HomeMy WebLinkAbout2008-P12178 - mechanical �-----'
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PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: pi2178
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
6/18/2008
SITE ADDRESS: 3585 Crystal Pl Unit#
Wayzata,MN 55391
PID: 17-117-23-43-0145
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pemiit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
Install Heating System
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,686.00
State Surcharge Fee: $ 134
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.84
APPLICANT: Flare Heating&Air Cond OWNER: Don Bergstedt
9303 Plymouth Ave N-#104 3585 Crystal Pl
Golden Valley,MN 55427 Wayzata,NIN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNA R� ISSUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1
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�p� C'ity of Orono � �
P.(') [�n�66 IY,it� Received,�����Permit#�� ��
���d ��``� ��>o x��i�y r,��h�ti�y
�, y'" � '' Cryt�al 13�y,MN ii323 �pprovcd(3v Ainnunt 9+:
����^ �:. o�'� (952)249 4hOr, � ---- ---� —
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CtTY OF t)RONO—MECHANICAL PtiRMIT
(AU C;ontmerciol permit5 nwst h��,apprnved hy the�3uilding Official or Ins��eclor and,�or t�ite Marshall)
;i (if NERAL INT'ORMATION___ ___ _ ______ —__ �
f. You may apply for ntechanical pennils hy mail or in person aC the City�iffices. Applications���ill
be reviewed�nd a��ermit�vill be issued within two w��rkin�.*days.
?. Permit c8rds will be sent by returi�mail after a review i;.;ompleted. PERNtI"fS ARE NO"C
\-,41.1D UNTIL YOU RGCE�VE ,� VERMT'I'. WORK N1UST NO'P BEGIN UNTIL THG
P�RMIT CARD IS POSTED ON THE JOI3 SITF,.
3. Mecha��ical Desi�ns_--Complete calculations,details and s��ecifications are required for each
heating,ventilation,humidification-dehumidification,and air conditionii�g installation incfuding
lieat loss/heat Sain calculation,design temperatures,equipi��ent ratin�s and idenCificatioi�as to
type,manufaeturer ancl model. Data shall be presentecf on fonn provided,
4. When any new construction or remodeEing is involved,s�se��arate building permit must be
obtained.
S. ��11 u�ork must be clone in accordance with the Uniform Mechanical Code/State Building Code
requiretnents.
C. nll ��ork n�ust be ii�spectcci�roii�h-in and final). Call(9i2)2�9-4600.
(24-48 hom�notice required)
7. I�ouse Heating"i�est Record mnst bc submittecl before[ii��l.
- -------Tv�t: c�r r�EUMrr -- - �
� (Check /�II That��ply)
�Residential ❑Cot�imercial(Ap��roval Rec�uired)
❑ New ❑ Additional ❑ Repairs �Replacc
lob Site /Owner Infiormation:
�ite Address: �"J_ �� �� 1 1 y�
--
Chvner__ � Mailin� i\ddress: �
t �ty' �,�,
-��
1-lume Phone: Alternate Phone:
C'.�ntractor Information: �
C�mh�actor: Contact Pcrson: '1J 1 �� ��7
���� l�T�a. & A/�C, i��.
'����3 PI u ve. . star� �3���,� �:
0
��olden ��27 r..,��r��t��,�, �.����;: _
Phone: �j�' �f��' � � �� niternate Yh��ne:
❑ lnsw�ai�ce--('urrent:
1
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j__ �MECHANICAL, SYSTEMS BEING 1NSTALLED
F1(:ATING SYSTEI�1S
Qu��ntity: i
--- ---____ _ —--
N�lake: 1 (a/Y' }° -- �----- - -.
�t ��—
, f — ------
\lodel: �d_�✓� �t �I�
- -------
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Pucl: �� �,/ 1
Plue Size:
3i�put BTUs: � �v� -- — --- —--- ------ -- ----
}-_„�--- — --
(�utput BTUs: �� Y7C1�
�--- - ------- — --------- --
c�rn-1: �(�i��--___
C'OOI,ING SYSTEMS
Qiiantity:
N9ake:
h%fodel:
I'ons:
1-f. Power
l+'I RLPLACES
❑ Gas Pactoiy Fireplace
❑ Wood [3urnin��1=ire��lace
❑ Wood Stovc
❑ Wood Stovc With Flue
Brand 3�Iainc: �A�t��del No.:
V I�NTILATION
❑ No. Kitchen f�:xhaust duct recirculating _______cfin
❑ No. ___ _ L�at�h Fxhaiist(must have duct oiiCside) � cfili
---_
❑ No. Other Fans: Locltions cfm
I�l CL STORAGE(MUST F3E APPROVF.n BY F[R�?M�RSHAI_I.�
❑ Ins,allat�on ❑ itemuval
Fuel OiL _____�allons ❑ I liidcrground ❑ Inside ❑ Outside
I_,P Gas -------gallons
Other:
CAS LINE OVLY
❑ Outdaor Grill ❑ nther/List V1'llat& Where:
�
� � � �� � � � � E'ERMI'C FEF CALCULn"I�I�ON(S) � � �
j_ BnSEn OFF - 2002 STA"I't� STATUE
❑ Yes,this section applies
i'he replacement of a Residential fixture or appliance th�t meets all thrce of the following reqt�irements:
I. DoEs not require modification to electrical or�as service.
�. Has a total cost of$500.Op oc less;excludin�the cost of the fixture a�appliai�ce:anci
:i. Is improved, installed or replaced hy the homeowner or licensed contractor.
Skip next section, if'this applies; Cost�f 1'ermit $ �j.pp
Siate Surch�rge $ .SO
Mail-In 1'ce(If'npplicable) $_---1.50
7btal Per►nit Fee $
�_ PERMIT FEE CALCL;LATION�S)-.IOBS OVER$SOOA� '' �_I
I Cabove does not apply; follow guidelines helow:
1. CONTRACT PRICE 'k is I.?5°/„�f contract price�vith a(Minimiim Fee af$35.Of►�
� L
� x .012� $ ����-----
{cnn(.�cC pricc I (m��um$��.00)
2. S'I'ATE SURCIIARGE "`* Add the State� E31d�C'oc(e Div.Surcharge(Minimum h'cc of�.SU)
� � " �'� ��
---(c�rac��_�t x .0005 $ � • /
-- ---
I �'�'�) (minimum$ SO) ----
3. POSTAGE& HANDLIN<<(Only on Mail-In Applicationsl $__ I.50
��
4. �fnTAL PERMIT I�GE(A<id Lines I-3 nb�ve) � , ��
^ "' CONTRACT PR�CE? or JOB COS'1' means the actual or estimlted dollar amount charged for the
permitted work inclu.�ing materials, I�bc�r, profit, and othcr tixed costs. ]t is the anlouilt to be cl�arged
to the custon�er for the ��vork done. If any tnaterial, equi��mcnt, labor or installations are furnished by
the o�vner, tenant or any other paily, the reasonable n�arl:et v<�lue ol�such items must be added Cp the
estimated cost or co��tract price for permit fee pur��oses. In the event that there is a dispute on the
atnount of the job cost, the City inay request the submission of a signed copy of the actual contract.
■ ����The STATG SLiRCHni2GE is .0005 of the Buildin�;Departmenl at(�)52)249-4C00 Por the price.
�� � MECH�NIC'AL PERMIT APPLICATION AGREF.MENT �
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1'he undersigned herehy applies to the City for issuance of a Mechanical Pet�mit, agrees to do all
��vork. ii� strict accordance with the ordinances ol� the City and Cl�e re!�ulations of the State oi�
f�linnesota, anc( certities that all statements made on this ap��lication are complete, true and
correct. ',
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A��plicant's Signature: �__--- l 1"�'' — -- �� DaCe:� ��`� ---
� Sf t f tlCj�sn � �
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� � � D T TIME
CITY OF ORONO CALLED IN � �
INSPECTION N�jTICE .y SCHEDULED ��
PERMIT NO. 7��a� /� COMPLETED �
ADDRES S Jr �
OWNE � CONTR. �
TELEPHONE NO. �S '�7C � �
� DESCRIPTION `��Q- L'-�� `��`'�—C
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING �fCIECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
WNER/ NTRACTOR TO MEET YO�ES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED '� SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnedContra or on si e/ _ ^
Inspector. ��
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