HomeMy WebLinkAbout2003-P06065 - mechanical � PERMIT
C I T'Y �F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06065
Crystal Bay, Minnesota 55323 Permit Type: Mecna�icai Pe�ics
(952) 249-4600 Date Issued: 2i2ai2oo3
SITE ADDRESS: 2165 North Shore Dr
Wayzata,MN 55391
PID: 15-117-23-22-0001
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 41.25 Valuation• $ 3,300.00
State Surcharge Fee: $ 1.65
Misc.Fee: $ 1.50
TOTAL FEE: $ 44.40
APPLICANT: Allied Fireside OWNER: Walter Ringer
DBA:Fireside Hearth&Home 2165 North Shore Dr
2700 Fairview Wayzata MN 55391
Roseville,MN 55113
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 IGNATURE ISSUED SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Atmlicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
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 permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical DesiQns - 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
shalt 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 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 249-4600.
Please check one: New Addition Repair Replace
� Res'dential _ Commercial '
JOB sl�: ✓ ,r�. . ,, z� : _`��`�S���
Owner's Name: � � . �. Telephone Number: -�%��
Mailing Address: � City: Zip:
Contractor's Name: ' ".� Telephone Number:
Mailing Address: License#2009091� City: Zip:
2700 N.Fairvie�v AvM,
SYSTEM DESCRIP'���ilc,MA! SS113
3-2561
HEATING SYSTEMS /
Quantity:
Make: � �
Model: ��
Fuel: � l� �
Flue Size:
Input BTUs:
Output BTUs: � G' �
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: '
Tons:
H. Power
FIREPLACE� '
j/ Gas factory fireplace �
Wood burning factory fireplace with flue
Wood Stove -
Wood stove with flue
Brand Name '._u." L �-U Model No. �� r L-�I��/�-�
/
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) i '
J��DC� . L`� G� x .0125 $ ��. ��
(contract price) ��
2. State Surchar�e. ** Add the State Building Code Division / � �•�
Surcharge to each permit. �5�C • �� ` �x .0005 $ / , � �
or $.50, whichever is greater (contract price) ��,
�p+ x._. .;_,i .y: . .
3. Posta�e and Handlin� (Only mail-in applic�i�ri�s)�'c'� :'s�#•, $ 1.50
l�' _`:.-i.�:-,;
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � C.
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, Iabor, profi�, and other tixed costs. It is the amount to be charged io the customer
for the work done. If any material, equipment, labor, or installation are 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 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 correct. � �
; ; `;� '
Applicant's Signature: ������/I�(�r�—�J �� Date:�� 7 j
Approved By: Date:
:3_ _..,.�� . ,.:_.._ ...._ ,_ s,...__�e ,_._,_,_.. . � _. �... . .__ .. � _�_ , _,_.. . ..�_„ �_ .__
..:�� .�_.... ..._
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DATE TIME V
CITY OF ORONO CALLED IN ��� �
INSPECTION SCHEDULED ��• ��
PERMIT NO. �C� COMPLETED ��Y ��
ADDRESS_ ..� �lv � N c�'1(�P �b}P
OWNER CONTR. .�-��`j.��I ���
TELEPHONE NO. �p � �' – � I � � ZSC�1 � `�
� DESCRIPTION �—�i� � �r T�"�� ��C.�-UC � �
� Ot 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
Z04 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 SEP I FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: � YES_NO
� COMMENTS:
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W�I WORKSATISFACTORY:PROCEED �f�OJECTCOMPLEfE
W'O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CAII INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor site:
Inspector.
White Copyllnspector's File Canary Copy/Sfte Notice