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Home My WebLink About2003-P06050 - mechanical f ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06050 Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�its (952) 249-4600 Date Issued: 2i2i�2oo3 SITE ADDRESS: 1725 Concordia St Wayzata,MN 55391 P I D: 17-117-23-22-0044 DESCRIPTION: Proposed Use: Residenrial Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 130.00 APPLICANT: K. Nordwall&Associates, Inc. OWNER: 7ames Nystrom 2124 Gilbert Ave. 1701 Madison St NE St.Paul,MN 55104 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. , � ��- � �_ �.._-< � A IC�ANT PERMITE�SIGNATURE SSUED BY SIGNATURE Conies: 1-File(Sienitures Reauired), 1-Applicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1 . . , 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 pernut 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 UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi ris -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�vork 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 ��-5 . JOB SITE: `��lj ��f�1G,t,�i��r r} Zip: � �� Owner's Name: �I � �rL c� Phone Number: Mailing Address: ��,f,,�_ City: �YC O�o Zip: l,� � • Contractor's Name: I�I�O��,a,oti` � �C�Spc Phone Number: �o5i � 7.�..�- � "� � (o (,� Mailing Address: Zl Zo �1 L►'?,�t`� City: �j�` Zip: �/l� 1 � w 1 a SYSTENi DESCRIPTION HEATING SYSTEMS Quantity: I Make: ��"�C,�f��j Model: �/.1 �L�� j�j✓I � Fuel: l4'i �S , 1► Flue Size: Input BTIJs: (�C��('jc,h7 Output BTUs: � CFM: COOLING SYSTEMS Quantity: � r`� S Make: Model: Tons: H.Power FIREPLACES GAS LI\E 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 2 r . PERIVIIT 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) � -� ,�� x .0125 $ (co�(tract price) (minimum�35.00) 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Postage and HandlinE (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ *CONTRACT PRtCE 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. 'fhe 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. , Applicant's Signature: ' � - � Date: [�� 1 `� � � Approved By: Date: 3 DATE TIME `. CITY OF ORONO CALLED IN 7 "(�`-G`� INSPECTION NQ�TICE SCHEDULED �-�� f� <'�--� �,_ PERMIT NO. � � �.' �J O COMPLETED ADDRESS I �;7� `7 �� ,.j : ; �` �� OWNER CONTR. �'.�� _;t�__k_C' TELEPHONE NO. ` a r -� - r'�`r' ��_:• - �1 S �� t`� cj l�? 7•�,3 � l"y.� � � DESCRIPTION �";�;, �--C.�i� .;.�t_ �--�,,� �C��k r� --�' ,C!.-/ � 01 FOOTING 11 MECHANICAL R� 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 INAL 19 LAKESHORE/WETLANDS 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 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 Z OWNERICONTRACTOR TO MEET YOU:_YES 1�1�0 � COMMENTS: � W a � � O � � O � W � Q ti 2 W � W � � a W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra r site: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME �� CITY OF ORONO CALLED IN � -z- �� INSPECTION TICE SCHEDULED __��"_T�—_�_ PERMIT N0. � "'�� COMPLETED ADDRESS I � 'Z`�� + c-�r'�C �,�� i t�� OWNER CONTR. I�,� :��C�-�r� I 1 r TELEPHONE N0. ( G ( � -� �� - �4�- I n ' � �, �� DESCRIPTION � � ��f�I��_�t V� � f�'��-�' � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 `� 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 � OWNER/CONTRACTOH TO MEET YOU:_YES NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WtLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. White Copy/inspector's File Canary Copy/Site Notice )i :"� C'�� , / V D TE TIME v CITY OF ORONO CALLED IN �'�S -U INSPECTION NOTICE SCHEDULED ''� -�� PERMIT N0.Ql� �pC1S� COMPLETED ADDRESS � �� ' �C�� C^�.- OWNER CONTR. � �J��,j��.� TELEPHONE N0. f.-r'`l � ��.� �`�� DESCRIPTION '��%i-��-�`�'� �� I-�- � ��lt��-- �Z-- � 01 FOOTING 11 MECHANIC RI `�� t��,s?8 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 OwnerlContraytey site: Inspector. � � White Copyllnspector File Canary CopylSfte Notice ,��'�-�� `��' ,e.�,�'� DATE TIME j CITY OF ORONO ��i � �LED IN ��L l-U3 � INSPECTION NOTICE SCHEDULED �-=1G� ��v; cY�t �� PERMIT N0. , COMPLETED —T—P''� ADDRESS / ��:'S ��u it c � ;-c�� OWNER CONTR. 1��`�` ,'L. �E(.L�2l� d�-�SS c>c - TELEPHONE N0. �r� I�� ,�� r��',�� -�' -�c:.-�c � � � � DESCRIPTION � 01 FOOTING �?'Fir�CHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING —i'.�MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W � -- j � , �C�r O a � O � W � �� Q � Z W � W � � d W� WDRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALITOARRANGE ACCESS. Call for the next i spection 24 hours in advance. (g52) 249-4600 OwnerlContrac o i Inspector. - White Copylinspector's File Canary Copy/Site Notice