HomeMy WebLinkAbout2000-P03466 - mechanical PERMIT
CIT-1��OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3466
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-46�0 Date Issued: in6i2oo
SITE ADDRESS: 1005 Heritage La
WAYZATA,MN 55391
PID: 10-117-23-12-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ �5.29 Valuation: $ 6,023.00
State Surcharge Fee: $ 3.O1
Misc. Fee: $ 1.50
TOTAL FEE: $ 79.80
APPLICANT: RESIDENTIAL HEATING&AIR OWNER: S L& L I LARSON
1815 EAST 41ST STREET SUITE A 1005 HERITAGE LA
MINNEAPOLIS, MN 55407 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.
APPLICANT PERMITEE 5IGNA'I'URE ISSUED BY SIGNATUItE
Copies: City,Applicant,Assessor,Finance Page 1
. � � ���
CITY OF ORONO APPLICATION FOR MECHA1vICAL�'ERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
,�y,;ti��lO
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 Designs - Complete calculations, details and specifications aze 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 rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. Wher any ne.u� COL;SXLl1Crl�rZ pr rPmnr'P1�n� 1S :_^.Vt2.�'�L�� :i S�yuT'u.e vi111�iI'ib ��iRlit Iilu�i uc OUi21i1eC�.
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 permit 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: i uo ``� t-1 - cz.,z��T✓lCy� �ri�+� Zip:
Owner's Name: �;��;�i c_�, Lr�4z5G� Telephone Number: �y 7 r, ��'�,j
Mailing Address: i �v �, i�e=��i�c�c t-���� City: � ,�_,�{ L Zip:
Contractor's Name:y?E_5;;;�,�ti-,��� ����R r, �,c �� �-� Telephone Number: j; , Z�-7 Z y•- �n`%�t
Mailing Address: t��� c- �t �- .��, S„,t �- F� City: 1'�\`�'�--'_� Zip: 5_`7`t�'�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make: �-•���z.��.: -- —
Model: 5K.� �� ,�c
Fuel: t� �-; . L �.5
Flue Size:
Input BTUs: i �'– � �c�-�
Output BTUs: �j�;, ,�� c C-
CFM:
COOLING SYSTEMS
Quantity: l
Make: �-�a.z�`-��_
Model: �'�k i �,�U >E.
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 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
l. 1.25% of Contract Price* or Minimum Fee ($35.00) Z���
;�� �.� �� X .ol2s $ � .5
(contract price)
2. State Surchar�e. ** Add the State Building Code Division i
Surcharge to each permit. �,o".'7 �"� x .0005 $ -'_� `�
or $.50, whichever is greater (concracc price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7 � � � �%'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
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 cr 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 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 ce ifies that all stateme made on this application are complete, true
and correct.
Applicant's Signature: 1 Date: �_���
Approved By: Date:
e��� DATE TIME
CITY OF ORONO CALLED IN
INSPECTtON�OTICE � SCHEDULED �c' � �-��'
PERMITNO. � ��G��v ' COMPLETED �� ''
ADDRESS � �� �-�� ��^�'�
OWNER ��'��-'L�''-{`-� CONT . i��� �- �
TELEPHONE NO.
� DESCRIPTION�,�1�'" . `��- �ti�'t.�-�-����
lL 01 FOOTING 11 HAPHE�Ati�l-�� 18 EXCAV/GRADING/FILLING
Q02 FRAMING � MECHANICA�FINA�% 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/2 OW5 OD BURNER/FIREPLACE 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOHTOMEETYOU: /'YES NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on sit •
Inspector. f-� f,'�-
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO ALLED IN
INSPECTION,918TICE SCHEDULED
PERMIT NO.Y � � COMPLETED IL� ICS�'��< <� �/�
ADDRESS � ✓I �-��
OWN ER CONTR.
TELEPHONE NO.
� DESCRIPTION�-4/ �L�-✓ln�{��
� 01 FOOTING 11 MEC1dAt�N6Rtfif--`� 18 EXCAV/GRADWG/FILLING
Q 02 FRAMING 13 MECHANICAL FINA 19 LAKESHORE/WETLANDS
� 03 INSULATION URNER/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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� �C7,CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContrac r on site:
Inspector.i%�����T
White Copyllnspector's File Canary Copy/Site Notice