HomeMy WebLinkAbout2003-P06902 - mechanical PERMIT
C"�TY~ O F O RO N O permit Number:
2750 Kelley Parkway- PO Box 66 P06902
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: ioii6i2oo3
SITE ADDRESS: 265 Hollander Rd
Wayzata,MN 55391
PID: 25-118-23-43-0016
DESCRIPTION:
Proposed Use: Residential
Pernrit Class: General
Permit Type: Mechanical Pernrits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation• $ 10,000.00
State Surcharge Fee: $ 5.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 131.50
APPLICANT: Kleve Heating&Air OWNER: Mark&Constance Doepke
13075 Pioneer Trail 265 Hollander Rd
Eden Priaire,MN 55347 Wayzata MN 55391
TNE 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.
�Y�.AC�,,Q .��
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(Sir;nitures Required), 1-Atrolicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
.� _ �.E CEI YE D SEP � g 1DOZ
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 pernut will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical 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. Si� 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
JOB SITE: �.GS� l�v//Q�d-cr `7Zd Zip: S$39t
Owner's Name: oe� e, Phone Number: Q_j�-�y�', - �6`�C
Mailing Address: _�Gs No//a•rs�v' !��/ City: ��oro Zip: j�9/
Contractor's Name: �P� yJ��� Phone Number: _Qs,?-9�/- ��/�
AZailing Address: 1,�6�S r�,o,��c c,r r�l>> City: ��r.��A/r/C Zip: .5s 3y7
1
1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: � 1
Make: Y.Yn 0� .C.t il/10 x.
Model: Csl� vla3LB0yd G(�O U,1J6oi7'�3S
Fuel: na�• /Ja1�.
Flue Size: y�� �. �j"$
Input BTUs: 70f OOo !3s�atd
outpuc B�rvs: 5G,o0o IOg,boo
�
c�:
COOLING SYSTEMS
Quantity: f �
Make: .LZ�1/101�. ,�{�IqO�'
ModeL• �S,l'rf- 02,� I/�5,�7-03C
Tonr. ,Z �'
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 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
2
�
.► . .
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or apnliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�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($35.00)
/O�, 000 x .0125 � /�S
(contract price) (minimum 535.00)
2. State SurcharQe. ** Add the State Building Code Division a Nlinimum Fee of(� .50)
j 0 Oop x .0005 � _ 5
(contract price) (minimum 5.50)
3. Postaae and HandlinQ (Only mail-in applicatiot:s) S 1.50
4. TOTAL PERVIIT FEE (Add lines 1-3 above) � /3l. .�O
`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 owne�,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 Ciry may request the submission of a signed copy of the actual contract.
"'*The STATE SURCHARGE is.0005 of the contract price under 51,000,000 or�.50-whichever is,,areater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby appii the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with
the ordinances of the City a the r ulations of the innesota Stafe Building Code,and certifies that all statements made on this
application are complete, e and co ect.
Applicant's Signature; Date: /O - ��O 3
Approved By: Date:
3
CS��� DATE TIME "
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED lD-27-D3 %D�
PERMIT NO. �Z' COMPLETED
a�s�
OWNER ONTR.���C. ��I/fK,
E N0. �S - �4'�I �Q�O4I�o
� DESCRIPTION �� t���
tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS �
ti
Q 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 72 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL � 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:=YES_NO
� COMMENTS:
a
j
O
>.
�
O
�
W
�
Q
�
2
W
�
W
�
�
O
W� ORK SATISFACTORY:PROCEED PROJECT COMPLETE
W �O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL HETURN
❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the ne t inspection 24 hours in advance. (952) 249-4600
OwnedContra or ite:
Inspector.
White Copyllnspector's Ff Canary CopylSfte Notice
HO��E NEATING TEST R�CORD �
c
AOORE�S ApT. f�00R CITY SUdUR
OCCUPANI OwNER �
F1FA1 IOSS D TE H fT. 0'" '�'
soLo Rr ��� INSTALLEo �Y
EI�eMita) Ms►k B� �� L��� dr
TrPE oF HEAT CA FA Nw 1TEAM SPAGE HTR. UNIt H1R. OTNER
CAS oESICN CONVERlION
MAKE wtAKE Of sURNER
MIsA�I • �dZ�"�'Z-AAsMI
S�.�sl G��3 'T� IN��. 9TU R�tln�
INPUT 3d�dd� - MAKE OF fURNACE
M.I•I
G�y'��.CONTROl.S � ✓
THERMOSTAT��1��H• 1 Iw � V�nf Sle•
Velv KIND OF LI ER SIZE � NONE�
Ll�..ir b�.h N��1 RMul�r�► _ rnn-�L��s��
liw�it S�Min� l "� F111M� Siu '� u ► .�
Fen S�Nin� � Q O�I�n�r L�e�fl�n InN •1��
c
ailel Trv� _ O�I�nn�y Gn•hve11•n
Pile1 Mek•
P;le� Med•i Sw�eb �` , wkin� ��
Plls► Tln�lnp .� D►eH ,_._?�H 1��
L.N'. Cv� 011 Oe� P►���u�• Lt�1+11w� In�1.
� �
Pr��wr• �� ,T�,P�re�n1 CO� � �sN T�H�I �-
iryu� CfH a P«e��r O? 4ww�y T��rin�
S�sek t��p. P«e�q� CO � �l T��1«
� � c Li�= i _
iyGZ
N � � � � � � r r r < � Z = � rn Np >
,�r a � � � 4 � � a � � i n=f � � � 7�t � n r > �!� O
' ' • A C � fp rw ? Q � C 70
i 11 i � � � � �ee 2 � ; � � n 71 r � AI
� S 3 • • • � = N �1 � � QN = N
O � � � � � � R N �
� � �
� � ��
�
C �
I O
� > >
n A A �' p A W Y T � fll
� + • + � N =
3 p � r — I �
n � � "' o+ �
000 �r _
Y Y � ' � �
� I Q
, � � ro �
Q N N
� , _
i � S � Q � r 7' �1 0 7� i � > � � � � � >
� z � i� � � � ? Q � � R ! S` 7t —1
�� � � • ; ; • ° � ' � � O 7 C)
.r � . r • • � w
• : Z ; � � � � � w �s v n � N � e �
! S . . � rn � � � "� r' ♦ „� � m
� � i : �° �3 � -=i � r �° �
Z � A 7f � f j �
� � � Q 1'1S
� r �
� s � �
( � � � � �
� '" 2
r A �
��. � � ° S Z
� � � � I �
a'' �� a � �
M
� � 0 �
• z =
� �
L �
• N
C
r �
= C
Z A
m
�
♦