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HomeMy WebLinkAbout2007-P11759 - mechanical � � PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P11759 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 12/14/2007 SITE ADDRESS: 1245 Lakeview Ave Unit# Wayzata,MN 55391 P��� 10-117-23-24-0024 DESCRIPTION: Proposcd Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 74��1 valuation: $ 5,977.00 State Surcharge Fee: $ 2.99 TOTAL FEE: $ ��,�p APPLICANT: K&K Heating&Plumbing OWNER: Keith Nord&Virginia Griffiths 6000 Lone Oak Road 1245 Lakeview Ave Rockford,MN 55373 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 REQIJIREMENTS. l � �'i ' /i, APPLICANT PERMITGL SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signata�resReyuired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � FOR CITY USE ONLY - ,�0�� City of Orono O%, O P.O.Box 66 Date Received: Permit# �,, 2750 Kelley Parkway a �w� `. �. Crystal Bay,MN 55323 Approved By: Amount$: �a��u��o� (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 L 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 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 idenrification 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 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 Apply) � �]"Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑Replace Job Site/ Owner Information: . Site Address: �� ��-��l/'(e� �-��- � Owner: �`Q ��� V"�� � Mailing Address: � �� L{�'kQ '�t�� � c�ty: � P��2�fi� z�p: �>��31 � :,: � -� �� Home Phone: � -` � ` � � � � ' � Alternate Phone: �f� Z 2� G � 3 �S� �- Contractor Information: Contractor: �`���Q��l��d- 1'k/"��/l�y Contact Person: (. �U� ��`/�'�►'''/�-`'� Address: ��' 1.-6►-� (��- ,� State Bond #: �C����T,`��� City: ���.���-�� Zip:l°�1�J ExpirationDate: �Q�� �� D .�y� � � Phone: !�'l�1����`�jYj�`) Alternate Phone: ��3 ^��� , ,_ ❑ Insurance— Current: o�� i��()��j �� (, 1 V i HEATING SYSTEMS Q�nnry: �IU-� Make: ���,Q� Model: �9-��S /3� � Fuel: 1� ` �S Flue Size: ��l �(/t�i Input BTLJs: /�f Output BTUs: �'✓� CFM: ZOU COOLING SYSTEMS Quantity: �� Make: �C��3�� Model: i4 I�� Tons: � H.Power � /�'1 FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Buming 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) cfin ❑ No. Other Fans: Locations �fm 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 . . ❑ Yes,this section applies T'he 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;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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) ���� � 7 x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Miuimum Fee of$.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 estimated dollar amount charged for the pernutted 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 installarions 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. 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 Signature: ���1� �l1 � Date: �'Z2'� � 3 ATE TIME ✓ CITY OF ORONO CALLED IN � OS INSPECTION TICE SCHEDULED U —�-��/(/� PERMIT NO. COMPLETED ADDRESS S U` � OWNER � CONTR. `� � TELEPH NE NO. � - "13�s � DESCRIPTION �-� � ` � ❑ FOOTING CHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � � ��� o � �.. . � � -- a� Cc._.� �c,'�S C� � ��c.� W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAII INSPECTOR ❑ INSPECTfOIV RE�UIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 Owner/Contra s e: Inspector. White Copy/lnspector's File Canary CopylSite Notice / 1 C(^ A V � /U � 'T"� DATE TIME CITY OF ORONO �����l.j' CALL D IN �- 3 G� INSPECTION TICE SCHED LE o PERMIT NO. �7 pl� COMPLE ED ADDRESS /� �S l r�����l��i /�fi1_/`�f'I��� i y OWNER CONTR. � �' 1t' TELEPHONE NO. �����-7ti ` �liJ 3 � �7 7 -.�.��-S " � �3�� � DESCRIPTION \ I � 01 FOOTING 11 MEC AL RI 18 EXCAV DING/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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING F1NAL 36 FOUNDATION/REMOVAL � OWNEHICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a j �. ►-J/1 � ! � i � Q. 1— O �. � � � S c%A i v � � � A�� � W � Q z 3� f�C���s s �`'o C t� A� �.f r � � �� �S" -f-rA ,� rS W � � d W� aVORK SATlSFACTORY:PROCEED ❑ PROJECT COMPLETE w ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORR6�TUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice