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Home My WebLink About2007-P11579 - mechanical PERMIT CITY OF ORONO � 2750 Kelley Parkway- PO Box 66 Permit Number: Pi 1579 Cry3tal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: l0/16/2007 SITE ADDRE�S: 1055 Ferndale Rd W Unit# Wayzata,MN 55391 PID: 02-117-23-43-0029 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Hearing Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 51.75 valuation: $ 4,140.00 State Surcharge Fee: $ 2.07 Misc. Fee: $ 1.50 TOTAL FEE: $ 55.32 APPLICANT: Select Mechanical OWNER: Gerald&Karen McCourtney 6219 Cambridge St 1055 Ferndale Rd W St. Louis Park,MN 55416 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. ,.�� APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATCJRE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l � . r FOR CITY USE ONLY O¢Q�O City of Orono P-O-Box 66 Date Received: Pertnit# '+• 2750 Kelley Parkway , i �. a j� ?�,k� h Crystal Bay,MN 55323 Approved By: Amount$: �t��o�o� (952)249-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial or Inspector and/or Eire Marshail) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut cards will be sent by retum 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-dehumidificarion, and air conditioning installation including heat loss/heat gain calculation, design temperahu•es, equipment ratu�gs and idenrification as to type, manufacturer and model. Data shail be presented on form provided. 4. When any new consnuction or remodeling is involved, a separate building pernut rnusT 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 Hearing Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That A 1 ) �Residential ❑ Commercial(Approval Required) ❑ New ❑Addirional ❑ Repairs �Replace Job Site/Owner Information: Site Address: ��sS`� � ��C.�•%��,s �v Owner:�c�'1,A�4 1�'t�-�DU�17',�� Mailing Address: c�ty: �/�r� z��: SS3�i Home Phone: ��"�� " �?� Alternate Phone: Contractor Information: Contractor: ��z�� (r 1�-?�.�� Contact Person: ��}LL`: ��Sp��--� Address: �D�'�� ^��'''�S�D��' State Bond #: �� I��C'��a' City: �TL�S'� ��- Zip:�� Expiration Date: � t �� U Phone: �� `� �r�� Alternate Phone: �S a "l�l s�I 3� (� Insurance-Current: C�rJG�� .,�-S�A-c�+y 1 .,:; ,,:. ...,.� � ,-, : �. . ....... , ,... . .. ....u ...., , ,.. . �,. �;:,,..,,�d. .- � - MECHANT�AL�SYSTElV�S`~BEII�G�iNSTAI:,LED ':-;: �� . "y ;:` , HEATING SYSTEMS ' Quantity: � Make: Q✓�/a�c Model: �C-�/�iP'+�-��!,-O�fc� Fuel: /�� Flue Size: .��G Input BTUs: �'(� � Output BTIJs: �� `� CFIv1: � s�qz,.��- - - COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Buruing Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATIOPI ❑ No. ICitchen Exhaust duct recirculating cfm � I�To. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Instaliation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: � - ' �PERIVIIT FEE CALCULAT;ION(S} '� `' ' � �' _; " . . ., . , . ,, . � BASED OFF -2002 STATE STATUE ❑ Yes, this secrion applies The replacement of a Residenrial fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas seivice. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved,instailed or replaced by the homeowner or licensed contractor. Skip next secrion, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ � PERMiT FEE CALGLTLl�TION(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) yiyo ' X.oi2s � S/• �.� (contract price) {minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) �� x.0005 $ �� (contract price) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Appiications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �S.S 3 a ■ * CONTRACT PRICE 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 installarions 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 Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT " 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � Applicant's Signature: Date: �� -, � ✓ �DATE ��,� ITY OF ORONO CALLED IN INSPECTION N I SCHEDULED !L �� !0•.'�� PERMIT N0. � COMPLETED ADDRESS <<-�L> �'l�� I�LX OWNER CONTR. Yt TELEPHONE NO. L � � DESCRIPTION i�.�,l�j�f j� � ��L� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � a W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next nspection 24 hours in advance. (952� 249-4600 OwnedContrac on it : � Inspector. White Copyllnspector's File Canary CopylSite Notice