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Home My WebLink About2002-P05881 - mechanical �Y PERMIT CI I Y' OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Posggi Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: i2i2i2oo2 SITE ADDRESS: 290 Hollander Rd Wayzata,MN 55391 PID: 25-118-23-43-0011 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 46.25 Valuation: $ 3,700.00 State Surcharge Fee: $ 1.85 Misc. Fee: $ 1.50 TOTAL FEE: $ 49.60 APPLICANT: Kleve Heating&Air OWNER: Dale&Susan Mahaffy 13075 Pioneer Trail 290 Hollander Rd Eden Priaire, MN 55347 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ��/ // � � � �' APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 � � ,� .. _ � . CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, �fiV 55323 ��s��i� GENERAL INFORMATION �� u � �� Ci TY Ur OHpNO 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by return mail aRer a review is completed.PERMITS ARE NOT VALID UNTIL YOU RECENE 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, ventilarion,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 JOB SITE: 2 Q n 'F a �(a,�d�r �d, Zip: �53q I Owner's Name:�Q I�, ►'�!� �{,a�tr Phone Number: �5a-�7s��O5G Mailing Address: ��1(an�a- 2d City: Ot'o�o Zip• 553g l Contractor's Name: ��JE d{J�� ?.n.c Phone Number: 45�'��1 -Wz.li Mailing Address: l3 07 5 P,o�,eer —r��l City• �d�,,�,`I}-o.tir 2� Zip• 55 3'�17 1 � 4 � r '� � t - SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: o� _ Make: �C n!1 Ok, Model: (�GOO}}36$�� Fuel: �a,,-}- Flue Size: �J��e�a55 � Input BTUs: �0`�� Output BTUs: 1 04� CFNI: ' COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove �� ex.►s�� g a s J t we- ❑ 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 �� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑Removal ❑Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑LP Gas: gallons _ _ ❑ Other Gas opening 2 � � � d�a 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 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($35.001 .��D b x .0125 $ �� (contract price) (minimum$35.00) 2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of($.501 37 n� x .0005 $ I ,d j (contract price) (minimum$.50) 3. Postage and Handlin�(Only mail-in applications) $ 1.50 4.TOTAL PERMIT FEE (Add lines 1-3 above) $ �/� 6� *CONTRACT PRiCE or JOB COST means the actual or estimated dollar amount charged for the pemutted 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 fumished by the owner,tenant or any other party the reasonable mazket 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$1,000,000 or$.50-whichever is greater.For valuations over 51,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the Ciry 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: /> �J�,l/`Q._ Date: Approved By: Date: 3 � � DATE TiME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �1(��'� l.C� PERMIT N0. �.�'�S�� MPLETED ADDRESS 2 � I OWNER �a CONTR. TELEPHONE N0. �S�-� ��S �- �O �� DESCRIPTION � � � 01 FOOTING 11 MECHANICAL RI 18 CAV/GRADING/FILLING Q 02 FRAMINCa �h71 ANICAL FINAL 19 LAKESHORE/WETLANDS y 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 OEMO-SITE 27 SEPTIC MAINT. 21 COMPWNT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 1 LUMBING FINAL 36 FOUNDATIOWREMOVAL O OWNE NTRACTOR TO MEET YOU:�ES_NO ti COMMENTS: � a � J 0 � � 0 � W — � Q � 2 W � W � � d � W� �WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V. BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlCo c on site: Inspector. � White Copyllnsp tor's File Canary Copy/Site Notice