HomeMy WebLinkAbout2000-P02195 - mechanical � . .
�'i.,
PERMIT
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : a o a I�i S
Crystal Bay, Minnesota 55323 Date Issued: O1/20/00
(612) 249-4600
SITE ADDRESS: 3090 Farview Lane
Orono, MN 55356
H.N.B.
04-117-23 34 0011
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 �3-i�5 1�C� MAIL IN FEE r�.F�'
Surcharge 5�'�' � Total Fee �38'6�'� �CJ7 . S'�
Subtotal $ 1�-�8—
CONTRACTOR: Kleve, Inc. OWNER: Robert& Sarah Schmidt
13075 Pioneer Trail 3090 Farview Lane
Eden Prairie, MN 55347 Orono, MN 55356
7�HE UNDERSIGNED HEREBY REQUEST PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECI�FIED AND
AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS. �� �� � ��
:i:/�C���,('_'�'LJ 'Y�I l, '
APPLICANT/PERMITEE SIGNATURE SSUED BY: SIGNATURE ir•l i �
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h.
CITY OF ORONO APPLICA'TION FOR I�iECHAi�IIC�L. PERIIIT
Bos 66 (27�0 Kelley Par�-waY)
Cry�stal Bay, ��LN ��323
GENER�.L Lti"F�R`f aTiO'v erson at the Ci o�ces. Applications will be
1. You may aoply ror mechanical permits by maii`oQr�b days. ty
reviewed and a oermit will be issued within
� pe;-mi[ cards will be sent by return mail aiter a review is completed. PERMITS ARE NOT VALID
li`TIL YOU RECEIVE A PERIv1IT. �VORI� �tUST NOT BEGIN UNTIL THE PER�IIT C.�RD IS
POSTED ON THE JOB SITE.
3. �Sechanical Desiens - Complete calculations, details and specifications are required for each hea[in�,
ventilation, humidification-dehumidification, and air condi[ionin�installation includin�heat loss/heat�a.in
calcsiation, design temperarures, equipment ratings and identification as to rype, manufacturer and model.
Daca shall be preseated on form provided. Iden[ification of and specifications for water heatin� equipment
�:;4;t �iso he orovided. hu;?d�n� P�;T,i: �ust he Cuiaii,�Q.
,�,, `L Rza �I1V IIe`.V COIISil"i1CIl0II Of LeIROaeli�� IS lIl�'OL'•'��, a '��a""`' ' '
�, :�.11 work must be done in accordance with the Uniiorm vlechanical Code/State Building Code
reauiremencs. C�l �}��_73j7. 24-hour notice required.
6, �11 work must be inspected (rough-in and final)•
�, House Heating Test Record must be submitted before final.
Instructions Complete all items on this aPPTcBtE PROCESSED�I Pyo�u have ques onsacall 4 3e7357fication.
INCOMPLETE APPLICATIONS WILL NO
� Addition Repair Replace
Please cnecic one: �New
Residential Commercial �� ..
Zip: �-����, �lF__
JOB SITE: �� `. ^ ' ` �
� � �` � Telephone Number:
O`vner's Narr.e: `v�rr�,��t �) `;� ` � City:C���-.,��,, Zip• `"a�- �-� G%
��l;n��ddress:,' ^ '. � TelephoneNumber.T-�y 1 - ���l
Contractor'sName: 1�1�:�L- ��.���? � �� �-�-- p:�,�4;�
Nlailin��ddress:. l;�`�.���'�';Ca"t��.�' �Y'0.� 1 City:�r� t�i�c:ti�';�Zl - �
;�
SYSTEti1 DESCRIPTION
HEATI-NG SYSTEMS � _ _
Quantiry: _
Maice: � r���.._._ —�—
Model: �z'`v'1l nC'�--�-��-
Fuel: 1����� •�re 1
Flue Size:
Input BTUs: �� �`twc%
Output BTL's: b-1'7 �
CFti1:
COOLL�G SYSTENIS
Quantity: �
Make: ��'���
Mode1: ���� 'i`��s
Tons: I �1—�
H. Power I�_,�,�c����'
�
`VOOD BURti�G EQLJ�I�LEN'I'
`Vood stove wirh flue
�/ood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestandin� Masonry
�Iood Stove (s) Franklin, other
Brand Name Model No.
Mfar's l�iin., Clearances, side , rear , min• flue dia.
VENTIL�TION
No. � Kitchen Exhaust � ducted recirculatin� cfm
�o_ � Bath Exhaust (must be ducted outside) �� cfm
�,ro _�_ t?ther Fans: Locations -� �<
FUEL STOR�GE (i�1UST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: �allons underground inside outside
LP Gas: �allons
Other Gas opening
PER'VIIT FEE C�LCULATION
1. 1.25�'o of Contract Price�` or Minimum Fee (�35.00)x .0125 � �� %
S ��, rrr
(contrac� price)
? State Surcharae._ ** Add the State Buildin; Code Division
Surchar�e to each permit. j'� ��n- x .000� � �
�"�
or 5.�0, whichever is greater (contract price)
$ 1.50
3, Postaae and Handlina (Only mail-in applications) ,l^
4, TOTAI. PERi'v1IT FEE (Add lines 1-3 above) � �`��� � '
* CONTRACT PRICE or JOB COST means the acrual or estima[ed dollar amount charged for the permitted
work iacludin� ma[erials, iaoor, p.oft, and o�e: �eed cests. It is the amount to be charged to the
customer ior the work done. If:ny material, equipment, labor, or installation are fumished by the owner,
tenan� or any other party the reasonable market value of such items must be addea to �ue es[imated cosc
or concract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci[y may request the submission of a signed copy of the actual contract.
** �:e ST:�TE SURCHrj.RGE is .000� oi the contract price under 51,000,000 or 5.50 - whichever is
�reace:. For valuations over S1,000,000 call che Deoartmen[ of L;spectional Services for the price.
The undersi�ned hereby applies to the City for issuance of a �iechanical Permit, agrees to do
all work in strict accordance with the ordinances of the Ciry and the regulations of the Minnesota
State Buildi.n� Code, and certifies that all statements made on this application are complete, tnie
and correct. ,
Applicant's Sianature:
Date: �'�"�"�'C)
Approved By:
Date: � ` 2���
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E SCHEDULED 3'� ����
PERMIT NO. Oa�qS� COMPLETED �� "� '
ADDRESS 3��� �� V�•e� ����-
OWNER CONTR. �I�� �
TELEPHONE NO. C1�� "���
t c�r�
� DESCRIPTION ��' '��' �", �1'�4..ir� ? � 1�v�eyS �'nl�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W "D��PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
JPLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNE 1 CTORTOMEETYOU:_YES_NO
� COMMENTS:
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W ❑ ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
Inspector�,����/��/�1�
White Copyllnspector's File Canary CopylSite Notice