HomeMy WebLinkAbout2004-P07564 - mechanical ���'rY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po�s6a
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 24�-4600 Date Issued: 6/2/2004
SITE ADDRESS: 250 Hollander Rd
WAYZATA,MN 55391
P I D: 25-118-23-44-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Pernut Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 1,400.00
State Surcharge Fee: $ 0.70
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.20
APPLICANT: Vogt Heating&Air Condirioning OWNER: R G JEPPSON&L L BRADLEY
3260 Gorham Ave 250 HOLLANDER RD
St.Louis Park,MN 55426 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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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
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CITY 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
LTNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mzchanical Designs-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 (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 WII.,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair �Replace �Residential ❑ Commercial
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JOB SITE• �` C_� �'I 1'1�� , � C ( Zip:_ 5 f,:>� ,
Owner's Name: �i? � �; '� Phone Number: J I � �5�� � �? '"
Mailing Address: � �:,-�� City: ��� - Zip:
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Contractor's Name: '�a•,,� �� C � � }
,�,a �_
' �l f/J�' � � ne Number: ,� l.-J- ��%�-�"��� ��-, �
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Mailing Address: =i;� � .,! /�-z _> City��� �(�,�u,� /%'f��� Zip: `�� �/,-� �,
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTiJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
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Make: — �"Yl(�'Yl(,�
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Model: ���L �C.-�'Jk"-'
Tons: �)
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
[] 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 E7chaust(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
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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 folIowing requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludine the cost of the fixture 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
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.001
I t_Il�i x .o125 S �_�C���
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .501
�' �.��,(.�! �� x .0005 S �(_;
(contract price) (minimum$.50)
3. Posta�e and HandlinQ (Only mail-in applications) S 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�i-ork 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$1,000,000 or$.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 Pemut,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.
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Applicant s Signature: , �� � �� '1 L ,, :� I �_ Date: , �`�-�1
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN � � �!�
INSPECTION NOTICE SCHEDULED � �/� �•'3G
PERMIT NO. t `� � �' COMPLETED � _((
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ADDRESS��`_-� ��C/�;� �i, � ,1
OWNER _ " - -�. - CONTR. _,�f-,� -, �;..�_
TELEPHONE NO. �� �' ��
� DESCRIPTION __ : <__ /- ,o,,
lL 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
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y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO_—FU�IAL.___ 27 SEPTIC MAINT. 21 COMPLAINT
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� 09 PLUMBIN�RI1� 15 SEPTIC INSTALL 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNEflICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOPORDER POSTED.CALL INSPECTOR
Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlCon r site:
Inspector. �
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