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HomeMy WebLinkAbout2000-P02120 - mechanical �. - PERMIT �CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po212o Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (612) 249-4600 Date Issued: 3i�ioo SITE ADDRESS: 2595 Lydiard Ave EXCELSIOR,MN 55331 P I D: 20-117-23-11-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems Air Conditioniing DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUIIIIMARY: Permit Fee: $ 35.75 Valuation: $ 2,860.00 State Surcharge Fee: $ 1.45 TOTAL FEE: $ 37.20 APPLICANT: p�dLf;�! Sy,�",, OWNER: sTEVE CARr.owsxi �,�,��� �o��n Dr., 2595 LYDIARD CIR �O�trs. M� ���� EXCELSIOR,MN 55331 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. c� � — ��.. ` APPL[CANT ER EE SIGNATURE SUED BY SIGNAT[JRE /�,�� 'i�0 Copies: City,Applicant,Assessor,Finance Page 1 � � CITY OF ORONO APPLICATION FOR MECHAIVICAI:PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORI�IATION ' 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 retum 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 01V 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, equipmen[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 sepazate 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 473-7357. 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 473-7357. Please check one: New Addition Repair Replace �� .. Residential Commercial JOB SITE• �x`J��?����C�'�7�.'�- Zip: " n � Tele hone Number: r-i��r,-� T�r�� Owner's Name: J t�r'U C (C,.�J S.l�(., _ P - � �,�f ° �C�j r��,�,',,f�p'-�, Zi Mailing Address: r�5�,�"! �- � -t1�.C,�� City: ( ��'_ p: ��:1 Contractor's Name• �}��'�;�1 ���� ,�,�i f< {-�,lv.-` Tele hone Number: �/;�-�-Y:�-1� Mailing Address: �y%:���...� �i.l(.,'�G� �}N'11)-P City: Y Zip: �=J�3 Zy� SYSTEM DESCRIPTION � HEATING SYSTEMS � Quantity: Make: L'1°��, . Model: �73 f�Y�I2V10 t��f0! � Fuel: l�Cc�-- �'-YT� Flue Size: �(��� " Input BTUs: Output BTUs: (�°L�, C'GC CFM: COOLING SYSTEMS Quantity: � Make: l� 'N�l`. Model: � `l�l,� i a��Q11� Tons: ,� H. Pawer � t:, + , ; . ��,_� —,:--...� � ✓i� -�� � ;�. � `� �� , N� �s . i;' . � ��� �r � — . � �� , t. . ���.� �._y -� . .. y'..� `� . �, .�� 5 . .��: � � "� �'i � WOOD BURNING EOUIPMENT , � �� , ,s : �; � � �� :� ` .�. �J•�� hE Wood stove with flue r,�; �� Wood combination or add-on ��' � t � � Factory fireplace with flue � "���F � Factory Fireplace (s) Freestanding Masonry ���`�� � ' ' Wood Stove (s) Franklin, other ���f` , �a, ,� `" ��� Brand Name Model No. �`'� '� ��; '�.� Mfgr's Min., Clearances, side , rear , min. flue dia. � � y N �� VENTILATION `� ��. � ;';� �'� No. Kitchen Exhaust ducted recirculating cfm ;���. : ,� No. Bath Exhaust (must be ducted outside) cfm ;��� No. � Other Fans: Locations cfm � � � � r k ��z � z,„�� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ,w,.:�� Installation Removal `}1 Fuel oil: gallons underground inside outside �" LP Gas: gallons :s; ��' Other Gas opening ��,. h��, ,�.:_ r PERMIT FEE CALCULATION ,- �: 1. 1.25% of Contract Price* or Minimum Fee ($35.00) €�d � x .0125 $ _ _3S 7� '�� � (contract price) �'� -� 'Y 2. State Surchar� ** Add the State Building, Code Division ' ��'�� , Surcharge to each permit. �-�(�c� ��`� x .0005 $ /. �.� � �f ; or $.50, whichever is greater (contract price) j � ; „a �"y��Yr� T 3. Postage and Handling (Only mail-in applications) , $ -�-56 �k�.,�,: 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37•d� �� �` CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char ed for the ermitted � ��, �.: * g P � `� r 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 insiallation are furnished by the owner, ;�; � tenant or any other party the reasonable mazket value of such items must be added fo 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, �l "� �� x ` 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 1 all work in strict accordance with the or ' _ ces of the City and the regulations of the Minnesota State Building Code, d certifies that a statements made on this application are complete, true '�� ��� and correct. ' �' c � E: , � � , 1 , '��� - Applicant's Signature: �li'� "� Date: � -- 7 �� r��. .,� � /! ' [ e� � ��. V f� �i Approved By: G� Date: �,, � � t :. g�.�,. ,>- _ _ � - �� �� - � _ � f . �. . .. , ,._ ''"� .f:'_ - . . ' � � r 7-; . . . �., � � . . ... DATE TIME�� CITY OF ORONO CALLED IN " � —0 d �•�-� INSPECTION N TICE SCHEDULED oa �a PERMIT NO. � COMPLETED �7 UU Z� �U ADDRESS �� � C.�e�Z�c%�-�J OWNER��� � CONTR. � TELEPHONE NO.�� 3 ��-�S o�-��� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � C MENTS: � � � � � -2.c�� 5 Z,J � o � - l � � � �'�2 S �-i� � � U �G °�. /.� �c� � G� .� W Q i� v����. � z w � W � j d ❑WORKSATISFACTORY:PROCEED _ PROJECTCOMPLETE W � l� CORRECT WORK&PROCEED �:� ISSUE CERTIFICATE OF OCCUPANCY W r�� O /6l.eORRECT WORK,CALL FOR REINSPECTION TEMPORARY � � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN C7 STOP ORDER POSTED.CALL INSPECTOR 1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlCo r tor on site- Inspector.���/a�5_ White Copyllnspector's File Canary Copy/Site Notice