HomeMy WebLinkAbout2005-P09020 - mechanical PERMIT
CIT� OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09020
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 8/1/2005
SITE ADDRESS: 650 Gander Rd Unit#
Wayzata, MN 55391
PID: 04-117-23-43-0020
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Jim Sweeney OWNER: James&Whimey Tucker
23117 Durant 650 Gander Rd
East Bethel,MN 55005 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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PLICANT PERMITEE SI ATU ISSUED Y SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, I-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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� FOR CITY USE ONLY
,��� City of Orono
O r O P•O.Box 66 Date Received: Permit#
�,;,,,,,,, 2750 Kelley Parkway
� � '�ii-'u,�r. � Crystal Bay,MN 55323 Approved By: Amount$:
� '�(;���;�.$o` (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must Ue approved by the Building Ofticial or(nspector and/or Fire Marshall)
GENER.AL INFORMATION
1. You may apply for mechanical peimits by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Peinut cards will be sent by retuin 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 DesiQns—Complete calculations, details and specifications are required for each
l�eating,ventilation,hmiudification-dehunudification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type, inanufacturer and model. Data shall be presented on form provided.
4. When any new consri�ction or remodeling is uivolved, a separate building pernut 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.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That Ap ly)
'�Residential ❑ Coriunercial(Approval Required)
� �
❑ New '�dditional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: V S d �� <���
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �� w� ,�<���..i��� Contact Person: �� � � � �.��.��u��i
Address: ��l/� �t�/'c�4�7' State Bond #: �,,�%, / G' �-`�� G/U� ,
City: �jgS,— %3i��L/�p: S.�(���xpiration Date:
/
Phone: C,.= S / - ���Z- L2�3 Alternate Phone: (�-��- ��G � `j �(�!i
❑ Insurance-Current:
1
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MECHANICAL SYSTEMS BE1NG INSTALLED �
HEATING SYSTEMS �
,
� �
Quantity: � Q/ I _� � ��
0
Make:
Model:
Fuel:
Flue SiZe:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Btu-iung Fireplace
❑ Wood Stove
❑ Wood Stove Wifli Flue
Brand Name: Model No.:
VENTILATION
❑ Na Kitchen Exhaust duct recirculating cfm
� I�'o. �_ Bath E�haust(must have duct outside) _��b cfin
❑ No. Other Fans: Locations cfm
FUEL STOR�GE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE O�LY
❑ Outdoor Grill ❑ Other/List What&Where: ���—f�
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PERMIT FEE CALCULATION(S)
' BASED OFF - 2002 STATE STATLTE
❑ Yes, this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to elech�ical or gas seivice.
2. Has a total cost of$500.00 or less;exchidin�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed conh-actor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If A�plicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(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 a35.00)
�UD ). L," x.0125 $ �y j , �J
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of�.50)
v �J . �" �:.000s $ .. �"`t�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Oi�ly on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) �
■ * CONTRACT PRICE or JOB COST means the achial 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 installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items inust 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 Ciry for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, ri-ue and
correct.
Applicant's Signature: / Date: / � v�
�
�
��:�
, DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NO C SCHEDULED �� ` "F'ti
PERMIT NO. O` G.�� COMPLETED
ADDRESS �l�S�� �.ti t�--�✓� /�z-�.
OWNER CONTR. SG(�i�a2�G-tM
TELEPHONE NO. �i'/� 30 C� �-5 .-�c�
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� DESCRIPTION lz �L.�� �°��
� 01 FOOTING �MECHANICAL ' 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13'1 ANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� RK SATISFACTORY:PROCEED C i PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. L, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
Owner/Contractor on site:
Inspector. � fJ'`1 131�.�
White Copyllnspector's File Canary CopylSite Notice