HomeMy WebLinkAbout2005-p08731 - a/c PERMIT
C�l7'Y:OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08731
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued: 5/13/2005
SITE ADDRESS: 1220 Lakeview Ave
WAYZATA,MN 55391
PID: 10-117-23-24-0019
DESCRIPTION:
Proposed Use: Residential
Pernvt Class: General
Permit Sub-type(s): Air Conditioning
Pernut Type: Mechanical Pernuts
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 40.00 valuation: $ 3,200.00
State Surcharge Fee: $ 1.60
TOTAL FEE: $ 41.60
APPLICANT: Countryside Heating&Cooling OWNER: DOUGLAS PAUL SCHNOOR&WIFE
6511 Hwy 12 1220 LAKEVIEW AVE
Maple Plain,MN 55359 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 SIGNATURE SUED BY SIGNATURE
Covies: 1-File(Sir:nituresRequired), 1-Applicant, 1-MonthlvReports, 1-Assessine, 1-Finance Page 1
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�- � � FOR CITY USE ONLY
° City of Orono
� �¢����� P.O.Box 66 Date Received: Permit#
'� � 2750 Kelley Parkway
� ` �' C stal Ba MN 55323 A roved B Amount$:
11�y� �; rY Y, PP Y�
� r�r,o�,o,- (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All wark must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All wark must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour norice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
esidential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs place
Job Site/Owner Information:
Site Address: f a'v�� (,�Z��10� Li.� ��,�
Owner:�� � Mailing Address: ��`�4 ��Ul°(�G��'!/(�r
City: ��19�Ej�� Zip:
Home Phone: ��a�7���`��� Alternate Phone:
Contractor Information:
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Contractor: Contact Person:
Address: ��/� /� State Bond#:
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City: • � Zip:�J/Expiration Date:
Phone: /��'"���"`��U Alternate Phone:
❑ Insurance—Current:
1
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� MECHAI�ICAL SYS I�IS$EING INSTALLED
HEATING SYSTE
Quantity: /
Make: �
Model: 3v
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL• Q3�
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 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
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FERMIT FEE�G��U�.A'FIQN(�)
BASED O�F- U:02�S'I"A�TE STA'TUE
❑ 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 electrical 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,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
� Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULAT ON(S -JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) �
��Q ` �x.0125 $ ��
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
���• � x.0005 $ �` ��
(contract price) (miuimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
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■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted wark 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 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 Building Department at(952)249-4600 for the price.
MECHArIICAL PERIVITT APP�,ICATION AGREEMENT
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 stateme on this application are complete, true and
correct.
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Applicant's Signature: ' Date: d ��
Reset'Form
3
C� DAT�r TIME V
CITY OF ORONO CALLED IN �^/
INSPECTION N fT�I E SCHEDULED ��
PERMIT NO. �/ 7� I COMPLETED
ADDRESS_I?7,D t�.�L��'l1 P� 7�J-�
OWNER CONTR.
TELEPHONE N0. �J ,S�S D ��IOOY
� DESCRIPTION �G
� 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
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FO�LOW-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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W ORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952� 249-46��
OwnerlCon site:
Inspector.
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