HomeMy WebLinkAbout2002-P04977 - duct work PERMIT
C"�Tl'�'O F O RO N O Permit Number:
2750 Kelle y Parkwa y - PO Box 66 P04977
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3i2i�2oo2
SITE ADDRESS: 2285 French Lake Rd
Wayzata,MN 55391
PID: 1 o-i i�-23-22-ooi i
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Duct Work
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 68�75 Valuation: $ 5,500.00
State Surcharge Fee: $ 2.75
TOTAL FEE: $ 71.50
APPL�CANT: Serbus Hearing&Cooling �WNER: Richard&Anne Shull
1476 Steoger Lake Road 2285 French Lake Rd
Victoria,MN 55386 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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APPL ANT PERMITEE SIGNA"I'URE t UED BY SIGNATURE
Copies: 1-File(SiQnitures Requirecl). 1-Applicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
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. Pernut 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 Desiens - 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 SITE: `ZZ���.,�c/�ff �/�?. 7z�> Zip:
Owner's Name: ��// Telephone Number:
Mailing Address• City: Zip:
Contractor's l�Tame: �k.-�i3u 5 f�,� ��I ��� Telephone Number:ys Z-yY3-Zp�9
Mailing Address• �� 235 City: �/E°F--�i.L�� Zip: ..�s_3b' �
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
i,�Sake:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
161 /� / 1
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WOOD BURNING EOUIPMENT
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% of Contract Price* or Minimum Fee ($35.00)
�� rc� r� , � x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. PostaQe and Handling (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 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 mazket 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 all statements made on this application are complete, true
and conect.
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Applicant's Signature: ,O Date:
Approved By: � Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC�E/�} SCHEDULED �_ J�UOP�vI
PERMIT NO. f' �f`7 7� COMPLETED
ADDRESS ;��_f ir��..c� `�'e��,2.� 6�
OWNER CONTR.-Ski2�'rc� �fa �`' Cerc��
TELEPHONE NO. C S <� Ll�� > .���/1
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
y 02 FRAMING �CHANICAL FINAL� � 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WO BU�� RNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � � 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:VYES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. �952� 249-46��
Owner Contracto on site:
Inspector. ` ,
e Copyllnspector's File Canary CopylSite Notice
�/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO E c� SCHEDULED 3-Z�z- //.�� c7
PERMIT NO. �� �l 7 COMPLETED l �^
ADDRESS Z�Z SS ��e,��_ ��
OWNER �_CONTR.
TELEPHONE N0. �T�S�-- ��3 � S� J�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GR G/FILLING
Q 02 FRAMiNG 13 MECHANICAL FINAL 19 LAKESHOR ETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOF WILL AETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnedContracto n
Inspector
White Copyll�spector's File Canary CopyiSite Notice
�i� DATE TIME
CITY OF ORONO CALLED IN - �
INSPECTION �TIC SCHEDULED L
PERMIT N0. �� ��� COMPLETED �� �
ADDRESS ���� f"���°'��� �� K �
OWNER CONTR. �'�T�l���S �f-C�r'(��ra-�
TELEPHONE N0. �� y � �- J
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� Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAI. 35 HARD COVER REMOVAL
J 10 PLUMBfNG FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: ES_NO
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W��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEiE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContracto n
Inspector.
White Copyllnspector's File CanarqiCopy/Site Notice