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Home My WebLink About2004-P07619 - mechanical CIT`Y OF ORONO PERMIT . 27��0 Kelley Parkway- PO Box 66 Permit Number: Po�619 Crystal Bay, Minnesota 55323 Permit Type: Me�n��at Pe�� (952) 249-4600 Date Issued: 6/21/2004 SITE ADDRESS: 235 Hollander Rd Wayzata,MlV 55391 PID: 25-118-23-43-0026 DESCRI PTION: Proposed Use: Residential Pemut Class: General Permit Type: Mechanical Pernuts Pernut Sub-type(s): Air Conditioning DETAILS: Approved per resolurion#: Separate perxnits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 59.79 Valuation• $ 4,783.00 State Surcharge Fee: $ 2.39 Misc.Fee: $ 1.50 TOTAL FEE: $ 63.68 APPLICANT' Ditter Inc.&Ditter Properties OWNER: David&Cheryl Kelsey � 820 Tower Drive 235 Hollander 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 REQUIREMENT'S. � , `,��IQ-c-� -�rc APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(SiQnitures Requiredl, 1-Auplicant 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1 . �:�TY OF ORONO APPLICATION FOR MECHANICAL PERMIT �('� I.�b Page 1 of 3 C1�TY OF ORONO APPLICATION FOR MECHANICAL 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 two working days. 2. Permit 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 are required for each heating,ventilafion, 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 (952)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 (952) 249-4600. Please check one: New Addition Repair Replace Residential Commercial ) ,/, / I JOB SITE:�� _ � �/ZGr,�. C �.C( �� Zip; �� '='`�� Owner's Name: ,;� { � ' Phone Number: �l'.a�' j ? ,� � � Mailing Address: ��ccry� `' Ci " rS'� a . i ��k_ Zip: �. ,�� Contractor's Name: �t� �( Phone umber: i(� ; (? !: �J - Mailing Address: � � �;Zj- ` ') � City: "� �; Zip• . _�� ^ i" ) � � .1�,. � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: file://C:\Documents%20and%20Settings�mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 l;ll Y Vt' VKVNV HYYL1l;H11V1V t'VK Mr,l:HA1V1l:AL Y�KMll Page 2 ot 3 . ;f ,- . v COOLING SYSTEMS Quantity: ' Make: �' ` � , �� `�, ..; �� ,r. ModeL• :,� ,,��.L . �, - Tons: �--� l��l H.Power FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. __ _ _ VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) _ _cfm No. 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 electrical or gas service. 2) Has a total cost cf$SQ0.00 or less;excluding the cost of the fix±ur�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 I�a6ove does not app y, o ow gut e ines e ow: 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) -- - — _, t� '' ` ' x.0125 $ �� tI� (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50) -___ _--- 7 � " 7 �' " G. �'�l 1 y '� x .0005 $ ___ file://C:\Documents%20and%20Settings�rriimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 . �',<T;Y OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3 ' (contract price) (minimum$.50) ;. Postage 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 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 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$I,000,000 or$.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 correct. Applicant's Signature: �/� � Date: �� , - - - - Approved By: Date: file://C:\Documents%20and%20Settings\mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 ✓ DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED �"29-ay ��/fi,l PERMIT NO. P[�7 L�� g COMPLETED ADDRESS � � /�d�-�� OWNER - G � I CONTR. TELEPHONE NO. 3 S � � � DESCRIPTION f"1"C�. t� 01 FOOTING 11 MECHAN 18 EXCAV/GRADING/FILLING � 02 FRAMING MECHANICA�FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION , 2472 RNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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 BING FINAL 36 FOUNDATION/REMOVAL Q OWNERI ONTRACTOR TO MEET YOU:' ES_NO � MENTS: � W a � � O a � O � W � Q � 2 W � W � � � d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECAVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RERIRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnedContra it : Inspector. � White Copylinspector's File Canary CopylSite Notice