HomeMy WebLinkAbout2001-P04055 - mechanical -� PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poaoss
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: �/9�2ooi
SITE ADDRESS: 335 Hollander IZd
WAYZATA,MN 55391
P I D: 25-118-23-43-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: � 2,300.00
State Surcharge Fee: $ 1.15
Misa Fee: $ 1.50
TOTAL FEE: $ 37.65
APPLICANT: Kleve Heating&Air OWNER: W W ERICKSON&N D ERICKSON
13075 Pioneer Trail 335 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 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APP ICANT PERMITEE 1 NATURE I UED BY SIGNATURE
Copies: 1-File(Signitures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing, 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 2 w�orking days.
2. Permit cards will be sent by retum mail after a re��iew 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 Desi� - Complete calculations, derails and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratinQs and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identitication of and specificat�ons for wa�er heating equip.nent
sYiaii also be provided.
4. When any new construction or remodeling is invoh�ed, 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted beTore 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 249-4600.
Please check one: New Addition Repair �eplace
_� Residential Commercial
JOB SITE:,��h��p����� Zip:��
Owner's Name:��,� u � Q�r �r ic.ICSan/' Telephone Number:
Mailing Address:,_��5 �/��,,.,�� �� City: 6r�,,,�, Zip:
Contractor's Name: �,��p u`���(,�/��_, Telephone Number: .
Mailing Address:�?Sp7� �,'phe�' j r. City:��D Nt-,p�,r'..i.�..Zip�_�5��47 .—
SYSTEM DESCRIPTION
HEATING SYSTEMS ,
Quantity: _ _
iVlake:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make:
Mo�el:
Tons: a'!a�_
- H. Power
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. � Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�.�mco x .ol2s $ 35.Do
(contract price) '
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. �3co.p� x .0005 $ �. ��j
or $.50, whichever is greater (contract price) �
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � "7• /o.�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including rnaterials, labor, prof�t, ar,d other fixed costs. It is the amour.t to be charged to the custome:
for the work done. If any material, equipment, labor, or installation are 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 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 certif'es that all statem ts made on this application are complete, true
and correct. �
Applicant's Signature: Date:�p 'a � ��
Approved By: Date:
/
. �� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ��SS SCHEDULED ,
PERMIT NO. COMPLETED — �
ADDRESS �.�� G 1 �C�l'���-'Z
OWNER CONTR. p � �:f.
TELEPHONE NO. L S� �� ����
� DESCRIPTION _ / /�1�� 4-��'[v'��� '
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ��NORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W �O CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContra tor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice