HomeMy WebLinkAbout2006-P10612 - mechanical PERMIT
CITY O� ORONO Permit Number:
2750 K�Iley Parkway- PO Box 66 P10612
Crystal �3ay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
12/5/2006
SITE ADDRESS: 245 Ferndale Rd N Unit#
Wayzata,MN 55391
PID: 36-118-23-41-0004
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: � 41.53 valuation: $ 3,322.00
State Surcharge Fee: $ 1.66
TOTAL FEE: $ 43.19
APPLICANT: Hearth&Home Technologies Inc. OWNER: Darrell&Kenwyn Beckstrom
DBA: Fireside Hearth&Home 245 Ferndale Rd N
2700 Fairview Ave Wayzata,MN 55391
Roseville,MN 55113
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 PE$ [TEE SIGNA URE I ED BY SIGNATURE
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Copies: 1-File(Signatures Reguired), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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P'OR CITY USE OVLY
�' �' �0�`�� City of Orono
. �¢ `v � P.O.Box 66 Date Received: Pern�it#
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I � , 2750 Kelley Parkway —
�'� t� �> Crystal E3ay,MN 55323 Approved By: Amount$:
�\����$o`� (952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial perniits must be approved by the Building Official or Inspector and/or Fire Marshall)
� 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. �VORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
❑ Residcntial ❑Commercial (Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
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Site Address: ' ��"� � L�V r1 C'���� � Q`�
Owner:���,YC �:��Y�1 Mailing Address:
city: ��(0�.� zip: `�`� v�1 �
Home Phone: GI'�a"�"� �-(�f� Alternate Phone:
Contractor Information:
Contractor: �r-�`;�� � {-{����-{(�11�ontact Person:
Address: ��.�(d_��,�t.1�-��V� State Bond#:
City: � '�� , �2; C� Zip: �-'�I,� Expiration Date:
Phone: �'�r=�;�-5��-�-7�1� Alternate Phone:
❑ Insurance-Current:
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MECHANICAL SYSTEMS BEING INSTALLED ` "'
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HEATING SYSTEMS
Quantity: �
Make:
Model: �j� ���[�S
Fuel: ,�` v
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: I`� �/�i N � 1 Model No.: ��� �j�j (��_r'�
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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' PERMIT FEE CALGULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Ycs,this section applies
The replacement of a Residential fixture or ap�liance 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; excluding 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 Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
`J ��� x .0125 $
(contract price) (minimum$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 Mai]-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actua] or estimated dollar amount charged 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. [f any material, equipment, labor or installations are 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 Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
'I'he undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ardinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signa�ure: ���?� � �� Date: �� ���
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DATE T�;.'F: ✓
CITY OF ORD[�Q CALLED IN I� '�3���ri
INSPECTION TIC� �,nlo�l � SCHEDULED I Z- �� �C ��'�
PERMIT NO. �� COMPLETED
ADDRESS �y� �-e�rr.t.��-�' �� �
OWNER^ CONTR. �,y�,���
TELEPHONE NO. �%S �—4 7 (c� /3 �J'
� DESCRIPTION _ �� �-�c.�.t.���
� 01 FOOTING 11 MECHAN AL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL ��-1'' 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURN /FIREPLAC 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 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� WORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE
W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. _, PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ':� CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 torthe next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector._I,�._�^�� �
White Copyllnspector's File Canary CopylSite Notice