HomeMy WebLinkAbout2006-P10625 - mechanical PERMIT
CITY `OF ORONO
275G Kelley Parkway- PO Box 66 Permit Number: P10625
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12/8/2006
SITE ADDRESS: 315 Hollander Rd Unit#
Wayzata,MN 55391
P��� 25-118-23-43-0014
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 36.25 valuation: $ 2,900.00
State Surcharge Fee: $ 1.45
Misc.Fee: $ 1.50
TOTAL FEE: $ 39.20
APPLICANT: Residenrial Heating&Air,Inc. OWNER: Nathan&Constance Fagre
1815 East 41 st Street Suite A 315 Hollander Rd
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.
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APPLICANT PERMITEE SIGNATCJRE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR C[TY USF,ONLY
;,,, ,,¢�� City of Orono
� � � P.O.Box 6G Date Received: Permit# ___�
� 2750 Kelley Parkway
���� �"'�• �:� Crystal Bay,MN 55323 Approved By: Amount$:
`��� "'��'�:;� o`�- (952)249-4600
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CITY OF ORONO— MECHANICAL PERMIT
(All Commercial pern�its must bc approvcd by thc f3uilding Otlicial or Inspec�or and/or I�ire Marshall)
GENERAL INFORMATION
l. 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,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 shal? be presented on forn� E;rovided.
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 tinal). Call (952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
esidential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs eplace
Job Site f Owner Information:
Site Address: � ; �j �--� �; 1 � �:_ :--.,,�� +' ,-- ��;
Owner: �o�.� �� -��� e-,,�e Mailing Address: = �L-, 1� c� l��c,��-r ��
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City: �� t-r� �� Zip: ��,S � �'� I
Hame Phone: _ �'( S��� �`t ,`�`7v�'-�� Alternate Phone:
Contractor Information:
� �
Contractor: ���, _�`� �-}��:,_,A �����F��ontact Person: � ,�_., �
Address: I �51_� � _ u� y S ` :5; State Bond #: �`� `J ��j `-� �-1`1 `:a
5�, � � - -'�
City: ����� ,�C:, 1��,, Zip:�>�-t��; Expiration Date: q � 1 � � C3 ��
Phone: (�� � � - � zy -1� \`� Alternate Phone:
Insurance —Current:
1
.
�• MECHANICAL SYSTEMS BEING INSTALLED
�
HEATING SYSTEMS
Quantity: �
Make: �,—�`�
Model: `�`5 cr x�b 25CU
Fuel:
Flue Size:
Input BTUs: �� O G�'
�
Output BTUs: 7 'J ,- ��L,
—�
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FI REPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust_ duct __recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
.
, PERMIT FEE CALCULATION(S}
B�SED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or aqpliance 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, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 ��� �
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$35.00)
r,.
t . ��
ZL[i;U x .0125 $ .7E:
(contract pricc) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
--�� _5
7 cl U C.0 x .0005 $ ( � �i
(contract price) (minimum$ .50)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 1.50
. ZC;
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ��C�
■ * 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 installations are furnished by
the owner, tenant or any other party, the reasonable market value of such iteins 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 Building Department at(952)249-4600 for the price.
�� �� MECHANICAL PERMIT APPLICATION AGREEMENT ���
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with th ordinances of the City and the regulatior►s of the State of
Minnesota, and certifies that all ; tatements m e on th' application are complete, true and
correct. ^
Applicant's Signature: D e: � L— � `C��
Reset Form
3
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� ITY OF ORONO CALLED IN r����1�
INSPECTION N I E �SCHEDULED __/�-/G`� �i! c?c:!
PERMIT NO. � COMPLETED � Td�
ADDRESS '
OWNER ��1�'tol i C'_ l-C. 5/� CONTR. - � -'
TELEPHONE NO. %I�/L�`� ����y� �O� �-
� DESCRIPTION �.�'('���r�-l'{t �=-�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
9�04-�AIAL�BD. 12 WATER HOOK-UP 17 SITE INSPECTION
�f..�_OS�FIN_-��L 7 14 SEWER HOOK-UP 06 PROGRESS
� �'[7�M0-SITE 27 SEPTIC MAINT. 21 COMPtAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE✓
� ❑CORRECT WORK&PROCEED ' , SUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. V pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
1
Owner/Contractor on 't� e:
InsNector. W � `
White Copyllnspector's File Canary CopylSite Notice