HomeMy WebLinkAbout2007-P11702 - mechanical PERMIT
CITY OF ORONO
2750 Kel�ey Parkway - PO Box 66 Permit Number: p11702
Cr�ystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
11/20/2007
SITE ADDRESS: 300 Sixth Ave N Unit#
Wayzata, MN 55391
PID: 25-118-23-41-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 129.60 valuation: $ 10,368.00
State Surcharge Fee: $ 5.18
Misc.Fee: $ L50
TOTAL FEE: $ 136.28
APPLICANT: Sedgwick Heating&Air Cond Inc. OWNER: Douglas Dayton
8910 Wentworth Ave S 300 Sixth Ave N
Minneapolis,MN 55420 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.
(�CiC�C '�/�
APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE ��
Copies: 1-File(Signatures Reguired), l-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
t� �,eo� �
FOR CITY USE ONLY
" -�`""'��e�`� City of Orono
. O�O`���.� P.0 Box 66 DateReceived: Permit#
� s�;;.,"L 2750 Kelley Parkway
� ���i 7�,;�`. ��� Crystal Bay,MN 553�3 Approved By: Amount$:
��,�.�y�{c�// (952)249-4600 �
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CITY OF ORONO-MECHANICAL PERMIT
(All Commeroial permiu must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Appiications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE I�TOT
VALID UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete ca]culations,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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required)
❑New ❑ Additional ❑Repairs ❑Replace
Job Site/ Owner Informatioii: `
Site Address: ��O C���� i2 v( . (L
Owner: I��w �c�-�-o.--i Mailing Address: 3UV C�1 2� lo
�
Ciry: C���� c� Zip: s S 3 � I
Home Phone: `�SZ ' `�7 S- Z`("Z c� Alternate Phone:
Contractor Inforillation:
Contrac��W����TIN�8�AIR CONDITIC�NING��tact Person:
8910 We��orth Ave. Sa
Address: ��n�eapnl;s, p/IN 55420 State Bond�#:
(g52�881-9000 ,
City: � -- Zip: Expiration Date:
Phone: Aiternate Phone:
❑ Insurance-Current:
1
_ ( . MECF�ANICAL SYSTEIVIS BEING INSTALLED '
HEATING SYSTEMS
Quantity: 3
Make: V1.r���c� x
Model: Ci`'�0 t,��-� b O C_ � 1 C�
FueL• � �5
� 4
Flue Size:
Input BTUs: � �0, b C C;�
Output BTUs: �� ��C��
�FM:
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Firepiace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORA,GE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
, PEIZMIT FEE CALCLLATION(S) ,
BASED OFF - 2002 STATE STATLTE.
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets 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 iess; excludinQ the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or Iicensed contractor.
Skip next section,if this applies, Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit�ee � $
PERMIT FEE CALCLTLATIO�S}=3GBS OVER $500.00 " `` �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� io �� i� �� . � c� x .o125 �� i2 `t . j�, c�
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(A7inimum Fee of�.50)
� (G; ��b. G �: x.0005 $ 5 • I �
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Oniy on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ l 3 �o . 2-- �
■ * CONTRACT PRICE or JOB 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 installations are iurnished by
the owner, tenant or any other pariy, 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 Building Department at(952)249-4600 for the price.
IvIECHANTCAL PERI�IIT APPLICATION AGREEMEI�T : �. ..�; '
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict aceordance with the ordinances of the City and tl�e regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct. \
' 1
�
Applicant's Signature: �`''" C/� Date: . ( � `� �
C,t-�
Reset Form .
3
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�----- A TIME
CITY OF ORONO CALLEO IN �
INSPECTION TIC SCHEDULED �`D�
PERMIT NO. � COMPLETED
ADDRESS � � �
OWNER .
TELEPHONE NO. — 7 '
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� DESCRIPTION ��I �� �GG��yI�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
,Q ❑ FRAMING 14fMECHANICAL FINAL ❑ LAKESHORE/WETLANDS
.
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
Owner/ConVactor on site�
Inspector. � 1�
White Copyllnspeclor's File Canary CopylSite Notice