HomeMy WebLinkAbout2001-P03619 - mechanical PERMIT
�:I TY O F O RO N O Permit Number:
2750 Keliey Parkway- PO Box 66 P03619
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3/19/2001
SITE ADDRESS: 1250 Lyman Ave
WAYZATA,MN 55391
P I D: 3 5-118-23-3 4-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation• $ 10,000.00
State Surcharge Fee: $ 5.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 131.50
APPLICANT: Fireside Corner OWNER: G MARC WHITEHEAD ET AL
2700 N Fairview Lane 38 ADDRESS UNASSIGNED
Roseville,MN 55113 MN 00000
'THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIF'IED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII..DING CODE REQUIREMENTS.
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T�TEE��7A� SUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 ��
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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
calculation, design temperatures, equipaient ratings a�id ide=.tification<cs to type, r.:anufacturer and model.
Data shall be presented on form provicted. Identification or and specifications for water heating eyuipment
Sh?ll 2lcn he j�rc?vide�.
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.
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Please check one: r%New Addition Repair Replace
.� Residential Commercial • �'�j
JOB SITE: /��d C_ N f-,,,r�,J /}�/�, . Zip:
Owner's Name• Aili Fireaide Telephone Number: t-
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Mailing Address: � P,,,,,,�, o,�_ ;- ;..: �ity: Zip: ;
Contractor's Name: 2700 N.Farvia�rA Telephone Number: ``�
Mailing Address: osev� e,MN S.S113 City: Zip:
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SYSTEM DESCRIPTION � ,�
HEATING SYSTEMS
Quantity: � ( -- r --- � _-- - r =
Make: � 't,�l i f S �,�--#,1 U c.S �c �11 lS �� U I � �i
Model: `-f-�J�V K X L ��/�Vn�(L. 3 �-D U(_ 3 tA D�.X� �`��E
Fuel: _L�A� .� f�-t �j P� �� A��}� �S I�JaSk 6� ,-�
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Flue Size: j�
Input BTUs: `h
Output BTUs: `;y-
CFM:
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COOLING SYSTEMS 'fi
Quantity:
Make: �
Model:
Tons: '�
- H. Power
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FIREPLACES z� '� �
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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 E�aust (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� o �
�/D. Oo�. �' x .0125 $ /�S �
��(contract price) r
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2. State Surchar�e. ** Add the State Building C'�'etl�ivi�ion' ��`
Surcharge to each permit. ,�rw���w��c'� .0005 $
or $.50, whichever is greater (contract p�� �`��' �`
4 * . .
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ / a�. °� l 3�--��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor,�rofit, 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 fumished 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.
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Applicant's Signature: ,— '� �,}'�. � Date: J, ��i
Approved By: Date:
O DATE TIME
CITY OF ORO CALLED IN ���� �� !v����`�
INSPECTION NOTI SCHEDULEW��t�3"""��'9'��`- � .3p
PERMIT NO. �3 �l '•-� -����
COMPLETED
ADDRESS Ia�d L�/�1�� �(/L�
OWNER CONTR. �T� S/CQe Coi'✓�-e r'
TELEPHONENO. S`CS - ���'I � � �2 z°1 321 �i /�°b
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� DESCRIPTION {�. S � Q C 'e-��' q `�5 �P
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� 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� C�MMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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O Ia�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlContr ctor on site:
Inspector. r�� �
White Copyllnspecfor's File Canary CopylSite Notice
q� DATE TIME
CITYOFORONO�� -3�l / CALLEDIN ��-vl
INSPECTION TI E SCHEDULED -���� �p����r..�,
PERMIT N COMPLETED ��Z'T�� ��'�/
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TELEPHONE NO. �,� � � � 5 � 7 f"�7
� DESCRIPTION -� �� - d �
lL 01 FOOTING 11 MECH ICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMtNG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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❑ CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN
INSPECTOR WILL RETURN
f CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr ctor on site:
Inspector. �'/��'� �,G?3
White Copyllnspector's File Canary CopylSite Notice
DATE I /TIME
CITY OF ORONO CALLED IN • l ( ( `��
INSPECTION TIC/� C� SCHEDULED �/ � ?
PERMIT NO. � w�� / COMPLETED
ADDRESS_1c��0 L�l MC� f,iY�.
OWNER ��� CONTR. i' i ��5�� C�rf'l�.,t'-
TELEPHONE NO. C�S l -G���- �SCn �
� DESCRIPTION �c��t v, ��
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOFi TO MEET Y0�_YES_NO
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�ORK SATISFACTORY:PROCEED �OJECT COMPLET
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFOAECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContra. on site:
Inspector.������ a��-'l�
White Copylinspector's File Canary CopylSite NoUce