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Home My WebLink About2003-P06117 - mechanical CITY OF �RON PERMIT � Permit Number: 2750 Kelley Par�,,�y - PO Box 66 Po611� Crystal Bay, Minr�esota 55323 Pet'mit Type: Mechanical Perniits (952) 249-460�J Date Issued: 3i19i2oo3 SITE ADDRESS: 134o Fox st Wayzata,MN 55391 P I D: 02-117-23-31-0019 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits - Perniit Sub-type(s): Mechanical Undefined DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: This is a Boiler&also replacing gas line to dryer&water heater FEE SUMMARY: PermitFee: $ g2.25 Valuation: $ 6,580.00 State Surcharge Fee: $ 3.29 ' Misc. Fee: $ 1.50 TOTAL FEE: $ 87.04 APPLICANT: Dependable Indoor Air Quailiry Inc. OWNER: Allan Litwin 2619 Coon Rapids Blvd 1340 Fox St Coon Rapids,MN 55433 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. c �i�)�/ '�"/" ! APPLICANT PERMITEE S[GNATURE [SSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 '��: �, � � � 1 �9 ��, /�',��, � � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT 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 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. �'hen any new construction or remodeiing is invoived, a sep�ate bu::uiab pe^ni: ^:�.:�t �P OJLC7i:IlP�. 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 473-7357. 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. INCO!�IPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair Replace Residential Commercial 5�,�' JOB SITE: �� .�U�( �� Zip: �� Owner's 1V'ame: (�j�,�,�___�;�ti�� , Telephone Number: � " ��l� - Mailing Address: '' � ��C City: '� ' � � Zip: �j`�j",�j`�1 Contractor's Name: � ��:X:1e�c� �.,,ti1� �}i2. Telephone Number: ' '�`"j7�� • Mailing Address:{��,J�l r�C?Yl �-iF�IC� �►�,Y�'• City: ("c.�'(1 ��pK� Zip: ��33 SYSTEM DESCRIPTION �� 6 �/� HEATING SYSTEMS ��1 �'�C Quantity: Make: ,�� Model: �-;� ��(� (j N +� ° � Fuel: � '� _�� Flue 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 E�aust 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 PERNIIT FEE CALCULATION 1. 1.25% of Contract Price* or Minim m e 35.00 n x .0125 $ �O►��J (contract price) 2. State Surchar� ** Add the State Buildi/n.� Code Division Surcharge to each permit. ��U x .0005 $ �� or $.50, whichever is greater (contract price) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 6� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 p�rfce under $1,0OO,OfJO or $.50 - whichever is greater. For valuations over $1,000,000 call the Dep ment of Inspectiqua�' S,ervices for the price. The undersigned hereby applies to the City for iss � of a M c�ianical ermit, agrees to do all work in strict accordance � t~.he o�ances,q� e City e regula�s o� the Minnesota V '� � i State Building Code, and ce�tifies tha�'all state t made o this applic on ar,e complete, true , , � � � and correct. �� i i` %� �� (�� Applicant's Signature• � �D"ate:� / 4'.J- ��. .... ,___ _ Approved By: Date: V UAJEv ,7 TIME ✓ CITY OF ORONO CALLED IN _-�� ( INSPECTION NO E �%SCHEDULED �'� � � PERMIT N0. COMPLEfED ADDRESS �% � X � . OWNER :��n L�'�w''�� CONTR. � ��.t :`G__��. �. _' �Jis.- -� TELEPHONE NO. �S�� {�'�� ct �:C' � ��R > � � DESCRIPTION � 01 FOOTING 11_A��HANICAL-RI.-...._. 18 EXCAV/GRADING/FILLING Q 02 FRAMING �r 93 MECHANICAL FINAL � 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL / 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:��YES_NO � COMMENTS: � W � � J O >. , � O �� W � Q � Z W � �u � � ��WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPaN Y 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe nex inspection 24 hours in advance. (952� 249-46�� OwnerlContrac o s e: Inspector. � � White Copy/lnspector's File Canary CopylSite Notice