HomeMy WebLinkAbout2005-P09124 - mechanical � PERMIT
CI�Y OF ORONO Permit Number:
2751•'�Kelley Parkway- PO Box 66 P09124
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
8/30/2005
SITE ADDRESS: 1987 Fagerness Pt Rd Unit#
Wayzata,MN 55391
PID: 18-117-23-14-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 37.50 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: D7'S Heating&Air Conditioning OWNER: Micheal&Judith Miller
6060 Labeaux Ave 1987 Fagerness Pt Rd
Albertville,MN 55301 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 MITGE: IGNATURE ISSUED BY SIGNATURE
Copies: I-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� .. FOR CITY USE ONLY
City of Orono h/ryq
O�O�O P.O.Box 66 Date Received: Permit# /'�v , ��
�;,;,,,, 2750 Kelley Parkway
� a �'�7�;�_;�_ � Ciystal Bay,MN 55323 Approved By: Amount$;
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must Ue approved by the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernut cards will be sent by retuni mail after a review is completed. PERMITS ARE NOT
VALID U1�,TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN Ul\TTIL THE
PERI�7IT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation, hunudification-dehunudificatioi7, 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.
4. When any new consnuction or remodeling is uivolved, a separate building peinut 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.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
esidential ❑ Conunercial(Approval Required)
❑ New �dditional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: I'�/� 7 �c7e�£' 1''Ni5S _�c>:.s.'� � �
Owner:j�r�� rnr�CfY' Mailing Address: 1 l�'�7 F�c�;v�s'S f�o':y� R� �
City: (r,l�7�v��1�c7 Zip: SS3J�
Home Phone: 1/7( - 3G"61 Alternate Phone:
Contractor Information:
Contractor: j7��s ���7�;,vu�/i��- Contact Person: r�� G,�r.3.�Jt�
Address: dC)��d LJbfz�c�t �v� State Bond #: y'C��G
City: ���c%���f(/�: Zip:,i'3�5��� Expiration Date: ,(i 3n/�E,
Phone: �Gj `�� � ��� � Altenlate Phone:
❑ Insurance— Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED ' �
HEATING SYSTEMS �
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: K����7� Model No.: g//XL
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STOR.AGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE O�LY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S)'
' BASED OFF - 2002 STATE STATL7E
❑ Yes, this section applies
The replacement of a Residential fixture or appliance that meets all tl�ree of the following requirements:
1. Does not require modification to elecnical 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, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Perinit Fee $
PERMIT FEE CALCULATION(S) —JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conn-act price with a(Minimum Fee of�35.00)
3Ge�e3 �� ' x.0125$
(contract price) (minimimi$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
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 achial or estimated dollar anlount charged for the
pernutted 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 installations are fiu-nished by
the owner, tenant or any other party, the reasonable market value of such items inust be added to the
estimated cost or contract price for pernut fee puiposes. 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.
m ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHAN�ICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pernzit, agrees to do all
work in strict accordance with the ordinances of the City and tl�e regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, h-ue and
correct.
Applicant's Signatu : � Date: �j���p_�
3
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C�D TE TIME
CITY OF ORONO CALLED IN L 6���.
INSPECTION N��I�/� SCHEDULED � .'� `� C%
PERMIT NO. coMP�ErE�
ADDRESS ��'�� ���r�� 'r�t�
OWNERCY�� �I-er CONTR. �
TELEPHONE NO. 1�P3 ' �Q 7 ��D�'�
� DESCRIPTION �
� 01 FOOTING 11` CHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL _,_.�_� 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/2ri.W66@'SOFiNER/FIREPLACE � 34 TREE REMOVAL
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Z 04 WALL BD. �/ � 12 WATER HOOK-UP -`"`� 17 SITE INSPECTION
05 INAL �C 14 SEWER HOOK-UP 06 PROGRESS
�
� 7 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;�, PHOTO TAKEN
INSPECTOR WILL RETURN �7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlCo o ite:
Inspector. ..
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