HomeMy WebLinkAbout2003-P06289 - mechanical a PERMIT
CI�� OF ORONO Permit Number:
275 Kelley Parkway- PO Box 66 P06289
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Pernvts
(952) 249-4600 Date Issued: s�s�2oo3
SITE ADDRESS: 3554 Lyric Ave
Wayzata,MI�155391
PID: 17-117-23-43-0055
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 60.00 Valuation: $ 4,800.00
State Surcharge Fee: $ 2.40
Misc.Fee: $ 1.50
TOTAL FEE: $ 63.90
APPLICANT: Superior Contractors Inc. OWNER: Dawn Srilnovich
6121 42nd Ave N 3554 Lyric Ave
Crystal,MN 55422 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESf S 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
CoUies: 1-File(Sipnilures Required),1-Anplicant 1-Monthlv Reuorts, 1-Assessine. 1-Finance Page 1
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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 for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTII..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,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 pernut 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
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JOB SITE: �S7 � �l'k'I L /-�-�+� Zip: s��3� I
Owner's Name: �qus � �/��,cl p��r�-1-� Phone Number: �ja—�{�� - ����2
Mailing Address: .�5�� �-�'�c� /�-��� City: E���L; Zip• ,5�3�%
Contractor's Name: Sv'i��-�2�E F� ��!�q.c..�2�Phone Number: 7C�3-,S3'7�-�`�/
Mailing Address: � l�( ��,�.� �¢-��� � City: C'��S"`� fr�Zip• Ss���
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SYSTEM DESCRIPTION
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HEATING SYSTEMS �
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Quantity: �
Make: C.l�"��l�� •��;
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ModeL• ,�f�(.•c� �fi�
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Fuel: G A� �
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Flue Size: .��P✓�_ .<=�
^>40
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Input BTUs: �Q�OC9t�' ";�
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Output BTUs: ���'� "``
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CFM:
COOLING SYSTEMS ';;
Quantity: � ;,�
Make: �I�C'�'� >:_�
Model: �i�7�/�-(3�� ':;
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Tons:
H.Power ,�
FIREPLACES GAS LINE ONLY tP�
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❑ Gas factory fireplace ❑ Installing a Gas Line Only
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❑ Wood burning factory fireplace with flue �
❑ Wood Stove .:�
❑ Wood stove with flue �H
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Brand Name Model No.
��; VENTILATION �
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` No. Kitchen Exhaust duct recalculating cfm `
�' 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 ��,e,��:,� '"
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PERMIT FEE CALCULATION(S) �`��
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2002 State Statute ❑ Yes This Section Applies '
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The replacement of a Residential fixture or appliance that meets all three of the following requirements:
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1) Does not require modification to electrical or gas service. ':�
2) Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: -
and
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3) Is improved, installed or replaced by the homeowner or licensed contractor. ;;'�
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Skip next section; Cost of Pernut $ 15.00 �
State Surcharge $ .50 .�
Iv1ai1-In Fee $ 1.SU ��„;
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If above does not apply, follow guidelines below: ,��
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1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) ';�,
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�� x .0125 $ __ ��. �� �
(contract price) (minimum$35.00) °`�
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2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) �
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� x .0005 $ ,�c- ��
(contract price) (minimum$.50)
3. Postage and Handlin�(Only mail-in applications) $ 1.50 °'�
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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 permitted work including
materials,labor,profit,and other&xed 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 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 co ct'
Applicant's Signature: � Date: S'�""� , µ
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Approved By: Date: .�
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15 TOt01 Ipgs=13+14 ""' $37p8 """' •"' 53706 "" """" •"• "'• •"'
18 IM.gsina; Peopk� 900 4 � 1200 4 � �l� "� ��'
7Z00 1 •"• 1200 1 "" 7200 ""'
17 SUbIOt RSH pal►��.+�12�1E •,•• •••• I T44S •»• •.•• 17448 •••, •••• w• ••••
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t9 Total R6Hpn l7+1�`PLF 1.00 "`" 17148 1.G0 "" 17448 ■"" ""
26 A'v I�Q�itW �Lhn) ""'" 9SS 933 98a 8�3 '"" ""
W meet all r uirements of Manual J 7th Ed.
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TOTAL F.01
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-D�a�3 TIME
CITY OF ORONO CALLED IN
INSPECTION NOT SCHEDULED ['�-,�-03 � = S— .N(
PERMIT NO. COMPLETED
ADDRESS 355���r� L ?�/� .
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OWNER CONTR. ���� �r
TELEPHONENO. �� ��� �o� 3��.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 fRAMWG ECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION URNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNOATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
c� COMMENTS:
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W RKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 O CORRECT WORK��L 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 forthe x inspection 24 hours in advance. (952) 249-4600
OwnerlContra r n '
Inspector.
White CopyMspecto�s File Canary Copy/SHe Notice