HomeMy WebLinkAbout2000-P02173 - mechanical � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: �-�-�r%-- t�Da ��3
Crystal B�y, Minnesota 55323 Permit Type: Ivtechanical Permits
(612) 249-4600 Date Issued: t�is�oo
SITE ADDRESS: H�s FernclaleRdw
WAYZATA, MN 55391
PI D: 02-11�-23-��-000�
DESCRIPTION:
Proposed Use: Residential UBC Occupancy:
Permit Class: General Construction Type:
Permit Type: Mechauical Permits Census Code:
Permit Sub-type: Single Family
DETAILS:
Resohition#: N/A
Separate permits required fo
NOTICES:
F E E S U M MA K 1': Peruiit Fee: Valuation: �-�� -�S'• C< < � `'
Plan Review Fee: % -�� � Z'
State Surcharge Fee: �•C.��%
SAC Fee:
Misc. Fees:
TOTAL FEE: �-�ttt�--�%O�00
APPLICANT: Lo�laon Brick i��c OWNER: KIRTLarr� C wooDHousE
931 East Co Rd C 88� FERNDALE RD W
Maplewood, MN 5�109 WAYZATA MN�5391
THE iJNDERSIGNED I�R�BY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC11�IED
AND AGR�L;S TO DO ALL WORK IN STRICT COMPI,IANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF NIINNESOTA BiJILDING CODE REQUIREMLNTS.
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' SUED BY SIUNAI'[Jlili
AYPLICANT PERMITEE SIGNATL' , ��� �
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Today's Date: 1/18/0o Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIl'T
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 offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail af[er a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - 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. Identification of and specifications for water heating equipment
shall also be 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New Addition Repair �Replace
Residential Commercial
JOB STTE• �8S r��Z�.J��c.£ �n Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: L��o�� 3►c.,.t� �Nc� Telephone Number:6Sl�4�43-o-�-�-�
Mailing Address: q3� £�aSz c'o �to C City: i-,Ap��.woco Zip: �5� oq
�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flu�� Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
� -
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue /
Factory Fireplace (s) Freestanding ,/ Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%o of Contract Price* or Minimum Fee ($35.00)
x .0125 $ ��.�c.�z �•
`
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ `�f L�%
or $.50, whichever is greater (contracc price)
3. Postage and Handlin� (Only mail-in applications) $ ��'
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
� * CONTRACT DRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
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 installation 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 pernut 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 contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Sianature: ����iG�cc�G �/ ��,/�� _ Date: /- / � �O
Approved By: Date:
ATE TIME
CITY OF ORONO CALLED IN ! �C'�'
INSPECTION NO ICE t�G��73 �� �
SCHEDULED � G i
PERMIT NO. ' � COMPI TED ' �'d t^ e!•' �o
ADDRESS r ?�--��/ ��' ��
OWNER CONTR. t�-��
TELEPHONE NO. �s� � `��.3 ' C� 7 � 7
� DESCRIPTION �
lL 01 FOOTING tECHANIC I ' 18 EXCAV/GRADING/FILLING
� 02 FRAMING CHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURN /FIREP ' 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVA�
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �VORK SATISFACTORY:PROCEED PROJECT COMPLETE
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W C i CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
[_7CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
C7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.��� �
Whiie Copyllnspector's File Canary CopylSite Notice
HOUSE HEATING TEST RECORD
ADDRESS,�tr� �P,�+1�,{f�� APT. FLOOR CITY��SUBURB
OCCUFANT�"'���a?4�/� OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
El�ctricol Work By Gos Lin� By
TYPE OF HEAT GA FA_�.HW STEAM SPACE HTR. UNIT HTR. OTHER
�f GAS DESIGN CONVERSION
MAKE �"l N'�t, �3J� MAKE OF BURNER
Mod•I i C'. � Mod•I
Swiol �� �� � � Ab:. BTU Rotinq
INPUT a MAKE OF FURNACE
Mod�l _
��' / �� CONTROLS _���
THERMOSTAT-�-�-- H�at Pluy V•nt Si:•=� �L�� --
Valv_�,L� KIND OF I.INER SIZE_ NONF
Limit Droh Hood Rpularor
Limit S�Minq � _ Filt�rs Si:• ►rumb�r
Fan S�ttinq Q�imn�r l.oeation Insid� Outsid�
Pilot Trp� Q Chimn�r Constniefion
Pilot Mak•
Pilor Mod•1 Smok• Bomb Wiriny
Pilot Timinq Oraft T�st Tao
L.W. Cut Off Doo� Pr�asw� Liqhtinq Inst.
P►�ssw� �� � P�re�nt CO2 � Det� 7�at�d ��4/'�p �� ---
Input CFH P�re�nt O� Componr T�stiny �Q�� t
Sfack T�mp. ��� P�rc�nt CO � ��'- Nan»of T�st�r av��� � ��'��'�`� —