HomeMy WebLinkAbout2003-P06057 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6os�
Crystal Bay, Minnesota 55323 Per-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2i2si2oo3
SITE ADDRESS: 1725 Concordia St
Wayzata,MN 55391
PID: 17-117-23-22-0044
DESCRIPTION:
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 $UM�IIAI�Y: PermitFee: $ 431.25 Valuation: $ 34,500.00
State Surcharge Fee: $ 17.25
TOTAL FEE: $ 448.50
APPLICANT: Com�ay Mechanical Services OWNER: James Nystrom
37498 Hastings St Ne 1701 Madison St NE
Stanchfield,MN 55080 Minneapolis, MN 55413
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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Ar?LICANT PERMI"I'EE SIGNATURE ISSUED BYSIGNATURG
Cooies: 1-File(SiQnitures Re�uired), 1-Avolicant, 1-Monthlv Revorts, 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
LTNTIL YOU RECENE A PERMIT. V�'ORK MUST NOT BEGIN LINTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns -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
equipi. �nt 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: l � .�S <��� c � �� �� ,�; S i � Zip:
Owner's Name: r y L T �/c,�. T t= /'r�rT•:.�: Phone Number: �; �' %'�� � -� ;�s``i
Mailing Address: 1�3�y �,-w::�;�,r� �3�c�,, City: %�� t ��,ti<.��,�,� Zip• ;- ;_ ; `� I
Contractor's Name: ����w�Y /'�r<,y4ti�%�-�.L Phone Number: �>�: '> �� �`j � `�� ��
Mailing Address: ��Y�� �1�3� %�;` s 5r, iv x, Ci�,, sr �.�,:..�,�,�r /� Zip; s s� � d:,
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: � �
Make: }'/�, � Li't,��
Model: 1`�� `i:� ��E^i.�o %�� i� �:�i'�`; ,
Fuel: „�.e'r=�i ,,,�',�T
Flue Size: S ,/ �'�� � j��'c
InputBTCJs: ��� r ' ' 7�� . -
.
our�Ut Brus: j� -� , s�„ . 3 c,� ,3 ���
CFM: ,1� _, -, �—� :�
COOLING SYSTEMS
Quantity: � l
Make: 3�,,,: ,'R..0 � :, .. , 7-� .,C.
ModeL• ,����7� - ,��^ c�L?- 1 � y
' .Z
Tons: 7
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 h^ -� cfm
No. � Bath Exhaust (must have duct outside) ,;,L-_cfm
No.�_Other Fans: Locations cfm
1. �.. � �M ,M�a�� ��� _;�� ��...,:, r J- -� . . Fr, n;r� ��ti,a,�fC,.
FL?EL STORAGE (MUST BE APPROVED BY FIItE MARSHAL)
❑ Installation or ❑Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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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; excludin�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)
� % �,,.. .��a x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handling (Only mail-i�: 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 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 Department 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.
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Applicant's Signature: /�-'�-�� .�Z,..+C��.�..-�- Date: S
Approved By: Date:
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CITY OF ORONO �D IN -�`� 1�3
INSPECTION NO�TI,C.,E SCHEDULED '#� 3) 3��
PERMIT N0. � 1I D l�`�� COMPLETED
ADDRESS I��Z-`:� �' r'r'r �r���� S+
OWNER CONTR. L ��r�.�ti�C��..,
TELEPHONE N0. r�lr '� �' ZP ��� - � I� 1 M��� '
� DESCRIPTION ��"`�'— ���
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� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
y 03 INSULATION 24/25 WOOD 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
� 07 DEMO-FINAL 15 SEP IC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 S P IC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDIT�ONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALI INSPECTOR O CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
OwnerlConUactor o it -
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN � �'�
INSPECTION NOTJ�_�j� SCHEDULED `��' ':�7�-s =l?i-� 27
PERMIT N0. � COMPLETED
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ADDRESS C G� 1��. - 7.
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OWNER CONTR. �- �l I L�'�1 ��C_ � •
TELEPHONEN0. ��� '-�'�
� DESCRIPTION _ '��� � �{,� C.�-,/�.�'�-
� 01 FOOTING 11 MECHANIC�A � 18 EXCAV/GRADING/FILLING
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Q 02 FRAMING 1�AECHANICAL_FJAIAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 �Off6QRR�FIREPLACE 34 TREE REMOVAL
Z 04 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
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING�HdA1�\ 36 FOUNDATION/REMOVAL
� OWN CONTRACJ'OR�b MEET YOU:�ES_NO
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� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
� INSPECTIONRE(�UIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContrac o • ite:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice