HomeMy WebLinkAbout2002-P04833 - mechanical CITY•OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poas33
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 1�23�2002
SITE ADDRESS: 1290 Lyman Ave
Wayzata,MN 55391
PID; o2-t v-23-21-0001
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: $ 236.69 Valuation: $ 18,935.00
State Surcharge Fee: $ 9.47
Misc.Fee: $ 1.50
TOTAL FEE: $ 247.66
APPLICANT: Golden Valley Heating&Air OWNER: Steve Melberg
5182 West Broadway 1290 Lyman
Crystal, NIN 55429 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE 5IGNATURE �5[JED BY SIGNATURE l
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Copies: 1 File(Sienitures Required), 1 Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance p�e �
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 1 of 3
CITY OF ORONO APPLICATION FOR iVIECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
V�
1. You may apply for mechanical permits by mail or in person at the City offices. Applications w,iIl�be r�viewed
and a permit will be issued within two working days. `
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT�At�.i�1�1TI�.
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED`���
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 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-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 (952)
249-4600.
Please check one: New Addition Repair Replace Residential Commercial
,
JOB sITE: 1 � 1� �- � ��.�G�t�i� z��: ��_�9�--
Owner's Name: U� � �' Phone mber: �/,�- �• rl',?�j7
Mailing Address: City: �' �'!(� Zip: �-'�-,��/,�
ICHMOND & SONS EL�C. INC.
Contractor's ��meGv, ���, "n� � �v N-rr, � aiR Phone Number:
Mailing Address: �To� � ����narnnr�v City: Zip:
CRYSTAL, P�N 35429
612-535-200�
SYSTEM DESCRIPT_IOI�t
HEATING SYSTEMS
http://www.ci.orono.mn.us./mechanical%20permit.html 1/18/02
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 2 of 3
� c�u��m�r�- � � �
Make: �%��Q� �,�V14'1 O l >Q (/1
Model: J �.����U i� L-�' �i� D� � � ��
Fuel:
Flue Size:
Input BT'LJs: I�V�DO� l,l'�� ��� � �j ���
Output BTLJs:
CFM:
COOLING SYSTEMS
Quantity: � 1
Make: �/`'���"l���l����(n��
ModeL �U�C�j � �.� ��� �
Tons: �• � _
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 duct recalculating cfin
No. Bath E�aust(must have duct outside) efin
Na Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT_FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fi�ture or_appliancc that meets all three of the following requirements:
http://www.ci.orono.mn.us./mechanical%20pernut.html 1/18/02
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3
1) Docs_uot rcquirc modification to cicctrical or gas scrvice.
2) Has a tota,l cost of$500.00 or less; excludin�the cost of the fiarture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip ne�ct section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee_of_�$35.0_0�
�� 3�__X .o�25 $ -- �► �� � 9
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of�$ .50�
I�. R 3 � X .0005 � �� � �
(contract price) (minimutn$.50)
3. Post�e and Handli�(On[y mail-in applications) $ __ 1.50__
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���• LC�
*CONTRACT PRICE or JOB COST means the actual or estunated dollar amount charged for the pernutted 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 installation is 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 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 Pennit,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 an rrect
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Applicant's Signature: -- ___��c�Q-- Date: _ � � /U 'Od�
� - -
Approved By: ______ _ Date:
http://www.ci.orono.mn.us./mechanical%20permit.html 1/18/02
/
✓ DATE TIME
CITY OF ORONO CALLED IN _�
INSPECTION NQ�jI�EL� Q SCHEDULED L-
PERMIT NO. `��� / v�� COMPLETED 1�Z- �`� G� 5!
ADDRESS O I
OWNER ` CONTR. ��`��� �����Py ��
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� DESCRIPTION � �� . 2t,L .
� 01 FOOTING i MECHANICAL RI / � 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECH �fCAL�AL �-�"_ d 19 IAKESHORE/WETLANDS
Q03 INSULATION 24/25 WOOD BURNER/FIREPLA��J 34 TREE REMOVAL
Z 04 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
� 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
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJ ECT COMPLETE
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0 �❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContrac or n site:
Inspector. C�'����"LL7�
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED 7�� � ��
PERMIT N0. � ' � � COMPLETED � �.�_
ADDRESS � yG
OWNER CONTR. V�Q,�C�'�/�
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TELEPHONE NO. 7 � � S �S -Z v c?d � �
� DESCRIPTION �� �n.�-
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG ECHANICAL FINA� 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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. '` /ri :� ( �
White Copyllnspector's File Canary Copy/Site Notice
✓ �3 B ' � 9l
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE . SCHEDULED --( �2-- �'�
PERMIT NO� � �� COMPLETED --�'
ADDRESS ���U �
OWNER ` �^�'�' CONTR. -� c2�C�
TELEPHONE N0. .3 � 3-� �-�°�� �
� DESCRIPTION
� 01 FOOTING 11 rni a�_� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING , 13 MECHANICAL FINA 19 LAKESHOREIWETLANDS
y 03 INSULATION 7� W OD 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-FINAI 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 �pROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
^ �rlContractor on site:
:tor. 7� ��l
White Copyllnspector's File Canary Copy/Site Notice