HomeMy WebLinkAbout2001-P04564 - mechanical a ' �4
CITY F R N PERMIT
O O O O Permit Number:
2750 Kelley Parkway- PO Box 66 P04564
Crystal Bay, Minnesota 55323 Permit Type: ivtecnanicai Permits
(952) 249-4600 Date Issued: io�soi2ooi
SITE ADDRESS: 3726 Livingston Avenue
Wayzata, IvIN 55391
P ID: 17-117-23-34-0053
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 62.50 Valuation• $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
APPLICANT' CompleteMechanicalInc. OWNER: EaglecrestN.W.
� 5871 Queens Ave NE P.O.Box 47333
Elk River,MN 55330 Plymouth,MN 55447
TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVIMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WIT'H ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII..DING CODE REQUIREMENTS.
���� ��:'��C�`� � �j�'hC!'`�-. l[���)
ISSLTED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicarrt, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
. � � ,�o �-� s-� �/
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 Desiens - Complete calculations, details and specifications are requi.�d for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, 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 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 249-4600.
Please check one: x New Addition Repair Replace
Residential Commercial
JOB SI'TE: ,j� = _�' � "�� � � � Zip:
Owner's Name: � _ '� - Telephone Number: �7�:,� �-���� :��,
Mailing Address: City: Zip:
Contractor's Name (�'���`�(;)(���� �1��'�-��"X��'�{����Telephone Number:�������
Nlailin�Address ���71�C`�tl.��'L'T��� ���'�''_ ��. City:��(1�� �(l��'�'Lip:.`�S�-$�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I
Make: /'�a�r(��
Model: ,�xm)<(�G�)�.� (a-���
Fuel: �(r}���
Flue Size: '� (�� P �l �
Input BTUs:
Output BTUs: ���
CFM: ��� C�fp
COOLING SYSTEMS
Quantity: � •
M ake: ('�����`
M ode 1: �����:(��,L�3--�
Tons: oZ -{��'
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. �L Bath Exhaust (must be ducted outside) ��
No. Other Fans: Locations ��
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)
�i� ., ('�1 _ x .0125 $ ����
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �,Q�� x .0005 $ ��c.���
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �p���
* 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 maferial, 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 estunated cost or contracc
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 che Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all
work in strict accordance with the ordinances of the Ciry 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:
� U� � DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED U CI'3Q�
PERMIT NO.�G y� COMPLETED � �U �' 3 U
ADDRESS___���(o ,7����,��7Z'/1
OWNER CONTR.�� /��•
TELEPHONENO. �CO� `���I � "��0�
� DESCRIPTION �� ��O C�'t •
� 01 FOOTING i t 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
Z 04 WALL 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
v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
a
O � . s' C
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
��WORK SATISFACTORY:PROCEED 0 PROJ ECT COM PLEf E
W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERINCa
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Own�erlContr t r on site:
Inspector.�����y��
White Copyllnspector's File Canary CopylSite Notice
\ / � _ �
V � DATE TIME
CITY OF ORONO �
CALLEDIN
INSPECTION NOTICE�O�15� SCHEDULED �/ �
PERMIT N0. COMPLETE
ADDRESS
OWNER CONTR. �"�'j��'�-�-/%�C.C�
TELEPHONE NO. � ��`� �—d � O
� DESCRIPTION �`n —7
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
C
�
J
O
�
�
O
ti
W
�
Q
�
Z
W
�
W
�
�
� , � VORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z4�-4600
OwnerlContractor on site:
Inspector.�/�,il� 1 ''V
White Copyllnspector's File Canary CopylSite Notice