HomeMy WebLinkAbout2005-P08436 - mechanical ' PERMIT
C I l`Y C�F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P08436
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 2�io�2oos
SITE ADDRESS: 2250 French Lake Rd
Wayzata,MN 55391
PID: io-i i�-z3-22-ooi2
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,703.00
State Surcharge Fee: $ 1.35
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.85
APPLICANT: Ditter Inc. &Ditter Properties OWNER: Dodd&Ann Cosgrove
820 Tower Drive 2250 French Lake Rd
Medina, MN 55340 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 PERMI"I�E6 SIGNATURE SUED BY SIGNATL'RE
Copies: 1-File(Sienitures Required), 1-Avplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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i I`j'Y OF,ORONO APPLICATION FOR MECHANICAL PERMIT Page 1 of 3
CITY OF ORONO APPLICATION FOR MECHAIVICAL 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 iwo working days. ,
2. Permit 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 Desigus-Complete calculations,details and specifications are required for each heatmg,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 forrn
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 (952)249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete a11 items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE
APPLICATIONS WILL NOT BE PROCESSED. If you have questions,call (952)249-4600.
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Please check one: New Addifion Repair �Replace� Residential Commercial
JOB SITE• �c.�� d`� � c. �, �Q � '� Zip: ����
Owner's Name• �' � � � Phone umber:
Mailing Address:< Ci �� Zip: �—�-�
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Contractor's Name: � � .�''�'�C-- Phone 1�lumber• ���- �7�"��- I ���
Mailing Address• _City: Zip: 1--,��i,[�
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SYSTEM DESCRIPTION
AEATING SYSTEMS
Quantity:
Make: ��n %
Model: u V(L�'�"�/L�
Fuel: �
Flue Size:
Input BTUs: (y'
Output BTUs:
CFM:
v
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t.i i r vr �xvlvv HrrLi�H i ivi� r vtc tvtr,Ltit�vlL�r�tttvlt t Y�e 2 oi'3
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons: �-'
H.Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENFJLATION
Na Kitchen Exhaust duct recalculating cfm
Na Bath E�aust(must�ve duct outside) cfm
�filo. Other Fans: Locations cfm �
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to etectrical 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; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
It Ta —ove oes not app y, fo low gui e ines e ow:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) �
------------ �/�_-.
�:��'c_� � x .0125 $ ��
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(contract price) (minimum$35.00)
2. State Surcharge. ** Add ti�e State Building Code Divisio��inimum Fee of($.50)
__._.
� �X.000s �
3
�s i"Y Vt' V1�V1VV HYYL1l,H11V1V I'VK 1V1r,l.riHlViI.,HL Y�K1V111 rage � ot s
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� _ (contract price) (minimuc�y$-:39�\
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3. Postage and Handling(Only mail-in app[ications) $ _�1_.50_-- `
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4. TOTAL PERNIIT FEE(Add lines 1-3 above) $ _____
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work 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 is 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 Minnes State Building Code,and certifies that all statements made on this application are complete,true and
correct.
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Applicant's Signature: � _ �� _Date: ��� � _
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Approved By: _ _ Date: ____
file://C:\Documents%20and%20Settings\mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003
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� I� DAT TIME
CITY OF ORONO CALLED IN c� "��_OS`
INSPECTION N �'IC , / SCHEDULED �S�"�-�5— ��7 �
PERMIT NO. �� �1 � COMPLETED �
ADDRESS ��� � �i ,f����JC K L�— jC�. /��
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OWNER rf G"10��� C�C�Sc,'cve.- CONTR. ��� T f f����
TELEPHONE NO. _ C.�t���1P� Ql S� :�`1� l l(,���
� DESCRIPTION ����� ``""
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHA FINA . 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD R/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q�i95"�F(1V,4L 14 SEWER HOOK-UP O6 PROGRESS
�'-OT`DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
BING FINA� 36 FOUNDATION/REMOVAL
OWNERI NTRACTOR TO MEET YOU: � YES_NO
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,_; pHOTOTAKEN
INSPECTOR WlLL RETURN
❑ CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call forthe ext inspection 24 hours in advance. (952� 249-4600
OwnerlContra ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice