HomeMy WebLinkAbout2005-P09316 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P09316
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
10/18/2005
SITE ADDRESS: 2560 Dunwoody Ave Unit#
Wayzata,MN 55391
PID: 20-117-23-21-0023
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: Permit Fee: $ 35.00 valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
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TOTAL FEE: $ 36.25
APPLICANT: Countryside Heating&Cooling OWNER: 7i11 Estoclet
6511 Hwy 12 2560 Dunwoody Ave
Maple Plain,MN 55359 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 PGRMITGE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
I pp� City of Orono
�¢ `r� P.O.L3ox 66 Date Received: Permit#
2750 Kelley Parkwuy
.+ � Crystal Bay,MN 55323 Approved By: Amount$:
�.^ '�' o` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commerciul permits must be approved by the Building Official or Inspector and/or Fim Marshall)
�
� GENERAL INFORMATION I
I. 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 UNT[L YOU RECEIVE A PERMIT. WORK MUST NOT QEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITF..
3. Mechanical_Desians—Complete calculations,details and specitications are required for each
heating,ventilation,humiditication-dehumidification>and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratin�s 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 Mcchanical Code/State 13uilding 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 fiinal.
TYPE OF PERMIT
(Check All That Apply)
❑ Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 0��6� �v,1 �� � ���
Owner:_ J� �� ��fOG��t Mailing Address: ��"�
City: �'E v�'►o Zip:
Home Phone: 1�.�"`� �y' �j�5� Alternate Phone:
Contractor Information:
Contractor: ���-����I �,-�� ljt � C�� Contact Person: ��',Z F. I�a-,�C✓�-�
Address: �t l� �'�"� �� State Bond#:
City: {'���` �C ��i� Zip:�.3.��f Expiration Date: __
Phone: �6 3'��"���'� Alternate Phone:
❑ Insurance—Current:
1
/ ' MECHANICAL SYSTEMS BEING INSTALLED
� HGATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
F[REPLACES
[T]— Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
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.A.
Brand Name:�..�E2G 1`� � Model No.: �� ►/�' �L'
VENTILATION
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST[3E 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
1
— . _..
• � � PERMIT FEE CALCULATION(S)
' BASED OFF - 2002 STATE STATUE '
��— — -------
❑ Yes,this section applies
The replacement of a Residential tixture or a�pliance that meets ai 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;excludin�the cost of the fiixture 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 $
'I PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply;follow guidelines below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35A0)
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��Cv x.0125 � �� t �7
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
-���=�` X .0005 � 1 r � S
(convact price) (minimum$ .�0)
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 tixed costs. It is the amount to be charged
to the customer f'or 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 Buildi��g 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 stateinents made on this application are complete, true and
correct.
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Applicant's Signature: ` Date: �U � CS
Reset Form
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G� DATE TIME V
�C:I�OF ORONO CALLED IN 1Zl'G� ���
INSPECTION N��C�3� SCHEDULED �.�,/7�� . C7
PERMIT NO. � COMPLETED
ADDRESS �� ?���q
OWNER J '�� ��x��-� CONTR. ���tsca�.t F'�S
TELEPHONE NO. ��3'" �7� ���
� DESCRIPTION •�� ��"��
� 01 FOOTING 11 MECHANICAL RI / 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FIN cL 19 LAKESHORE/WETLANDS
y 03 INSULATION 4/25 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 FO�LOW-UP
= 09 PLUMBING FI 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 _ WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
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�s' e
Inspector. � �
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