HomeMy WebLinkAbout2005-P09420 - mechanical CITY O� ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po9420
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued: 11/14/2005
SITE ADDRESS: 2545 North Shore Dr Unit#
Wayzata,MN 55391
PID: 09-117-23-41-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Bruce to Approve
FEE SUMMARY: Pernut Fee: $ 93938 Valuation: $ 75,150.00
State Surcharge Fee: $ 37.58
Misc.Fee: $ 1.50
TOTAL FEE: $ 978.46
APPLICANT: Upper Midwest Radiant OWNER: Bradley&Cheryl Jones
5115 Industrial Street 2545 North Shore Dr
Maple Plain,MN 55359 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 PE TE NA' ISSUED Y SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY �� ��
�� �A'` City of Orono � �
4' `�' P.O.Box 66 Date Received: � '' �Permit#
/!"� �'`' 2750 Kelley Parkway
4t j1�'x;, j,� Crystal Bay,MN 55323 Approved By: �� �ount S:
`���rt%lr•�%i (952)249-A600
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' CITY OF ORONO-MECHANICAL PERMIT
(All Commercial pe�mits must be approved by the Building Official or Inspector and/or Fire Marahall)
GENERAL INFORMA'TION
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 two working days.
2. Permit cards will be sent by retum 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 STTE.
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,manufachuer and model. Data shall be presented on foim 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 )
Q Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
SltO E�(�C�TBSS: 2545 Northshore Drive
OWrier: Brad&Cheryl Jones M31Ilrig AC�drOSS: 1245 Woodhill Ave
Way�� 55391
Cl�: Zlp:
(612)347-9196
Home Phone: Alternate Phone:
Contractor Information:
COritrlCtOr: Upper Midwest Radiant Contact Person: ��a`us�`er
5115 IndusVial Street 929289728
Address: State Bond#:
Maple Plain 55359 09/16/OS
City: Zip: Expiration Date:
(763)479-6325 (763)238-8444
Phone: Alternate Phone:
06/O1/06
� Insurance-Current:
1
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��•+ $'
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HEATII�IG SYSTEMS
Quanhty.
1 1 1 2
Make: WaterFurnace WaterFwnace WaterFurnace Carrier
Model: EZ048 EZ060 EW030 S8MVB080
Fuel: Electric Elecfric Ekctric Natmai Gas
Flue Size: N/A N/A N/A 3"PVC
Input BTUs:
48,000 60,000 30,000 80,000
Output BTUs: 48,000 60,000 30,000 75,280
C�: N/A N/A N/A 2,000
COOLING SYSTEMS
t 1
Quanhty.
Make:
WaterFurnace WaterFurn�e
Model: EZ048 EZ060
Tons: 4 5
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑� No. 5 Bath Exhaust(must have duct outside) 80 cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAI,L)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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❑ Yes,this section applies
The replaceme�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 less;excludins tt�e cost of the fixture or appliance:and
3. Is improved,installed or replaced by�e homeowner or licensed contractor.
Skip next sectioq if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
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If above dces�t apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(1Vlinmiam Fee of$35.00)
75,150.00 x.0125$ 939.38
(conhxct�e) (minimum 535.00)
2. STATE SURCHARGE ••Add the State Bldg Code Div.S�charge(M�imum Fee of 5.50)
75,150.00 x.�5 $ 37.58
(COIIh'Sd�[ICC� (minimUlil S .SO�
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
978.46
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST meffis the actuai or estimated dollar amount chazged for the
permitted work including materials,labor,pmfit,a�d other fixed costs. It is the amount to be charged
to t�e customer for the work done. If any material,equipment,labor or installations are fiunished by
the owner,tenant or any other party,the reasonable mazket value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the eve�that there is a dispute on the
amount of tbe job cost,the City may request the submission of a signed copy of the actual conttact.
■ s•The STATE SURCHARGE is.0005 of the Building Depatlment at(952)249-4600 for the price.
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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 State of
Minnesota, and certifies that statements made on this application are complete, true and
correct.
Applicant's Signature: Date:
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Building Codes and Standard Division
Building Codes and Standard Division Commissioner of Labor and Industry
Has Received and Filed a$25,000 Surety Bond,
Commissioner of Labor and Industry As Required by MS 326.992,for Work Regulated
Has Received and Filed a $25,000 Surety Bond� by the State Mechanical Code
As Required by MS 326.992, for Work Regulated To: Roberta J.Henrich Bond No: 929289728
Upper�lidwest Radiant MB ID: 00594
by the State Mechanical Code Eftective Date Expiration Date
9/17/2005 9/16/2006
To• Roberta J.Henrich Bond No: 929289728
' Upper Midwest Radiant MB ID: 00594
5115 Industrial St.
Maple Plain MN 55359
Effective Date Expiration Date
9/17/2005 9/16/2006 MBFormRC
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ADDRESS aS�fS �I��r7'�� IS�OZ� �yL�
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the�t-jn ction 24 hours in advance. (952� 249-4600
OwnerlContractor � ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � Q� DATE`c1 ,, ;TIME
CITY OF ORONO CALLED IN u'�•v�
INSPECTION N /1 scHEou�Eo �� a�
PERMIT NO. ���v COMPLETED
ADDRESS �� r� 1
OWNER CONTR,U' v�� C�
TELEPHONE NO� ��� �" � � G GL G����-���
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Z04 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
J 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
� OWNEH/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CA L INSPECTOR '� CITATION ISSUED
G INSPECTIONREQUIRE .CALLTOARRANGEACCESS.
Call fo ext inspection 24 hours in advance. �95Z� 249-4600
OwnerlCo ctor s'
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White Copylinspector's File Canary CopylSite Notice
� � ��� DATE '\ TIME
CITY OF ORONO CAL�ED IN —f�7 VI
INSPECT I E SCHEDULED ��1"�-O�G-
PERMIT P�O COMPLETED
ADDRESS � ► V O C � I�
OWNER CONTR.U m 1 � V ��
TELEPHONENO. lC`�- � ' ! C�� � �'�� C��i�
� DESCRIPTION C� I��
� Ot FOOTING `'�,�ME ICAL RI 18 EXCAV/GRADING ILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 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
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-46��
OwnerlCo n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� <.J`-� 'y'� ` � � � D TIME
CITY OF ORONO CALLED IN ^I ' U�P
INSPECTION� `E � '^ SCHEDULED
PERMIT NO. � COMP TED
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OWNER CONTR. '� � ` U`-�
TELEPHONE NO. �CQ3 ' �C 7 I- ( Q��,�
� DESCRIPTION �'� ��
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Q 02 FR,4MING 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 24J-46��
OwnerlContr site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� DATE TIMS, -V
CITY OF ORONO CALLED IN �S�/S=Q(y
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� DESCRIPTION /�l -���ad� ���,hJ�Ly � l�i� ��Sf-dC�SPl�
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. �95Z� Z49-4600
Owner/Contr s' e:
Inspector.
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, 4' l ���L i f{� �'� D TE f1/_ TIME �
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INSPECTION NOTIC� , / SCHEDULED
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OWNER CONTR. �1 `�
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� DESCRIPTION j��-�� ��--�
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 O6 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
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INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on ' e:
Inspector. �
White Copy/lnspector's Fite Canary CopylSite Notice