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Home My WebLink About2003-P06536 - heating system PERMIT C I TY O F O RO N O Permit ►vumber: 2750 Kelley PRrkway - PO Box 66 P06536 Crystal Ecay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: ��11�2003 SITE ADDRESS: 965 Edgewood Hills Rd Wayzata,MN 55391 P I D: 02-117-23-14-0001 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,403.00 State Surcharge Fee: $ 1.20 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.70 APPLICANT: Ditter Inc. &Ditter Properties OWNER: Mr. &Mrs.Thomas Cusick 820 Tower Drive 965 Edgewood Hills Rd Medina,MN 55340 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. i �1 �_ �—� �( ' _ -._ � �,� ) , �, � �. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 � ��ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 1 of 3 ;;-� l�; CIT1' O�' ORONO APPLICATION FOR MECHANICAL PERMIT Bos� 66 (2750 Kelley Parkway) Crystal Bay,MN 55323 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 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 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 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-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, call (952) 249-4600. Please check one: New Addition Repair Replace Residential Commercial ` �� JOB SITE: � C�f� . , � ��t< < Zip. ��1 Owner's Name: �l =�t_ !C,�, Phone Number: _C J� — �?5- ^S-� Mailing Address: �/�`�� l -r��cc � /� j_ City: (-�r��1�� Zip: �`>� ��f � Contractor's Name: � �'r�'�'C�- � Phone Nuipber: �� Mailing Address: d�%�'�� GLL�� l�i""� City: �<<ri"u-�. Zip• �� YSTEM DESCRIPTION HEATING SYSTEMS � Quantity: Make: ��/�l �'�/ Model: � . �� 'CI�`. ��)__ http://www.ci.orono.mn.us/mechanical%20permit.html 5/12/2003 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 2 of 3 Fuel: / �� Flue Size: Input BTUs: �-� � �'� f-" Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation or Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION(S) 2002 State Statute Yes This Section Applies The replacement of a Residential fixture or appliance 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; excludin�the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge$ .50 Mail-In Fee $ 1.50 � If above does not apply, follow guidelines below: � ''http://www.ci.orono.mn.us/mechanical°Io20permit.html 5/12/2003 ,� ZITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3 1. Lontract Price* is .0125% of job with a Minimum Fee of($35.00� L `�� ' ` X .o�2s $ �j� c�Z, (contract price) (minimum$35.00) 2. State Surcharee. ** Add the State Building Code Division a Minimum Fee of($ .50� U��%`7 �� x .0005 $ f. z L (contract price) (minimum$.50) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� 7 L� *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 installation is 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 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 City and the regul,ations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. � A licant's Si n r • �� pp g atu e. �� Date: Approved By: Date: http://www.ci.orono.mn.us/mechanical%20permit.html 5/12/2003 (� � � DATE TIME CITY OF ORONO CALLEO IN INSPECTION TIC SCHEDULED 7'�'Q3 //.� 3 �� PERMIT N0. ' COMPLETED ADDRESS ��J C� `�t;�� -�-t,e-FS' OWNER C�-�� CONTR. ��'� TELEPHONE NO. g�Z �7-� ��S 3 ei � DESCRIPTION Ct� � ��'� � 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 BING FINAL 36 FOUNDATION/REMOVAL � OWNERI NTRACTOHTOMEETYOU:�YES_NO � MENTS: � � � j � � � O � � O � W � Q � 2 W � W � � O � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next i spection 24 hours in advance. (952) 249-4600 OwnerlCon a to on it : Inspector. White Copyllnspector's File Canary CopylSlte NoUce