HomeMy WebLinkAbout2003-P06766 - mechanical PERMIT
(�E�Y ,�F ORONO Permit ►vumber:
27:l,3 Kelley Parkway - PO Box 66 Po6�66
Crystal Bay, Minnesota 55323 Pet-mit Type: Mechanical Permits
(952) 249-46(,kJ Date Issued: 9�is�2oo3
SITE ADDRESS: 1955 Heritage Dr
Wayzata,MN 55391
PID: 10-117-23-13-0014
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 625.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: �ight Heating and Air Cond., Inc. OWNER: Todd Gorr
13535 89th. Street NE 1955 Heritage Drive
Otsego,MN 55330 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPUCANT PERMITEE SIGNATURE � SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Aoolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Apr-ZI-2003 08:43am From-CITY OF ORONO +9522494616 T-310 P 002/OD4 F-449
r
�EeEiv�D
� � CI'r'Y'OF ORON� AT'P�.ICA,TYOIV POR MECHANTCAJ.PERMIT
�ox 6b (2750 Kelley Parkway) `��� j S 2�0�
Crystal Bay, MN 55323 CITY OF pR��
GENE�tAT.TNnOYtMATION
1. You may apply fc>r meclienical permits by mail or in person at the Ciry offices.Applications will be
reviewed and a p�:rmit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed.l'ER1V1rTS ARE NOT VALID
UN7TL YOU RECENE A PERMIT.WQRK MUST NOT B�GTN YINTTL THE P�RMYT CARD IS
• POSTED ON THE JOB SITE.
3. Mechanical Desi��s-Complete calcufations,details and specificatians are required for each heating,
ventilation,humiiiification-dehumidification,and air conditioning installation including heat loss/hear
gain calculation,�9esign temperatures,equipment ratings and identification fls to typs,manufacturer and
model. Data shall be presented on form provided.Tdentification of and specifications for water heating
equipment shall also be provided.
4. When any new consmtction or remodelins is involved, a separate building pormit must be obtained.
5. All work must be done in accordance with the CJniform Mechanical CodelState Building Code
requirements.
6. A]!work must be inspected(rough-in and finsl).Call(952)249�600. 24-hour notice required.
7. House Heating Tcst Record must be submitted before final.
Instructions
Complete all items on ttus application. Compute the permit fee. Sign and date the certificaiion.
INCOMPLETE AF'P�.ICATIONS WILL NOT$L P120CESSED. If you have questions, call
(952)249-4600.
Please check one:�New Q Addition ❑Repair ❑Replace [] Residential ❑ Commercial
.�OB SIT�: 5� �i� zip: 55.3� 3
Owner's Name: Od �,-r Sc� s � �nce,Ofs Phone Number: rP S/—d�O— 9/��
MAiling Address: o?9/D lNGI�c'rs��G�j/D City: ����z T YY�n/ Zip: �S/�/
,��e.�������n,�; .�L -
Contractor's Name: i �1�� Q�� Phone Number. �/0 3-,��j�-9�'S�S
Muiting Address: � � - iv'�City: U�3�ro, �'3�n� Zip: 5S 3 3D
1
APr-21-2003 08:43am From-CITY OF ORONO +8522484616 T-310 P 003/004 F-448
. �
PERMIT FEE CALCULATION S
2002 Stute Statute ❑Yes TLis Section Applies
The replacement of a Residential fixture or 3ppliance that meets all three of the following requirements: ••
1) Da:s noc require modification to electrica!or gas service.
2) Ha.S a total cost of$500.00 or less;excludine the cost of the fixture or appliance:
and
3) Ys improved, installed or replaced by the homeowner or licensed contractor.
Skip next secrion; Cost of Permit $ 15.00
Staie Surcharge$ .50
Mail-In Fee $ 1.50
If abave does not apply, follow guidelines below:
1. Contract Price* is.0125%of job with a Minimum Fee of($35.OQ)
, �L> ��
'� X .oi2s �
(conLract price) (minimum$35.00)
2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of(�.50).
° -`� x .00OS $ `
�
(controct pricc) (minimum$.50)
3.Postaee and I3a�rdline(Only m�il-in rtppJlcat�ons) $ 1,50
��
4.TOTAL PERMIT FEE(Add lines 1-3 above) $ ��r �
•CONTRACT PCtICE or JOS CdST means the actual or estimaud dollnr amount charged for the pertnined work including
materisl�,labor,profit,and o[her fixed eosts.1[is the amount to be chargcd to the cus�omer for tht work done.Tf any material,
equipmen�,labor,or instellution is fUrnishtd by thc owna,tenant or any othet ptuSy the ref�onablc markct v�(ue of sueh items
must be added to thc estimated cost or contract price fo�peRnit fee purposes.In[}tr tvcnt that there is a disputt on the emount of
Th�job cosT,the Ciry may requesc the submission of�signed copy of the uctual contrnct.
*�Thc STATE SURCH.�RGE is.0005 of thc contract price under$1,000,000 or S,SO-whichcver is greate�.For valuations ovor
$1,000,000 call the Dcpurtmcnt of Inypectional Scrvices for the price.
Thc undersignad hcreby applics to the City for issuance of a Mechunical Pern►it,Agrecs to do a11 work in sArie�accordoncc with
�he ordinances of the City and the regulations of the Minnesota S�a�t Building Codc,and certifies that eU szntcments made on this
application ate eqmplete,uue and correct.
�
Applicant's Signature: `' Date:
�/�'.�
Approved By: Date:
3
Apr-21-2003 08:44am From-CITY OF ORONO +9522494616 T-310 P 004/004 F-448
� SYSTEM D�SCRreTCON
��ATYNG SYSIEMS
Quantiry:
Moke;
Modet:
Fuel:
Flue Si2e:
Input B7"Us:
Output BTUs: '
CFM:
COOLING SYSTEMS
Quantiry:
Make_
Modcl�
Tons:
H.Power
FIR�PLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove widi flue
Brand Name Model No.
'VENTTLATION
No. Kitchen�xhaust duct recalculating cfin
No. Bath�xhaust(must have duct outside) cfm
No: Other kans:L.ocations cfm
FUEL STORAGE(IvIUST BE APPROVED BY FIRE MARSHAL)
❑Installation or ❑Removal
❑Fuel oil: _gallons ❑underground ❑ inside ❑outside
❑LP Gas: _gallons
❑Other Gas opening
2
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DATE TIME
CITY OF ORONO P CALLED IN ��v
INSPECTION NOTICE SCHEDULED �-//-03 �O;
PERMIT NO. P0�7�� COMPLETED
ADDRESS I��� ��'l"��i
OWNER CONTR. I�'h.(�r I�"�"�"'
TELEPHONE N0. ��3 ' 27�- �9 `�-�
� DESCRIPTION �0�1 � � �s"�
l� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/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
v 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: '�YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W �O C RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O �.ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContract s'+t�:
Inspector, v
White Copy/lnspector's File Canary Copy/Site Notice