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Home My WebLink About2002-P05513 - mechanical � CITY R PERMIT � � �N� Permit Number: 2750 Kelley arkway- PO Box 66 P05513 Crystal Bay, innesota 55323 Permit Type: Mech �cai Permits (952) 249-46 0 Date Issued: s�isi o02 SITE ADDRE . 568 Keene Ave Wayzata,NIN 55391 �I PID: 02-117-2 -31-0042 �' i DESCRIPTIO : i Proposed Use: Residential Permit Class: General Pernut Type: Mechanical Permits Pernut Sub-type(s): Multiple Mechanical Items DErAILS: i Approved per reso�ution#: Separate permits r quired: NOTICES/RE RKS: _ � FEE SUMMA . Permit Fee: $ 348.15 Valuation• $ 27,852.0� State Surcharge Fee: $ 13.93 ' TOTAL FEE: $ 362.08 APPLICANT: Martens&Sammon Heating&A/C OWNER: Donald&7oanne Dav' son 1023 Peaceful Ridge Rd 568 Keene Ave. Red Wing,MN 55066 Wayzata,MN 55391 THE UNDERSI NED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIF ED AND AGREES DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA ILDING CODE REQUIREMENTS. � � _ �� `� �� P C T PERMITEE SIGNATURE ISSUED B � GNATURE Covies: 1-File(S nitures Required), 1-Auulicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1 � �� 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 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 Desi�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: J`�g �'�Ne. ,�f�/� Zip: SS'3`�l Owner's Name: e}/a� �/so/v Phone Number: Mailing Address: � City: [�o�1t�2a-�•` Zip• s',S`_3�'� � Contractor's Name: f{tiJ ��4��o.n/�� r�hone u ber: .3g� " �zZ 3 Mailing Address: c.�{� ity:/� � /{�' Zip• ,�S �36 G 1 .i' � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: ( Make: �(,� /�Ih Model: / �/�'► Fuel: �q, �� Flue Size: /) d L, Input BTUs: � �O Output BTUs: �� D V CFM: COOLING SYSTEMS Quantity: � / Make: �� C(� � � Model: �6l"F/��-� S',6 G t � � Tons: �� / TO/JS 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 b duct recalculating�cfm No. Bath Exhaust(must have duct outside) cfm No._�Other Fans: Locations paoi•c� �f/Lv .2 �r cfm FUEL STORAGE (MUST�E 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 appliance that meets all three of the following requirements: 1) Does not require modification to elech-ical or gas service. 2) Has a total cost of$500.00 or less; excludinQ 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) 7 �s''z 'oX .oi�s $ 3 Y � , I 5 (c ntract price) (minimum$35.00) 2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of($ .50) 27 o�'z. � .000s $ / 3 , `�3 ( ontract price) (minimum$.50) 3. Posta�e and Handling (Only mail-in applications) $ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � , .r� � �� *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 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 certifies that all statements made on this application are complete,true and correct. Applicant's Signature: -E%��``"'� Date: � � Q Y Approved By: Date: 3 � DATE TIME CITY OF ORONO CALLED IN INSPECTION ICE SCHEDULED - ��- � PERMIT NO. `' Q �� COMPLETED ADDRESS ��P � OWNER CONTR. Sa �'r► �'�'1 a�l � �� TELEPHONE NO._ �i �I 3 � ��3 � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSU�I�IATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALt�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 J 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � O /` J .. W � � �i � � Q � l - � - - W ��,�'.��f�"T.`.rS ,�---= �7 --� �.�r � ; � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORFECT WORK,CALL FOR REINSPECTION 7EMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next insp t' n r ce. (952� 249-4600 Ownerl tor o ite: � - Inspector. ite Copyllnspector's File Cana opy/Site Notice