HomeMy WebLinkAbout2006-P09933 - mechanical PERMIT
CITY OF ORONO Permit Number:
27�0 Kelley Parkway- PO Box 66 P09933
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/1/2006
SITE ADDRESS: 3285 Lafayette Ridge Ct Unit#
Wayzata,MN 55391
P��� 17-117-23-44-0090
DESCRIPTION:
Proposed Use: Residential
Pernvt Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 104.00
APPLICANT: Statewide Gas Services OWNER: David&Janice Jamieson
201 West Main 3285 Lafayette Ridge Ct
Waxonia,MN 55387 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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LICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
• FOR CITY USE ONLY
.' ,�0�, City of Orono
P.O.Box 66 Date Received: Permit#
�'� � 2750 Kelley Parkway
��? ; � Crystal Bay,MN 55323 Approved By: Amount$:
������� (952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specificarions are required for each
heating,venrilation,humidificarion-dehumidification,and air condirioning installation including
heat loss/heat gain calculation,design temperahues,equipment ratings and identificarion as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new constiucrion or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT '
Check All That A 1
�esidenrial ❑ Commercial(Approval Required)
❑ New ❑Addidonal ❑Repairs �Replace
Job Site/Owner Inforrnation:
Site Address: ��-�5 �-� �"�g�� �--��lr+� �-� -
Owner�9��ia ,A'�"��l,i �t�-� Mailing Address: 3 2 �S ``'�F�"��� 'R-��V� e'�,
City: �l��'2 ��1� Zip: SS3��
Home Phone: lc.�'L'�io�-1��� Alternate Phone: ��2"�V�'1 '15� �
Contractor Information:
Contractor: ST�T�+�O�- G-as S�.u�c$�s Contact Person: ��-`C�R � �
Address: `"�-�\ w�s '� w�-�•n� State Bond#:
City: w �c.o��� Zip:SS3� Expiration Date:
Phone: qS1-�-(�tt '3 y-1� Alternate Phone:
❑ Insurance-Current:
1
.
' }�EG�iA�1TCAL SY'STElVIS BE�NG.Il�TS'�'AlL�D .
HEATING SYSTEMS
Quantity:
Make: ��-LlA+�-� �
Model: 3 SS�►-'���10�lLota �
Fuel: � �'r
Flue Size: 1-�� p`� �
Input BTLTs: �A�o+��?
Output BTUs: S �����
CFM: ��4-•
COOLING SYSTEMS
Quantity: � ��"� p`���
Make: 3'�-�(� �
Model: �—��o�t-�1�0'�-�,
Tons: �
H.Power `� �
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locarions 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
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❑ Yes,this section applies
The replacement of a Residential fixture or a,�pliance that meets all three of the following requirements:
1. Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 $
� .�' :;PE1Z1ti1IT FEL CALCrtIL,ATION S�=JOBS..04�ER$500.OQ ,
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
60
� x.0125$
ontract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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 fizrnished 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 pernut fee puYposes. 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.
1VIECHAI�iICAi,PERl�tI'�APPLICATION AGREElVlEN"T" ': `. '�.
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signatur . Date: l¢ � � �
3
��� ,� DATE TIME ✓
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CITY OF ORONO CALLED IN _��
INSPECTION NOTICEQ [� SCHEDULED � �� �
PERMIT N0.�D�-!�-/ � COMPLETED
ADDRESS ;�oZ�� �--�� ��-�-�^-�'� � /�C�,
OWNER ��,�T. CONTR.
TELEPHONE N0.GC-(' r (��a � �G g' � �`���
� DESCRIPTION `��� �L�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
,Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPT FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERfCONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: �'
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W WORKSATISFACTORY:PROCEED L1 PROJECTCOMPLEfE
� ❑ CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContracto i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice