HomeMy WebLinkAbout2004-P07601 - heating PERMIT
CITY -JF ORONO Permit Number:
2750�Keliey Parkway - PO Box 66 P07601
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952� 249-4600 Date Issued: 6nsi2oo4
SITE ADDRESS: 3329 Crystal Bay Rd
Wayzata,MN 55391
P��: 17-117-23-41-0019
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 68.25 Valuation: $ 5,460.00
State Surcharge Fee: $ 2.73
Misc. Fee: $ 1.50
TOTAL FEE: $ 72,48
APPLICANT: Riccar OWNER: Sevie Lanning
2387 Starion Parkway NW 3329 Crystal Bay Rd
Andover,MN 55304 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 ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
`���� �
APPLICANT PERMI'fEE S[GNATURE ISSUED BY S[GNATURE
Conies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
'+rr' . '� 1 �„� ti�S( r ` 3� .a �.�,.�. �,• s 5. *+ �wa
. ,. � � �-� I '+ � L� � "��� "��rie t� �� 'a:� , * ��� �4'�',�� ��}�'_.
1 � 5 y w��++�'� �„ � t•
� � �g'� ,�w�.. �, , �c r r. - �� i"'N�� Ktf .�'�..
.. .� ',s t� `l 7 ��� . . _:N. f }^�`.. ,� �` b�y .
,�� .. ... � �' ,�Yr�.
\ :�'+ �1 �"Y'.. . �� Y � �A.
. ' ... . .. . . . � . . � ; . , .�Zv . �
- � � � . . , .. . . ,. y' i
CITY OF ORONO ' � APPLICATION FOR MECHArTICAL PERMIT
Box 66 (2750 Kelley Parkway) � .-. . _ : . : . �. ,
Crystal Bay, MN 55323 '=r�E �,�:,:t �_ �, � .`a .. . �,��� �... `:,� _ ... . I .
. � . �. { .�
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 2 working days.
2. Permit cards will be sent by return 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 Designs - Complete calculations, details and specificarions aze 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 al"so be provided. � -
4. When any new construction or remodeling is involved, a sepazate 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). Ca11249-4600. 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, ca11249-4600.
Please check one: New Addition Repair Replace : _
Residential . Cominercial __ . �.. , � �,
JOB SITE: , -
� . �Zip: ✓J
Owner's Name: _ ���C(� Telephone Number.
Mailing Address: �- - � - =-' City: _ ' Zip:
Contractor's Name: j�`�:�'��/i' • � Telep,�one Number:� � � - �.
Mailing Address:,�,�7 t j f-c'�t � ��C�.��f City. �'�f�`1C��J'��r Zip: �j� �
� SYSTEM DESCRIPTION , �
� �`��'T�� �i�- -.. # � -�/� i � 1�- .
' _.. .w.� .. �,..y�,,�f ��s' '� �i�' .
HEATING SYSTEMS { . ;
Quantity: � ' , , . � #,::
Make: - . �i�sb,�'�___„ � � - - .. .. , � �
Model: . d ::�,�
Fuel: . _ . -
Flue Size: _ ,
Input BTUs:
Output BTUs:
CFM: _
, . �._
. _ _ _ . . ,
.. - .,.
COOLING SYSTEMS _ . .. , �.. . . - ,:. - - �. - � ,
�
- - . _ . . - _
.:
_ . . ,.
- , �s
� . _: . .. . .�.: _ . . � � � . . .
Quantity . .. - _ _ .. � .. _ .�
Make: _ . . . . . . . _ .�. . _. .
Model: � •... _.
Tons:
H. Power • ., .
,.
.
.. � �Fr �1�' +'A n ✓�`� !v�, �b J' � t'o- Jiy £� ��..� s s 2,� W �.,� . .��1 � �` _
-,.. ... .. �.
. a ,Y S�,'�.0 ,���o � „'� '1. �� q' ' h j� �.�AM' y ��1 M r t t �; � � �� ,s } .
T.�..: : ,�t° �'� Rv . � e� � � a'3,', `�` .
- � �` ,� ..F ,�y`� t . •
. .. }.' .t { Y - f"- 3 � ¢;.'
. ' . s^iw 4-S . S� . ` (L y''r 'f� ��N_ . .. �� _ . . if � . . ' . .
FIREPLACES . � � ��' - � "�.� ; x"' � � �_�� '
�� '�; ;�
Gas factory fireplace } � �
Wood burning factory fireplace with flue � i . ,E;' �
Wood Stove � � . '4 :
Wood stove with flue , s 1,;,, �"
' � . - - � ' 3r+��.�4` 4}'
Brand Name Model No.
�.
VENTILATION � =:�- �
No. Kitchen Exhaust ducted recirculating cfin >��, ,: �
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ��
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 M'nimum Fee 35.00 '
� �� x .0125 $
contract price)
2. State Surcharge. ** Add the ate Building Code Division /�
Surcharge to each permit. ��j,�� [7,�� x .0005 $ �V
or $.50, whichever is greater (contract price)
� 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �n� , J�
�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials,iabor,profit,and ocher fixed costs. It is��amouni io bc cha;gcd to the customer
for the work done. If any material, equipment,labor, or installation aze 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 perposes. In the eYent that there is a dispute on the amount of the job cost,the Ciry 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 Ciry for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the Ciry 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:
Approved By: Date: :.
/� � DATE Z TIME
�-�/ l
CITY OF ORONO CALLED IN /�� ��y
INSPECTION NOTICE�J / SCHEDULED � �`� �CG'
PERMIT N0. r�' ` �`'� COMPLETED
ADDRESS r _7� � C d�Z ; ��
OWNER CONTR. �
TELEPHONE NO. ��'�_> 7�� ���C C�� �'`{�
��cnr t�;
� DESCRIPTION I �C��\!'� /f'lC.-<--r
�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
� OWNERICONTRACTOR TO MEET YOU: ES_NO
� COMMENTS:
�
W
0.
�
�
O
� 0 • �iY` � S (41 �
0
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED C i PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CA�L INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContra o ite:
Inspector.
White Copyllnspector's le Canary CopylSite Notice