HomeMy WebLinkAbout2004-08089 - mechanical PERMIT
C 11� Y O F O RO N O Permit Number:
2 7 5 0 K e l l e y P a r k w a y - P O B o x 6 6 P o s o s 9
Crystal Bay, Minnesota 55323 Pe►-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: loii9i2oo4
SITE ADDRESS: 95 Ferndale Green
Wayzata,MN 55391
P I D: 3 6-118-23-44-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-rype(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 81.54 Valuation• $ 6,523.00
State Surcharge Fee: $ 3.26
Misc. Fee: $ 1.50
TOTAL FEE: $ 86.30
APPLICANT: Knight Heating and Air Cond., Inc. QWNER: John&Irene Harnett
13535 89th. Street NE 95 Ferndale Green
Otsego,MN 55330 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 PERMITGE SIGNATURE SUEDBYSIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1
Apr-21-2003 08:43am From-CITY OF ORONO +85Z2484616 T-310 P 002/004 F-448
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CTTY OF ORONO AT'PT,TCATTON POR MECHANYCAL PERMIT
Box 6b (2750 Kelley Parkway) ��
Ctystal Bay� MN 553Z3 � 1 � t�Ja4
GENE�tAT.TNFORMATION
1. You may apply for meclianical permits by mail or in person at the City offices. Applications will be
reviewed and a pc;rmit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMYTS ARE NOT VA�,Tb
iJNTIL YOU RECENE A PERMTT.WQRK MUST NO7 B�GTN'�7NTIL THE PERMYT CARD IS
� POS7'ED ON THE JOB SITE.
3. Mechanical Desit�s-Complete calcutations,details and specifications are required for each heating,
ventilation, humi�9ification-dehumidification,and air conditioning installation including heat loss/heat
gain calculation,�jesi�temperatures,equipment ratings and identification as to type, manufacturer and
model. Daca shall be presented on form provided.Ydentification of and specifications for water heating
equipment shall also be provided.
4. When any new cc�nstruction or rernodeting is involved, a separate building permit must be obtained.
5. All wor4c must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. Al!work must be inspected(rough-in and itna[),Call(952)249�600. 24-hour notice required.
7. House Heating T<:st Record must be submitted before final.
Instructions
Complete all items on tlus application. Compute the permit fee. Sign and date the ceriification.
INCOMPLETE AF'PLICATIONS WILL NOT BE PROC�SSED. If you liave questions, call
(952)249-4600.
Please check one: ❑New ❑ Addition ❑Repair [l�Replace [l�Residential ❑ Commercial
.�oB srT�:.� ' -�'rn /.� ��..� z�p: S s 3 9/
Owner's 1V�ame: _��-r�; � �rnh n /�-��netf" Phone Number: ���,.;� -�'�(o_ �3�/
Mailing Address: 9S T-Prr�Qa��� C�� -� City: �ii�-��G� lJ�iv Zip: 55 3%%
�/1�Cyl� 1-�Y�7`71�� GiaQ_.
Contractor's Name: �-��-n�,;t�on%y7� ,=���c,• Phone Number:�(��� 7�/ -�%���5
�
Mailing Address: /35�S -h'�i'�-�1 Sf- il/� City: ��n/ Zip: � �3 3C�
1
Apr-21-2D03 08:43am From-CITV OF ORONO +8522484616 T-310 P D03/004 F-4A8
.
PERMIT FEE CAGCULATION(S)
2002 Stute Statute ❑`Y'es This Sectiop Applies
The replacement of a Residential fixture or appliance that meets all thcee of the following requirements;
1) Da:s not require modification to electxical or gas service.
2) Ha.S a total cosc of$500.00 or less;excludine the cost of rhe 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:
1. Contract Price* is .p12S%of job with a Minimum Fee of{$35.00)
%�o .�. G�x .0125 $ �/' � �
(coniract pr;ce) (minimum$35.00)
2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of(�.501
�� x.0005 $ ��
(contraCt pricc) (minimum$.5 )
3, Postage and HandlinQ(On/y mnil-in nppl�Catlons) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ �j�/ ��
'C�NTRACT PCt1CB or 10B COSI'means ihe attual or es[imated dollnr amount charged for ihe permittcd work inciuding
matetials,Inbot,profit,and oThet fixed Cosis.It is lhe amount to be chargcd to the cus�omer for tht work done.If any matetittl,
tquipmen[,lobor,or installetion is tUrnishtd by che owncr,tenant or any other pptSy the ressonablc market v�lue of Such items
must bc added to ihc cs�imatcd cost or contrxt price for pertnit fet purposes.In thr tvcnt that there is a disputt on thc emount of
iha job cost,the Ciry may request the submission of�signed eopy of thc nctual contract.
�'��hc STATE SURCH.�RGE is.0005 of the contract price under$l,0UD,000 or S.SO-whichcver is greater.For vnlutttions ovor
$1,000,000 call thc Dcpartmcnt of Inypectional Scrvices for the price.
The undersignad hcrcby applies to thc Ciry£or issuance of a Mecht�nical Permit,ugrtrs to do all work in siriet ee�ordtutcc with
ihe ordinances of the City and the regu(ations of the Minnesotu Stact Suilding Code,and certifies that aU SLatcmcnts made on this
application are eqmplete,true and cortect.
Applicank's Signature: ` —'-� �• �' ���`' Date: ��� - �
Approved By: Date;
;
✓ �
Apr-21-1D03 08:44am From-CITY OF ORONO +9522484616 T-310 P 004/OD4 F-4d8
� SYSTEM D�SC1tYP7[ON
��arxtv�sxsr�Ms /
Quantiry:
Moke, l.�G�-�t/ C�Y- �
M��: 5 ��'`�//o---/:��
Fuel: ��k��-t'� � -- �
Flue Si2e:
Input�7"Us: _���(Z
o���t sTus: � ' �G�D �
CFM:
COOLING SYSTEMS
Quant;cy: /
Make: ��� �� /�
Modcl: �C' 3�` ��
Tons: �
H.Power
FIR�PLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove widi flue
Brand Name Model No.
VENTILATION
No. Kitchen�xhaust duct recalculating___. cfin
No. Bath�lchaust(must have duct outside) ci'm
No: Other Fans:Y.ocations cfm
FUEL STORAGE(1vIUST BE APPR�VED BY FIRE MARSHAL)
❑Iostallation or ❑Removal
❑ �uel oil: _gallons ❑undergound ❑ inside []outside
❑ LP Gas: _gallons
❑Other Gas opening
2
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p�T��l /„ TIME �
l.( ��L'
�ITY OF ORONO .�.� �A�LED IN
INSPECTION NO ICE �� !�� SCHEDULED ��_
PERMIT NO. � COMPLETED
ADDRESS r a� b$� �� � �.�t-� �.�e2'ti--e-�1�
OWNER CONTR.� I(°�i)f!1 �/(.c �-»�
TELEPHONE NO. � � � - ��O �O-..�J��
� DESCRIPTION , � �
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/ RADING/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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL
� 10 PLUMBtNG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: ES_NO
� COMMENTS:
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GW �IORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE
� ❑C�RRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN
INSPECTOR W{LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
✓
DAT TIME
CITY OF ORONO CALLED IN Z
INSPECTION N T C SCHEDULED - �D D�
PERMIT NO. D 9 COMPLETED
ADDRESS �� � �
OWNER�l�P�2 �G���� CONTR.,��/�'/y.� ��t'(-�
TELEPHONE NO. SZ �
� DESCRIPTION frZ� 4�C—Q �
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GR ING/FILLING
� 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� WNERI ONTRACTOR TO MEET YOU:✓YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOfl REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nex inspection 24 hours in advance. (J52� 249-4600
OwnerlContr si :
Inspector. �—
White Copyllnspector's File Canary CopylSite Notice