HomeMy WebLinkAbout2006-P09754 - mechanical PERMIT
CITY OF ORONO
Permit Number:
275b Kelley Parkway- PO Box 66 P09754
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4/14/2006
SITE ADDRESS: 3385 Crystal Bay Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-44-0019 ._
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pern�it Fee: � 56.25 valuation: $ 4,500.00
State Surcharge Fee: $ 2.25
Misc. Fee: $ 1.50
TOTAL FEE: $ 60.00
APPLICANT: Fore Mechanical,Inc. OWNER: Kevin Grell
3520 88th Avenue NE 3385 Crystal Bay Rd
Blaine,MN 55014 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.
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APPLICANT PERMITGE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
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� FOR C[TY U5E ONLY
�O���O\ City of Orono
� P.O.Box 66 Date Received: Permit#
�;,, � 2750 Kelley Parkway
\���' �.� Crystal Bay,MN 55323 Approved By: Amount$:
�I�,r.��/ (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must bc approved by the[3uilding Official or Inspector and/or Fire Marshall)
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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�f Residential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 3 J � ���"�"�- �� .�
Owner: /�^ l/G��,l�1J Mailing Address: �'�- //�
City: ��'�'�'' Zip: `��F'Q
Home Phone: Alternate Phone: ��/�?-���`�i�
Contractor Information:
Contractor: �r.�.-�, iC���y�',�'i�� ContactPerson: �:2_'i� � �./
Address: ��� _;f��.��1� State Bond #:
City: j!��� Zip: /��'! Expiration Date:
Phone: ��3 "��l�"f�a„� Alternate Phone:
❑ Insurance—Current:
1
• 4
• MECHANICAL SYSTEMS BE[NG INSTALLED
HEATING SYSTEMS
Quantity:
Make: ���(3�!i
Model: ,���/� �JQ�
Fuel: /��'f,�J�
Flue Size: ,� ��,�i
Input BTUs: �i`SQ�
Output BTUs: ��. �!'.�
CFM: ��
COOLING SYSTEMS
Quantity: �
Make: �Qj[�,,sd''�
Model: �ps3�/�p C/
Tons:
dG
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ Nc. Bath.Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance 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;excluding the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee �
PERMIT FEE CALCULATION S —JOBS OVER $500.00
ii above does not apply;foliow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�� � x.0125 $ SGJ C�J
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
�J�� x.0005 $ ��,�S
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In 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
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 installations are furnished 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 Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION`AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: � Date: �7 /��
Reset Form
3
� DATE TIME �
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- CITY OF ORONO CALLED IN �-JZ(G"Zu�O
INSPECTION NOTIC�, SCHEDULED y�7 ZC1'1� ,3:�'�rPti7
PERMIT NO. �C:'17 5`I COMPLETED
ADDRESS �� � � � ' '
OWNER CONTR. � �
TELEPHONENO. I.��� y�P�� �F% }/C�
� DESCRIPTION ����ZL-��� •
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Q 02 FRAMING 3 MECHANI L 19 LAKESHORE/WETLANDS
y 03 INSULATION 24 9B"6QF��R/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �'�' ��G
INSPECTION NOTICE SCHEDULED ��� � % ' � (
PERMIT NO. �C, �T I S�� COMPLETED
ADDRESS -�-� ';� �1i� S�� I «/ � �� � C' ��.
OWNER CONTR. l G��� �-L-� c'= `
TELEPHONE N0. �l✓�� � ���� -- �o.7/�
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� DESCRtPTION n � �
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� 01 FOOTING 11 MECJlPcI�lfC1AL RI_ 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHA 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 06 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑ ORRECT WORK 8 PROCEED f i ISSUE CERTIFICATE OF OCCUPANCY
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� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next in ection 24 hours in advance. (952� 249-46��
OwnerlContract it =
Inspector.
White Copyllnspector's Fiie Canary CopylSite Notice