HomeMy WebLinkAbout2004-P08113 - mechanical � PERMIT
CcITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08113
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: ioi22i2ooa
SITE ADDRESS: 3438 Lyric Ave
Wayzata,NIN 55391
P I D: 17-117-23-43-0077
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Pemuts Pernut Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00
Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.75
APPLICANT' Superior Contractors Inc. OWNER: Lois Hudlow
� 6121 42nd Ave N 3438 Lyric Ave
Crystal,MN 55422 Wayzata MN 55391
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 2
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply far mechanical permits Uy mail or in person at the City offices. Applications will Ue
reviewed and a pennit will Ue issued within two working days.
2. Pernlit cards will be sent Uy retui7z mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE 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,huinidification-dehumidification, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipinent ratings and identification as to type,inanufacturer and
model. Data shall be presented on fonn provided. Identification of and specifications for water heating
equipment shall also Ue provided.
4. When any new construction or remodeling is involved, a separate building pennit must be oUtained.
5. All wark must Ue done in accordance with the Unifonn Mechanical Code/State Building Code
requirements.
6. All work must Ue inspected (rough-in and final). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Record must be suUmitted Uefore 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: ���� �`��'�L /�-c,�� Zip: S�S"34�
Owner's Name: �CO I S f-�v D��� Phone Number: ��S'�- �•7/ - r7�'7 �
MailingAddress: ��Y.3� �C.-���� !.�-u.� City: G�-ec.,�� Zip: SS�Y/
Contractor's Name: �c���-�ip„2 ��t�'/+c�'�hone Number: 7�-:� — 5�3'7��(�i
Mailing Address: �p(�� �,F�2,.,,a,�,�.,,�, ,v City: �24�5��-� Zip: 5s��
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity: (
Make: �tJ J D
Model: (JG�►�O`�
Fuel: ilJ A-c'
Flue Size:
Input BTUs: 0 0��
Output BTUs: O�
CFM:
COOLINC SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood Uurning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating efm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that ineets all 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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Pernzit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of(�35.00)
,°�s�' x .0125 $ `�-�O v
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
/
x .0005 $ j. o��
(contract price) (mininuim�.50)
3. Posta�e and Handlin� (O�ily»rail-in applicatio�ls) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $ �`�� ��
*CONTRACT PRICE or JOE3 COST means the actual or estimated dollar 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 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. �n 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 contracc.
**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 co ct
Applicant's Signature: �� Date: J�'���`�
Approved By: Date:
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• �A TIME �
CITY OF ORONO CALLED IN � ��
INSPECTION SCHEDULED _� .Q�
PERMIT NO. 1�-3 CObiPLEfED
ADDRESS �!J`P�
OWNER /S �� CONTR. ,/�/f1lIC�2s�
TELEPHONE 1�f052�T 7�— 7J� 7�
� DESCRIPTION ��`C.LZ/��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL 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
v 07 DEMO-FINAL 15 SEPTtC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR RE►NSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next" pection 24 hours in advance. (952) 249-46�0
OwnedContra sit :
Inspector. �-
White Copyllnspector's File Canary CopylSite Notice