HomeMy WebLinkAbout2003-P06200 - mechanical .e� `3
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po62oo
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: 4i1��2o03
SITE ADDRESS: 90 Ferndale Green
Wayzata,MN 55391
PID: 36-118-23-44-0008
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Cooktop,Garage Unit Heater
FEE SUMMARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 157.50
APPLICANT: Kleve Heating&Air OWNER: �'is Scherer
13075 Pioneer Trail 90 Ferndale Green
Eden Priaire, MN 55347 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.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessins. 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 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 o�ces. Applications will be
reviewed and a permit will be issued within rivo woricing days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL TI-� PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Nlechanical Desi�s- Complete calculations, details and specifications are required for each heatinQ,
ventilation, humidification-dehumidification, and air conditioning installation includinQ heat loss/heat
gain calculation, desi�n temperatures, equipment ratin�s and identification as to type, rnanufacturer and
model. Data shall be presented on form provided. Identification of and specifications for�vater heatinQ
equipment shall also be provided. �
4. When any new construction or remodelinQ is involved, a separate buildinQ permit must be obtained.
5. All �vork must be done in accordance with the Uniform Nlechanical Code/State Buildins Code
requirements. �
6. All work must be inspected (rou�h-in and final). Call (95Z) 249-4600. 24-hour notice required.
7. House Heatinj Test Record must be submitted before final.
Instructi�ns
Complete all items on this application. Compute the permit fee. Sian and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(9�2) 249-�600.
Please check one: ❑ New � Addition ❑ Repair ❑ Replace'� Residential ❑ Commercial
JOB SITE: Q � ��nc�a�e ��-�c.e n. Zip: SS�� I
O�vnsr's Name: �,,�-�,-z.t- tJow-�S Phone Number:
Mailing Address: q4 -f er�d QI�. ('arY.e,,_, City: Oro�6 Zip: $S 3� �
Contractor's Name: (21y�e. (�vy��, Phone Number: 9S�-�y�-�2lt
l��ailing Address: 13d7S �p,,,,.�er a- ,� City: �de� �'rG�.-,� Zip:SS�u�
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SYSTEM DESCRIPTION
AEATING SYSTEMS
Quantity: � �
Make: l-Gnn c 1� ��"'��n n� .
Model: Go'lGQ 3"7S Gvtcaq�GSo
Fuel: �J¢� K A`r
Flue Size: 3� �� 3�� PVG
Input BTUs: �`'�0-e� Q o 3 o v o
oucput BTus: _ 6 �a �'1 , o °�
CFM:
COOLING SYSTEMS
Quantity: �
1�1ake: �,�''�n-,�.'`'
�todel: i;GE oZ-'�
Tons: Z
H. Power
FIl2EPLACES
❑ Gas factory fireplace
❑ Wood burnin�factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen E�chaust duct recalculatin� cfm
No. Bath E�chaust (must have duct outside) cfm
No: Other Fans: Locations cfm
FLTEL STORAGE (MUST BE APPROVED BY FIl2E NIARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ under�round ❑ inside ❑outside
❑ LP Gas: gallons
0 Other Cee��n�a , at►r-e.cc- un�} �,e��e1' Gas openin�
2
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the followinQ requirements:
1) Does not require modification to electrical or gas service.
2) Has a tota] cost of$�00.00 or less; escludinQ the cost of the fiYture or appliance:
and
3) Is improved, installed or replaced by the homeo�vner or licensed contractor.
Skip next section; Cost of Permit � 1�.00
State Surcharge $ ,jp
l�fail-In Fee $ 1.50
If above does not apply, follo�v auidelines belo�v:
1. Contract Price* is .012�% of job �vith a llinimum Fee of(S3�.001
_ 12, 00o Y .012� � ��D
(contract price) (minimum�3�.00)
2. State SurcharQe. ** Add the State BuildinQ Code Division a I�Iinimum Fee of(S .�0)
� z , e o o Y .000s � � . o a
(contrac:price) (minimum�.�0)
3. PostaQe and HandlinQ (Only mail-in applications) � 1.50
4. TOTAL PERI�IIT FEE (Add lines 1-� above) � �-S� .5�
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted work includin�
materials, labor,profit,and other fixed costs. It is the amount to be char�ed to the customer for the work done. If any materiai,
equipment,labor,or installation is furnished by the ow�ner,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 amoun[of
the job cost,the City may request the submission of a signed copy of the actual contract.
**The STATE SURCI-IARGE is.000�of the contract price under$1,000,000 or�.50-whichever is 2reater. For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the CiN for issuance of a Mechanical Permit,aerees to do all�vork in strict accordance wi[h
the ordinances of the City and the regulations of t Minnesota State Building Code,and cercifies that all statements made on this
application are complete,true and rrect.
Applicant's Signature: Date: _ ���"Oc3
Approved By: Date:
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_ _ �� � �� �
DATE - TIME
CITY OF ORONO CALLED IN e3 �.T�
INSPECTION NOT E SCHEDULED ` �
PERMIT N0. � �Z�� COMPLETED
ADDRESS -"� � ��.�c�Q,� o � �'
OWNER CONTR. �'�-�_� �
TELEPHONE NO.
� DESCRIPTION � v � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
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 ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlConUa�te`ron it :
Inspector. 1�'j �
White Copyllnspector's Ffle Canary Copy/Site Notice