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Home My WebLink About2008-P12091 - heating system � PERMIT C�ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12o91 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/21/2008 SITE ADDRESS: 1235 Lyman Ave Unit# Wayzata,MN 55391 P�� 02-117-23-21-0005 DESCRIPTION: Proposed Use: Residential Pernvt Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 72.50 valuation: $ 5,800.00 State Surcharge Fee: $ 2.90 TOTAL FEE: $ 75.40 APPLICANT: City View Plumbing&Heating OWNER: Paul&Rae Pesek 1880 B Wayzata Blvd W. 1235 Lyman Ave P.O.Box 150 Wayzata MN 55391 Long Lake,MN 55356 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. APPLIC ERMITEE SI ATURE IS BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, i-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ,� r " FOR CITY USE ONLY / �p City of Orono / ¢ �\� P.O.Box 66 Date Received: Permit# fl��: �\`' 2750 Kelley Pazkway �� jt�'�� Crystal Bay,MN 55323 Approved By: Amount$: �\� �,. v.c`.% (952)249-4600 ��ty��o`f�,. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Officiai 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 wiil 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 [S POSTED ON THE JOB SITE. 3. Mechanical Desiens—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 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 A 1 ) ❑Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Site Address: '�3� [e-�/Y1�j�� ir} /�;/ -Q.� Owner: �� -'� '`�Z��`� �� Mailing Address: `��- v►��t yl � City: i��t�./2-�1.��',� Zip: J�� J� � Home Phone: �J��y7�,,�3�� Alternate Phone: Contractor Information: Contractor: �,'}y�,e� P l h.�-�.,-1'��'� Contact Person: ��v,r+, i�o�C �'s�� j ,��',!�.,� Address: l`S`�°i ��+?�� ,� 71�l�gh' State Bond#: /�(�� Ul v d City: �-��""� ��, Zip:`�� Expiration Date: 1� �31 <�� Phone: �J�� 7�� Alternate Phone: Gl,��iYi 5 ��3 � ❑ Insurance—Current: ve- � 1 MECHANICAL SYSTEMS BEING 1NSTALLED HEATING SYSTEMS Quantity: � � Make: �U t J� Model: ��1 1��5 L�� V(�F��L= '�� Fuel: �vp� � Flue Size: �nput BTUs: �sc�,c�o o �� c�a� ouc�uc BTus: I � �,�C)� �00 C10� CFM: �� I ��.�� COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ Na 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 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets al l 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 Permit $ 15.00 State Surcharge $ .50 Mail-[n Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION 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) 58�� ) X .oi2s $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.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 doilaz 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 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. MECHANICAL PERMIT APPLICATION 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 statements made on this application are complete, true and correct. � ✓ � �. - Applicant's Signature: � �^� Date: � 'J L Reset Form 3 �'� ��►'� " DA E TIME Y / CITY OF ORONO CALIED IN � INSPECTION N T��g l SCHEDULED s�� .'OD PERMIT NO. COMPLETED ADDRESS �a3� OWNER CONTR. �-y �� TELEPHONE NO. 9SZ `�� B�7�f'.3 � DESCRIPTION ,��G�— � %�/?��J � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC IfdSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ IIVSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on te• Inspector. l./� rr�� v White CopyMspector's File Canary CopylSite Notice