HomeMy WebLinkAbout2004-P07813 - mechanical PERMIT
CITY.OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�gi3
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: si9i2oo4
SITE ADDRESS: 3445 Crystal Bay Rd
Wayzata,MN 55391
PID: 17-117-23-43-0121
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Also 1 Wirsbo
FEE SUMMARY: Permit Fee: $ 250.00 Valuation: $ 20,000.00
State Surcharge Fee: $ 10.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 261.50
APPLICANT: Riccar OWNER: Fred 7ohnson
2387 Station Parkway NW 3445 County Road 44
Andover,MN 55304 Minnetrista,MN 55364
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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APPUCANT PERMITEE SIGNATURG SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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, CITY OF ORONO � APPLICATION FOR MECHA1vICAL PERMIT
Box 66 (2750 Kelley Parkway) . . < _
Crystal Bay, MN 55323 r =, . �` ... � _
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GENERAL 1NFORMATION , -
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 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. Identification of and specifications for water heating equipment
shall also 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). 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, ca11249-4600.
Please check one: �New Addition Repair : Replace .
Residential Comm cial
. : � .-_ __ .�_- -
JOB SITE: � Zip: . ' . �
Owner's Name: - .- Telephone Number:
Mailing Address: - . - . �-. City: � Zip:
Contractor's Name: • Telephone Number:'1�Q�-`��_ �dQ
Mailing Address:p� City: ' Zip: c"�" +
� SYSTEM DESCRIPTION
. . _ � . . �1 " .
X ;
HEATING SYSTEMS � . " , a�
nuantity: _h.- '•��.
Make: _ � . . ��-.,'
Model: - ��.- .;
Fuel: i`Y . �-tC �.
Flue Size: 1 I � �-� _. _
Input BTUs: )
Output BTUs: `7����
CFM: _ .
COOLING SYSTEMS � _ . . . .. .,_ ,. : , i . . . _ _ ,
Quantity: I. _ _. , . - _ .. . .. . - . .. . �
Make: KI�--Q���'Z_ ._ . _ _ _ _ . , . . . . ':
ModeL• R� O�f�l � .... _.. t ,
Tons: ��1'1 , �' t
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H. Power • .,
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FIREPLACES � :�:��� �i�� � ;�� ,;�;; .
Gas factory fireplace �� � . : � , � Y �
Wood burning factory fireplace with flue �n � � ,.;�� � �.���,�� „
- .� '�:' S . . . . .
Wood Stove � �� '��: .;;;� { .
Wood stove with flue `� � w'� ";'��`r'
- �� �
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Brand Name Model No.
VENTILATION .. - .
No. Kitchen Exhaust ducted recirculating cfm ,
No. Bath Exhaust (must be ducted outside) cfm "
No. � Other Fans: Locatioris ' cfm �
V e,� 1 ' t�-� � �J d � �
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' imum Fee„ 35.00 �
1
� x .0125 $ r� �,-
(contract price)
2. State Surcharge. ** Add the te uilding Code Division
Surcharge to each permit. � � �'�' x .0005 $ C�j,��
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) . � $ c�(o � � ���_
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
` work including materials,labor,profit,and odier fixed costs. It is the amount to-be cnarged tv tl�e cus�c�aier
for the work done. If any material, equipment, labor, or installation aze fiunished 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 pLrposes. 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 Ciry and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. . �_ � . .
. -:..
' . . ' � : Date: 0/�/
Applicant s Signature:� �, �
Approved By: Date:
�� D TE� TIME �
CITY OF ORONO CALLED IN ��4� �
INSPECTION NOTICE SCHEDULED -� U .
PERMIT NO. {�C�� 7���' COMP�ETED
ADDRESS „��C('�.S�-� �� �-1 �L-�C •
OWNER CONTR. �..��c.�.' � ��
TELEPHONE N0. �l� �1 7��I �U G�v
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 MECHANICAL FI[�.L 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 RNER/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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED f i PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DA�E TIME �
CITY OF ORONO CALLED IN � � ��'��
INSPECTION N ICE SCHEDULED � � C� /
PERMIT NO. � COMPLETED �� "
ADDRESS � �� � ����
OWNER CONTR. f ���
TELEPHONE NO.�l v �J ��Y �C%� �
� DESCRIPTION
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING _ NAL 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 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
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10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContra o ite:
Inspector. —
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �1' Z3�v �'3-U -
, �
INSPECTION NO�IC�8 r 3 SCHEDULED . -2��-�v �
PERMIT NO. �� COMPLETED
ADDRESS `3�� ��'"R �°�7 �
OWNER���� ��� CONTR.� !'l�C��
TELEPHONE NO. 7Co� �7�--��U(�
(,����..c ��
� DESCRIPTION
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �1 CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. �952� Z49-46QQ
OwnerlContrac n it :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
���0 �� �3/ A E TIME V
CITY OF ORONO CALLED�N / � U�
INSPECTION NOTICE�/ / SCHEDULED9� �•��
PERMIT NO�P 1� `� COMPLETED
ADDRESS �, ;��5 ��5�,7`�� lJ%q-c.� �
OWNER CONTR. ��°r �' �a.�rl�
TELEPHONENO. �� � �S� LIIY�Y�
� DESCRIPTION / "`�-� l �'`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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:���.5 `��O
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANC,E ACCESS.
Call for the next nspection 24 hours in advance. (J52� 249-46��
OwnerlContra n s :
Inspector. .r
White Copyllnspector's File Canary CopylSite Notice