HomeMy WebLinkAbout2001-P03959 - mechanical . �
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po39s9
Crystal Bay, Minnesota 55323 Permit Type: 1vlechanical Permits
(952) 249-4600 Date Issued: 6i2o�2ooi
SITE ADDRESS: 2825 Little Orchard Way
Wayzata, MN 55391
PID: o9-ii�-23-2i-ooi2
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanicai Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Fireside Corner OWNER: Thomas Meehan
2700 N Fairview Lane 620 Bushway Rd
Roseville,MN 55113 Wayzata,MN 55391
TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK]N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIIZEMENTS.
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APP I ANT PERMITEE I NATU IS LTED BY SIGNATIIRE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 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 2 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
c.;lculation, 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fmal.
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 249-4600.
Please check one: �New Addition Repair Replace
Residential Commercial
JOB SITE• .� — -, � Zip:
Owner's Name: % � � � ' - ,,��;} Telephone Number:
Mailing Address: , ` City: Zip:
Contractor's Name: 1e 1feS e Telephone Number:
Mailing Address: �1Ce�����,o�o„ City: Zip:
2700 N.Fairview Ave.
SYSTEM DESCRIPTI(��Teville,MN 55113
/633-2561
HEATI'_�1G SYSTEMS
Quantity: �
Make: -
ModeL• � ,�
Fuel: �
Flue Size:
Input BTUs:
Output BTUs:
CFM: .
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Gas factory fireplace
� Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name � � �- Model No. ���,� �,�
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee (�35.00)
//C�C?���.,� x .0125 $ ���;��
�(con[ract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. /JOv,o�> '`x .0005 $ ,�-
or $.50, whichever is greater (contract pri�e),"'�
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3. Posta�e and Handlin� (Only mail-in applica�ions) "' " $ �s4
4. TOTAL PERMIT FEE (Add lines 1-3 abo��e) y ' $ �5,,s
* 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 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 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: ��,� Date: _� %�"�/
Approved By: Date:
. �a���
, - HOUSE HEATING TEST RECORD
• ADDRESS j'� � �� " `��� �/ APT. FLOOR CITY � �� 5 BURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
El�ctrical Work By Gas Lin• By
TYPE OF HEAT GA FA HW STEAM SPACE IiTR. UNIT HTR. OTHER
GAS DESI N CONVERSION
MAKE � MAKE OF BURNER
Mod•I Mod•I
S«;ol Abx. BTU Rotiny
INPUT � MAKE OF FURNACE
Med•1 _
NTROLS �f
THERMOSTAT H�ot Pluq V�nt Siz•_
Valv KIND OF LINER SIZE��_, J�40N��-
Limit Draft Hood Rpulawr 1�
Limit S�Minq Filt«s Si:• umMr
Fan S�ttiny �� 6 Chimn�r Location (nsid�_��Outsid�
Pilot Typ� Chin�n�r Construetio�
Pilot Mok•
Pilot Mod�) Smok� Bomb Wirinq
Pilot Timinq D�aft T�st Taq
L.1Y. Cut Off Dow Pr�ssw� Li9htiny Inst.
/a- / �o
Pr�saw� P�re�nt CO2 Dot� T�st�d
I�put CFH P�re�nt O� Conroany T�stiny
Stack T.mp. ' PNpnr CO J� Nan»ef T.sr.r
HOUSE HE�ITING TEST RECORD
., �t���'v
AnDRESS �� � � � APT. FLOOR CITY SUBURB
�
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
El�etricol Work By Ga: Lin� By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
` , GAS D SIGN CONVERSION
MAKE � -✓"� MAKE OF BURNER
Mod•I ' Mod•I
S.riol � G � " hlox. BTU Ratina
INPUT � MAKE OF FURNACE
Mod�l _
GONTROL 5 ;,(
THERMOSTAT � N�a� Pluq V•nt 5iz•_
Valv '� KIND OF LINER SIZE � � �E
7
Limit '� � Droh Hood Rpulawr a
Limit Sk��; (L-„ ^ FiltNs Si:• umb�r
Fon S�ttiny � f]�imn�r Locallon lesid� Oufsid�
Pilot Trp� �' ��' � � � � -L U�ime+�r Construetion
Pilot Mok•
Pilot Mod�l Smok� Bomb Wiriny
Pilot Timinq Draft T�st Tao
L.W, Cut Off Door Pr�ssur• iphtiny Inst.
Pr�swr� >�� P�rc�nt CO2 � Dot� T�st�d � � �
leput CFH � P�►unt O� Companr T�stiny L
Stack T•�np. P�re�nt CO Nonw oF T�sr�r
OUSE HE�ITING TEST RECORD
ADOQESS `� '�� �� �� ")������ wa- APT. FLOOR cirir ��Drv� SUBURB
_ OCCUPANT � � �� OWNER
HEAT LOSS TE HTG. INST.
S�LD BY �NSTALLED BY
El�ctrieal Werk By Gos Lin� By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNiT NTR. OTHER
GAS OESIGN CONVERSION
MAKE �'���' MAKE OF BURNER
Mod�l — Mod�l
SKial Mo:. BTU Rotinq
INPUT ��'i.� = �� � MAKE OF FURNACE
Mod•I _
CONTROLS
THERMOSTA� � �Q F{ Pluy V�M Siz•_ �
Volv � � � KIND OF LINER SIZ�NQNF
Limit Drah Hood Rpulaw� � S—�
Li�nit S�ttiny ^ FiltKs Si:• mb�►
Fan S�ttiny z'U� Chimn•r Locarie� Insid��Outsid�
Pilot Typ� �� �- ? C � r '-' � Chimn�r Constniefion
Pilot Mok.
Pilot Mod�l Smok� Bomb Wiriny
Pilot Timinq Oroft T�at Toa
L.W. Cut Off Door Pr�ssw� Liqhtinq Inst.
Pr�asw� � P�re�nt COI `� � � Dot� T�at�d
le�put CFH P�re�nt 0� Con�va�r T•s�+ny
S�ack T.n�p. � P..e.n� CO Nam.of T•s�.r
DATE TIME
CITY OF ORONO �CALLED IN
INSPECTION N ICE �3 SCHEDULED
PERMITNO. G � � � / COMPLETED 7�D�r Y= 3a
ADDRESS ���� �-�' �/ !� ��'��� �,��
OWNER CONTR.
TELEPHONE NO.
�
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNE FI EPLAC 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 INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNEHICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O '❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnedContra tor on site:
Inspecto� �-f—C�Gt.--�/I�
White Copyllnspector's File Canary CopylSite Notice