HomeMy WebLinkAbout2000-P03333 - mechanical PERMIT
C I T��O F O RO N O permit Number:
2 7 5 0 K e l l e y P a r k w a y- P O B o x 6 6 P 0 3 3 3 3
Crystal Bay, Minnesota 55323 Pe�mit Type: lviechanical Permits
(612) 249-4600 Date Issued: iii3oi2o
SITE ADDRESS: 1250 Lyman Ave
WAYZATA,MN 55391
PID: 35-118-23-34-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
Air Conditioning
Ventilation
DETAILS:
Approved per resolution#:
Separate permits required: �
NOTICES/REMARKS:
FEE SUIIAMARY: Permit Fee: $ 600.00 Valuation: $ 48,000.00
State Surcharge Fee: $ 24.00 �`\
Misc.Fee: $ 1.50
TOTAL FEE: $ 625.50
APPLICANT: Kleve Heating&Air OWNER: G MARC WHITEHEAD ET AL
13075 Pioneer Trail 38 ADDRESS UNASSIGNED
Eden Prairie,MN 55347 MN 00000
TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIMENTS SPECIFIED
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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Copies:City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT , , ; ,<;
Box 66 (2750 Kelley Parkway) -
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be s �
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 ON 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, 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 permix 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: � New Addition Repair Replace
Residential Commercial
JOB SITE: Zip:
Owner's Name: Telephone Number: -
Mailing Address• City: Zip:
Contractor's Name: �1 . Telephone Number: q�a ��c/�-�f� �)
Mailing Address: City: �a. � .;,,:oZip: SS 3�T
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: �g�h3�>c_ 'l �P,v�x�s��
Model: ]-� ' N M�- i nn
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Fuel:
Flue Size:
Input BTUs: i�1�Z_ ��jp �Q(yf�
Output BTUs: ► , �j�'�
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CFM:
COOLING SYSTEMS
Quantity: � �
Make: �fl t'��nx Le�n n�� .
Model: , -,
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Tons:
H. Power
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WOOD BURNING EQUIPMENT �;�
Wood stove with flue � � . -
Wood combination or add-on
Factory fireplace with flue ��.�
Factory Fireplace (s) Freestanding Masonry
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Wood Stove (s) Franklin, other °;`
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Brand Name Model No. ,�;
Mfgr's Min., Clearances, side , rear , min. flue dia.
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VENTILATION
� No. Kitchen Exhaust ducted recirculating � cfm '�
No. � Bath Exhaust ( ust be ducted outside) �_ cfm
No. �_ Other�ns--�Locations �] cfm ;
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FUEL STORAGE (MUST BE APPROVED BY FIRE MAIiSHAL)
``� Installation Removal
�:`- Fuel oil: gallons underground inside outside
�';sr; LP Gas: gallons
Other Gas opening
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PERMIT FEE CALCULATION
� 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
C�� �r`-k� x .0125 $ �pQ�. �
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(contract price)
2. State Surcharge. ** Add the State Building Code Division
`` Surcharge to each permit. ��Q,O�U x .0005 $ .�
or $.50, whichever is greater (contract price) :K
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��, 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� �;
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted ``
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 naterial, equipment, labor, or installat:�n are furn�shefl by :.�:e o�vaer,
»- 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. v
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Applicant's Signature: Date:
:�� Approved By: • Date: F
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DATE TIME
CITY OF ORONO CALLED IN -�-/"v ���-`�
INSPECTIO OTICE SCHEDULED �r�� :�3�
PERMIT N0�'� �._3 3 COMPLETED Z�/ '1, �
ADDRESS �� `
OWNER CONTR.
TELEPHONE NO.__ _ /S o� %`� �//
� DESCRIPTION v''�` ��!�iC - ��S �f,i-2 �i fY�Gu-rc
t� 01 FOOTING 17 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
� 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
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 2a hours in advance. (952� 249-4600
OwnerlContr r on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �2°-0� �`/S'4`'"�
INSPECTION NOTICE SCHEDULED �-�-/'6/ 30
PERMIT NO. PD 3333 COMPLETED � �-'�
ADDRESS l a 5 C� � ry��-✓1 �"'�2 '
OWNER CONTR. /C eev� �-7�'I ,
TELEPHONE NO. � sa - gy� - yz �i
� DESCRIPTION ��`�► ��� ��— �����-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAI 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 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 FINAI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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0 ❑CORRECT WORK,CALI FOH REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONOITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector. ��Ll���l/I�
White CopyllnspectoPs File Canary CopylSite Notice
CITY OF ORONO 3���E �'rlr��
INSPECTION NOTI SCHEDULED �J 'o2U �= 3���
PERMIT NO. ��3333 COMPLETED �� � �� ( G
ADDRESS��O C�/G �� ��� ,
OWNER CONTR. ,C/ec�� ��y � /� �.
TELEPHONE NQ, �� � �t � � �/2 / /
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� DESCRIPTION e S � � Un�' �.�-� b`: �"�
~ 01 FOOTING �MECHANICAL R— 1.�7 � 18 EXCAV/GRADING/FILLING
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Q 02 FRAMING -T3TvTECHANICAL 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
C]CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
L�STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr�ctor on site:
Inspector�_��CG(G' /�-1
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOTIC2E SCHEDULED 'l�-�/ �� `..3
PERMIT NO. �� J � � COMPLETED 7'�" Z� `'--" � `�
ADDRESS
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �� -��-edLC.
tyi 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 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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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN
INSPECTOR WILL RETURN
C�STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector. //1�-+�!2�-�-,i j
White Copyllnspector's File Canary CopylSite Notice