HomeMy WebLinkAbout2004-P07158 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�iss
Crystal t�ay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 2'49-4600 Date Issued: iigi2oo4
SITE ADDRESS: 1625 Bohns Pt Rd
Wayzata,MN 55391
PID: i�-ii�-23-li-0003
DESCRI PTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: � 375.00 Valuation: $ 30,000.00
State Surcharge Fee: $ 15.00
TOTAL FEE: $ 390.00 ,
APPLICANT: Heating&Cooling Two Inc. OWNER: Roger&Carol Rovick
18550 County Road 81 1625 Bohns Pt Rd
Maple Grove, MN 55369 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.
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APPLICAt ,�PERMITEESIGNATURE ISSOEDBYSIGNATURE
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Copies: 1-File(SiQnitures Repuired). 1-Annlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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, 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 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN LTNTIL 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, design temperatures, equipment ratings and identification as to type, manufacturer and
model. 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 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-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
(952) 249-4600.
Please check one:�New ❑ Addition ❑ Repair ❑ Replace�Residential ❑ Commercial
JOB SITE• f� .,� �� /1 S � (� Zip:
Owner's Name: •_ / v- ' j i�,1 �_S Phone Number:
Mailing Address: City: Zip:
HEATING�COOUNG TWO INC.
18550 County Rd,g1
Contractor's Name: Mq ;e��Mw ���69.92�hone Number:
Mailing Address: (763)428,367T City: Zip:
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: r
Make: �l �1 � l�- tT,� QG�C lii c,R. � !I �.�i�{�
Model: �5�yI�CiSSC�i 3 5}�(oG/Z G � �
Fuel: (r- � �'' �/�'' �
Flue Size:
� %� �3 %� �r
Input BTUs: C� G ; � �
Z �� C d' �d �C.�$�o�c�
ourpuc B'rus: � ' c�c,� /2 U c c- C� p�;
CFM:
COOLING SYSTEMS
Quantity: j �
Make: !{. �' �:1,,�
Model: , 6 �L C�jC � ' �,`
Tons: �c � �
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace � Installing a Gas Line Only
� Wood burning factory fireplace with flue
Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No.�Kitchen Exhaust duct recalculating cfm
No. �Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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� PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture 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; excludine the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
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C- �� x .0125 $ J �.� �;
(c ntract price) (minimum$35.00)
2. State SurcharEe. ** Add the State Building Code Division a Minimum Fee of($ .50)
3�j��� X .000s $ l S, c�a
(contract price) (minimum$.50)
3. Postage and Handling (Only mai[-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
*CONTRACT PRICE or JOB COST means the actual or estimated doliar 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 is fumished 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 City may request the submission of a signed copy of the actual contract.
**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Deparhnent of Inspectional Services for the price.
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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
A licant's Si ature: t��t � t�—r- � �--- 'r�
pp gn . C Date: 7
Approved By: Date:
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CITY OF ORONO CALLED IN ��' �-
INSPECTION NO I E v SCHEDULED _-(czL-{'� ��-� �
PERMIT NO. � 7/�O COMPLETED
ADDRESS_ ��o2.S ��-� �7� ��---
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TELEPHONE NO. ��Z -3�-3 .SJl�7 T�7
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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
� 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
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❑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. �952� Z49-46QQ
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�D7Te,E� TIME
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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
`� 07 DEMO�.F1 15 SEPTIC INSTALL. 22 FOLLOW-UP
= LUM I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v ,� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES=NO
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INSPECTOR W�LL RETURN
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe 'n ection 24 hours in advance. �95Z� Z49-46��
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DATE TIME
CITYOFORONO CALLEDIN �-(n-[�
INSPECTION NOTICE SCHEDULED ,�-G�U�I l�vo P•'vi
PERMIT NO. Prf�. '�1;�� COMPLEfED
ADDRESS f(�%�`� �Ci�`1!"1S �i►'L�' ���,
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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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� BEFORE COVERING
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INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-46��
OwnerlContra �s e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notfce
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DATE TIME
CITY OF ORONO CALLED IN -�'-��
INSPECTION NOTICE SCHEDULED j -�/-�/ ����� ��I
PERMIT NO. 7 /S� COMPLETED
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y 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 O6 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the nex inspection 24 hours in advance. (952� 249-4600
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Inspector. �
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DAT TIME
CITY OF ORONO CALLED IN `�- '�t�
INSPECTION NOTICE SCHEDULED -1� --,�' � � ��t�(
PERMIT N0. 7/S� COMPLETED
ADDRESS /�%,�S �5��2/�Z S �- �
OWNER CONTR. �- i� i �
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Q OS 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
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46QQ
Owner/Contract s'�:
Inspector.
White Copylinspector's Fi e Canary Copy/Site Notice