address: �u�'EFiUN����tate Boild #: �
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City: ��:'������� Expiratioi� Date: � �
Phone: Altecnate Phone:
❑ Insurance—Current: �)
1 -
.
, MECHANICAL`SYSTEMS BEING INSTALLED
HEATING SYSTGMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
a:�
Make: �-� �� '� ��
Model: �_ �
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Tons: �
H.Power
FIREPLACES
��. ❑ Gas Factory Fireplace
Wood Burning Fireplace
od Stove
� ❑ Wood Stove Witli Flue
Brand Name: Ytodel No.:
VENTILATION '�
Kitchen Exhaust duct recirculating efm
❑ No. �� Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL TORAGE(M -BE APPROVED BY FIRE MARSHALL)
❑ n tallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Out t�Grill ❑ Other/List What& Where:
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PERMIT FEE CALCULATION(S)
� BASED OPF - 2002 STATF STA�'UE �
❑ Yes,this section app(ies
The replacement of a Residential fixture or appliance that meets all three ofthe 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-ln Fee(IfApplicable) $ I.50
Tntal Permit Fee $
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� PERMIT FEE CALCL'LATION(S)�=JOBS OVER $500.00 � ��,
]f above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price,�jtl�a(Minimum Fee of$35.00) �-
/' �' `� �% �'%
v
��l,'�, � X .�125 $ --� ., .
( o� ntradt price) (minii uin$35.00)
2. STATE SURCHARGE ** Add the State Bldg Codg�Div.Surcharge(�9inimum Fee of$SO)
, � �`� �` � �� x.0005 $ �-��� .
(co tract price (minimum$ .50)
3. POSTAGE& NANDLING(Only on Mail-In Applications) $ 1.50
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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 or any otller party, the reasonable market value of such items must be added to the
estimated cost� or contract price for pennit fee purposes. In the event that there is a dispute o❑ 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 Clle Building Department at(952)249-4600 for the price.
��� ���MECHANICAL PERMIT APPLICA'TION�AGR�EEMENT� ����� ��
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.
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Applicant's Signature:"� � Date:
Reset Form
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�9��/ TIME
CITY OF ORONO CALLED IN Q d�
INSPECTION N T��� 7 SCHEDULED D �
PERMIT NO. COMPLETED
ADDRESS_ �3 / C��:�LI �'
OWNER �a�, CONTR.
TELEPHONE N0. 95L `1�73 3 77 7
� DESCRIPTION /`r� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 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 BING FINAL 36 FOUNDATION/REMOVAL
� OWNER ONTRACTOH OMEETYO • YES NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector.__��(v/�. 1—c����S
White Copyllnspector's File Canary CopylSite Notice