HomeMy WebLinkAbout2002-P05922 - mechanical PERMIT
CITY' OF ORONO
2750 Ke�ley Parkway - PO Box 66 Permit Number: Pos9z2
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: i2i23�2o02
SITE ADDRESS: 3so9 I�y P1
Wayzata,MN 55391
P I D: 20-117-23-43-0054
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,495.00
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 35.75
APPLICANT: Automatic Garage Door&Fireplace OWNER: Leisel Cox
9210 Wyoming Ave.No. 3509 Ivy Pl
Brooklyn Park,MN 55445 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.
��� ��-...._.._--- � 1-�-- �-
_ �
AP� ICANT PERMITEE SIGNATUR6 ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
� �
� r
CITY OF ORC:v0 APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 k:elley Parkway) �
Crystal Bay, 11�11�V 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City o�ces. 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
UNTII.,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII,T'HE PERMIT CARD IS
POSTED ON'IT�JOB SITE.
3. Mechanical Desig�ns-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 WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: Zip: S�3C!(
Owner's Name: Phone Number: (s,�� _�y� -37c.� �
Mailing Address: City: Zip:
- �� �
Contractor's Name: ,���-�„���,�� Phone Number: �C�3 3/S-�SC�Z>
Mailing Address: O CJ �� �ve �(.7 City: �, Zip: �--�yys�
��
. .. _
.
. ., .
.
_ .,�. . _.
,
. , .: _. - _ ,
_ . . � . .,_ . . .,
..
- . . , , , _ .
, , .
..
, ,,
. _
1
�"�. ��
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTiJs:
Output BTUs: '
CFM: •
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIItEPLACES
� Gas factory fireplace
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
BrandName � ModelNa n�l3�nCJ�/�-
� VENTILATION .,_ - .
Na Kitchen E�chaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfin
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
♦ �� �
PERi'�IIT FEE �ALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fiYture or ap�liance that meets all three of the following requirements:
1) Does not require modification to electrical or�as service.
�) 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 Vlinimum Fee of(�3�.00)
��GS. 00 :c .0125 $ -�S• QC1
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
/y 9.-�C,U Y .o0os � , 7S
(contract price) (minimum$.50)
3. Postaae and HandlinQ(Only mail-in applications) $ 1.50
4. TOTAL PERiiVIIT FEE (Add lines 1-3 above) $ 3� .�fs
*CONTR�CT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
materials,labor,profit,and other fired 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 o«ner,tenant or any other party the reasonable market va(ue 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 siQned copy of the actual contract.
**The STATE SURCHARGE is.000�of the contract price under$1,OOQ000 or$.50-whichever is greater. For valuations over
$1,000,000 call the Department of Inspec[ional 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��•ith
the ordinances of the City and the regulations of the�4innesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
Applicant's Sib ature:i��.ND�v��.e�-nC2�� Date: /� 073 OUl
Approved By: Date:
3
�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED
PERMIT NO.���=��� COMPLETED
ADDRESS ����1 � .�� �L- �
OWNER CONTR. -�—,�f� c..�?���
TELEPHONE NO. ���—��--�l� C��
� DESCRIPTION �/`�� •
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 3 SULATION 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
v 07 DEMO-FINAL 15 SEPTIC NSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: � '� � ��-���7� � �
W
C
� � � ' �''"`
0
a
�
0
�
W
�
Q
�
z
W
�
W
�
�
a
W WORKSATISFACTORY:PROCEED O PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
�NSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALlTO ARfiANGE ACCESS.
Ca11 for the next in ection 24 hours in advance. (952) 249-4600
OwnerlConUa n sit :
Inspector. - '�
White Copyllnspector's File Canary Copy/Site Notice
� " DATE TIME "
CITY OF ORONO CAL�ED IN
INSPECTION NOTICE SCHEDULED L� � = ��
PERMIT N0. �7�' �Ct Z.Z COMPLETED
ADDRESS �`��G C� �—l— v t-i p�- -
OWNER CONTR. �--�r2-� ✓r�G�c,��c'�
TELEPHONE N0. / L� � - �3 S ' ��rJ�
� DESCRIPTION �-- �-- --�f�1.s�t c_-� •
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALlTO ARFiANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContr r ite:
Inspector.
White Copyllnspector' ile Canary CopylSite Notice
( �.\
DATE TIM
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED � <'
PERMIT NO. S conn � eo
ADDRESS •s
a
OWNER CONTR. 1-
TELEPHONE NO. �) � ��� S� t1 S � b � '►►-��y
r
� DESCRIPTION `�
� 01 FOOTINCa 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 0.3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE 1NSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
a
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4F�
OwnedContractor on ite:
Inspector.
White Copyllospector's fie Canary CopylSi�
/
DATE TIME',
CITY OF ORONO �,��Z y CALLED IN �— /3 �`� `
INSPECTION NO C SCHEDULED s-r 7-v� /J�3C,sl.�I
PERMIT NO. � S 3 COMPLETED
ADDRESS . 3�C��i -1 v�i /�Lc�_c–e– � ai,c.,o.� J �.�'! �
OWNER CONTR. ��� � �.�i , f
TELEPHONE N0. 7�'.� �� 3 � � 7�
0
� DESCRIPTION t't1� •
� 01 FOOTING 11-�M1� CqL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING `7 v1ECHANICAL FIN 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP
= 09 PLUMBING RI _ 23 SEPTIC FI L 35 HARD COVER REMOVAL
J 10 PLU FINAL 36 FOUNDATION/REMOVAL
� OWN RICONTRACTOR T EET YOU: YES_NO
� COMMEN'�S:
�
W -
C
o =�� �-L� l�"�._.�
�
0
�
W
�
Q
ti
Z
W
�
W
�
�
GW ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CCRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
A
Ca11 forthe next inspect�o 2 q r advance. (952� 249-4600
OwnerlCo ctor on si :
- � . _ ___ .
Inspector.
Wh' Copyllnspector's File • anary Copy/Site Notice