HomeMy WebLinkAbout2002-P05433 - mechanical CITY F R N PERMIT
O O O O Permit Number:
2750 Kelley Parkway- PO Box 66 Pos433
Cr� tal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(95��249-4600 Date Issued: �ils�2oo2
SITE ADDRESS: 980 Ferndale Rd W
Wayzata,MN 55391
PID: 02-117-23-44-0019
DESCRI PTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 96.25 Valuation: $ 7,700.00
State Surcharge Fee: $ 3.85
Misc. Fee: $ 1.50
TOTAL FEE: $ 101.60
APPLICANT: Cronstroms Heating &Air Conditioning OWNER: Carol&Conley Brooks
6437 Goodrich Avenue 980 Ferndale Rd W
St. Louis Park,MN 55426 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 PERM[TEE SIGNATURG ISS BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
l �' -� �� � � �.
GJTY OF ORONO APPLICATION FOR MECHANICAL PERi'�1IT
� 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 after 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 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. 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 permit fee. Sign and date the certification.
INCONSPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Piease check one: New Addition Repair /\ Replace
Residential Commercial
JOB SITE: � �7 �� Zip: � -
Owner's Name: ' ` \ T,elephone Num er: � �- - C�.
Mailing Address: �ity: � �� Zip: �?�',
Contractor's Name: • ` , �'' � Telepho Number: �5 Z �'�L)����
Mailing Address: (,,��' � City: Zip: , -
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: '��'1�
Model: ���j���V�
Fuel: /� 1�+ c-if,��
Flue Size:
Input BTUs: � ZQ , �%L
Output BTUs:
CFM:
COOLING SYSTEMS �
Quantity:
Make: '�1(���
Model: �����
Tons: 4 ,S'
H. Power
FIREPLACES ,
Gas factory fireplace �
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Lor_ations 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% of Contract Price* or Minimum Fee ($35.00)
��c� C� .��3 X .oi2s $ � ,�Z�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division c
Surcharge to each permit. x .0005 $ �� � `�
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��, � , ( ;��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
wocx including materiais, 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 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 contract price under$1,000,000 or $.50 - whichever is greater.
For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that stateme made on this application are complete, true
and correct.
Applicant's Signa re• Date: /
Approved By: Date:
�� �,
DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION TIC SCHEDULED �— �.
PERMIT NO. �� �� COMPLETED
ADDRESS__cI$ O W� f�
OWNER CONTR. >
TELEPHONE N0. �S�— �� 3 � ��5�
� DESCRIPTION
� 01 FOOTING 11 M 18 EXCAL/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 fINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP
i09 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 PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
I for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlC ra tor on site:
�
Inspector
�
ite Copyllnspector's File Canary Copy/Site Notice
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„, %' �` n;n,e'1 PERMIT# v � �
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,,;�,�� � HOUSE.H ATING TEST RECORD
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' � l�t. ��.- 2�1..
ADDRESS �` CITY
OCCUPANT � � OWNER ^ C� �
HEAT LOSS � DATE HTG.INST. / INSTALLED BY �� �'' ' /
ELECTRICAL WORK BY
TYPE OF HEAT GA _ FA �CHW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE � SERIAL "� `7�-� x �r 7�
MODEL� � � � INPUT(BTU) ���� ��
CONTRDIS
KIND OF LINER SIZE NONE COMPANY TESTING '�'� Z S r� '" I
FILTERS SIZE o �Jk�)� NUMBER �_ NAME OF TESTER `
PRESSURE �•S �� PERCENT CO2 ' /b
INPUT CFH PERCENT 02 ��o
INPUT �-� �i �V� O��