Loading...
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. �r �.� �J�'��\�_/ �i� ._ � L�-�.�'�_% /Y>�s-/� APPLICANT PERMITEE 5IGNATURE �5[JED BY SIGNATURE l - - / 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 � 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 �� TELEPHONENO. ��� - �3`5 " ZO"� � ._�� p �-" �/ �y�'�' , � � th.,�tt�?/ G�. � � 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 � TS: .� � � ' � � ��' � � � o ' � � � � � ��. a � � � 0 � � � Q � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJ ECT COMPLETE W �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 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�'�/� , 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: � W a � J O � � O � W � Q � 2 W � W � � d ��]�NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑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: � W a � %3 — ���ks of�' 0 � � 0 � W � Q � z W � W � � � �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