HomeMy WebLinkAbout2000-P02182 - mechanical . �
PERMIT
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : �D o�.l Q �.-
Crystal Bay, Minnesota 55323 Date Issued: O1/12/00
(612) 249-4600
SITE ADDRESS: 20 Crystal Creek Road
Orono, MN 55356
H.N.B.
33-118-23-33 0007
DESCRIPTION: Mechanical
1 Heating System Make Amana
1 Air Conditioner Make Amana 4 Ton
7 Exhaust Make Kitchen, Bath, Other
REMARKS:
FEE SUMMARY: Valuation $10,500
Base Fee $131.25 MAIL IN FEE 1.50
Surcharge $5.25 Total Fee $138.00
Subtotal $ 136.50
CONTRACTOR Kleve, Inc. OWNER: Signature Homes
13075 Pioneer Trail 275 Market Street, Suite 445
Eden Prairie, MN 55347 Minneapolis, MN 55405
THE UNDERSIGNED HEREBY REQUES7�PGRMISSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED AND
AGRF;BS TO DO ALL WORK [N STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND S"I�ATG OF
MINNF,SOTA E3UILDING CODE REQU[REMENTS. � � �
C��`-�" <
APPLICANT/PERMITGF,SIGNATURE ISSUED BY: SIGNATURF, ���(`/,�
k ��
_ �
CITY OF ORONO APPLICATION FOR MECHAIVICAL P�ItMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GI;N�RAL 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 tS
POSTED ON THE JOB SITE.
3. Mechanical Designs - 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 shali be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. ��'her any new construction or :emo:leling is im�olvc;�+, a �eparate huilcling nermit must be ohtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
rcquiremcnts.
6. All work must be inspcctcd (rough-in and tinal). Call 473-7357. 24-hour notice required.
7. Ilouse Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the ccrtification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: X New Addition Repair Replace
Residential Commercial
JOB SITE: 20 Crystal Creek Road Zlp: 55356
Owner'sNa�ne: Signature Homes TelephoneNumber:
MailingAddress: 275 P4arket Street,Suite 445 City: P4inneapolisZlp: 55405
Coiitractor'sName: Kleve, Inc. TelephoneNumUer: 941-4211
MailingAddress: 13075 Pioneer Trail CIty:Eden Prairie Zlp: 55347
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Mdke: Amana
MOdel: GUCA115C50
Fuel: Nat. Gas
Flue Size:
Input BTUs: 115,000 —
Output BTUs:
CPM:
COOLING SYSTEMS
Quantity: 1
Make: Amana
Model: xcEo4s
Tons: 4 Ton
H. Power
f _
WOOD BURNING EQUIPM�NT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. 1 Kitchen Exhaust ducted recirculating cfm
No. 5 Bath Exhaust (must be ducted outside) cfm
No. 1 Other Fans: Locations Dryer cfm
FUEL 5TORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FE� CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
$ 10,500.00 x .0125 $ 131.25
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. $ 10,5 0 0.oo x .0005 $ 5.2 5
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) $ 138.o0
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pcnnitted
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 are furnished by the owner,
tenant or any other party the reasonable market value of such items mus[ 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 SURCIiARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Depart�nent of Inspectional Scrvices for the price.
Tlie 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 c tifies that all s tements made on this application are complete, true
and correct.
Applicant's Signature: Date:
Approved By: � Date: /�- �1 - do
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE � SCHEDULED �� I �a�
PERMIT NO. COMPLETED r �
ADDRESS �� (>�/�� �'��-�-�
OWNER CONTR. �L,I'C�
TELEPHONE NO. � y I '-�-I�--� (
� DESCRIPTION �'l'n��e�T \�� Q�Gl�Crivi S
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
w
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W
❑ CORRECT WOFIK&PROCEED i_ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. , PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlCon t r on site:
Inspector,����u'�- L� �� r
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED ^ ^U� �
PERMITNO. Da'ig�' COMPLETED �`Z�—� �'���
ADDRESS a� Cr�/jf�-�� C-VP.�Y _
OWNER CONTR. �"�(�-\1�
TELEPHONE N0. �l`'I I- y�� �
� DESCRIPTION
lu Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING ANICAL FINAL , 19 LAKESHORE/WETLANDS
� _
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
� OWNERICONTRACTOR TO MEET YOU:_YES_NO ,
� COMMENTS: I C c5
�
a��G � G� ✓ ✓✓J�11
j` .
o ��� � ��
� �' ` c:�.s� �'re �-c�
o' �
��� �' -s' S
w
Q G�? � ������� � ��'c%�i i�'�ly�
�
z
W
�
W
�
�
d
W ,�!WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� �T�ORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
W
� [; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
C] CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C] INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra r n site:
Inspector. '
White Copyllnspecior's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONNOTiCE SCHEDULED 1-2-�'t�U �
PERMIT NO. Q�a�� COMPIETED � �-�`� �'3�
ADDRESS �?SC�� � ��rZt�t C'' v���
OWNER CONTR. I�i ��CU`�—
TELEPHONE NO. ��� ���/
e '�✓ L�:�•r�,
� DESCRIPTION �.�Y_��� ��.��+�✓� t�,�e�m��'1�fffR
�
� 01 FOOTING 11 1ECHANICAL_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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
� -
J
O ,�y �
�• �� / �' , 1 ���
� % ��L .
O
�
W
�
<-
.
�
Z
W
�
W
�
�
d
W� ��VORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W
�❑ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. : pHOTO TAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.���C��
White Copyllnspector's File Canary CopylSite Notice