HomeMy WebLinkAbout2003-P06024 - mechanical PERMIT
CITY C�F ORONO
275i+; Keiley Parkway - PO Box 66 Permit Number: po6o24
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2���2003
SITE ADDRESS: 1890 Concordia St
Wayzata,MN 55391
PID: 17-117-23-23-0022
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-rype(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.0o valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
Misc. Fee: $ 1.50 �
TOTAL FEE: $ 37.10
APPLICANT: Owens Companies, Inc. OWNER: Roger Cook
930 E. 80th Street 1890 Concorc�ia St �
Bloomington,MN 55420 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 ORL?INANCES AND Sl'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
' � n ;, ����°�//' �,''9'! 1 .._ _ ?�? � ,� , /� / _
� �i - - . �� � � �' � � �
l
APPLICANT PERMI"I'IiE SIGNATURE ISSUED BY SIGNATUR@� �
Copies 1-File(SiQnitures Required), 1-Avplicant. 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
. ...
.
CITY OF ORONO APPLICATION FOR MECHAlvICAL 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 pemut will be issued within 2 working days.
2. Permit cards will be sent by retum 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 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 equipment
sha:l a:so 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 fmal). Call 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 249-4600.
Please check one: New Addition Repair �Replace
Residential Commercial '
JOBSITE: \�t`�`` ,c�c��C(����U, �-� ,Jc::�IZc'��c�. Zip: 5`����'�\
Owner'sName: C�-,�� c,�-�(��� TelephoneNumber: ; -� - �
Mailing Address: �`-bGk�L�;������;��� ��- City:` r, � �� Zip: r�S�q�
Contractor's Name: ���,.,��; � (�C. �`c��11F��Tel hone Number:(-''�� � S-
1" �rn . ��..- -��- t��
MailingAddress: �=�;',�� ��� �+ �� ���-t- City: I� Zip: � ` �-�
SYSTEM DESCRIPTION
HEATING SYSTEMS .
Quantity: �
Make: LO�P�C e�jl
Model: C�1 U�t� 1��H,a 11,-�
. Fuel:
Flue Size:
Input BTUs: ���,��jC,��>
Output BTUs: ; C � ,
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outsitie) cfm,
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) L� '
\�(,,(1 x .0125 $ �1�,.�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. \�L:�L`) x .0005 $ � ��C'
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �'�] , j _�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including ma[erials, iaoor,profrt, and other fixeil costs. It is the amaun:to be�harged to he cus.��ner
for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or
any other party the reasonable market value of such it�ms 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.
��n '
� r� �'
Applicant'sSignature: �'�� , C'��.�- Date:
Approved By: Date:
�� �
CITY OF ORONO CALLED IN ,37T��/Q� TIME
INSPECTION NOTICE SCHEDULED �� �q�j
PERMIT NO.� 'L20�� COMPLETED
ADDRESS ���O �C�Y�C�►�C=���� �-{ ,
OWNER CONTR.
TELEPHONE NO. g� � � � �� ` ��y�
� DESCRIPTION ���`�'V�" f"/r�
� 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
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU• YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
� _
Q _ _ _ . _.�� v
�
Z �---._... .. . _ ___. . .._.
W __ ... __---__ ___ _... _. �.
� _. _ ,... .
W
� , ,. _ �._, _ . __ . .__ .
j . _ __ .
_ -
_ . ._
W� WOFIK SATISFACTQRY:.PROCEE0.- - - � PROJEC7 COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
. __w �.... ,... _
� ❑CORRECT WORK,CALL FORAEJNSPEGTION- - -� -- "� " "" " �7EMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHINT�HOURS. . ' "" "
. ,.... ._ . _
INSPECTOR WILL pETURN fl PNdTO TAKEN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR , _ ,. . _ ... - .-
_ _. .
_. . - . ... _ _ _ ..
O INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call forthe ext mspection 24hours�in advance: (g52) 249-4600
OwnedCon r site: . -- - . . - - -
Inspector.
� . . _, _ _ �
White Copyllnspector's File Canary CopylSite Notice