HomeMy WebLinkAbout2005-P09488 - mechanical �
PERMIT
. CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 Po9488
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
12/15/2005
SITE ADDRESS: 2565 North Shore Dr Unit#
Wayzata,MN 55391
PID: 09-117-23-41-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 104.00
APPLICANT: Heating&Cooling Two Inc. OWNER: Jeffrey Martineau
18550 County Road 81 2565 North Shore Dr
Maple Grove,MN 55369 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERM[SS10N TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK[N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CPcNT PE I EE SIGNATORE �� ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1
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FOR CITY USE ONLY'
0,���0 City of Orono
P.O.Box 66 Date Received: Permit#
�,y,� 2750 Kelley Parkway
� � yl� ` Crystal Bay,MN 55323 Approved By: Amount$:
�"���o��o� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(Al]Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION ,
' l, You may apply for mechanical pemuts by mail or in person at the City offices. Applications will
be reviewed and a pernrit will be issued within two working days.
2. Pernut 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 SITE.
3. Mechanical Desiens—Complete calcularions,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 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
. (Check All That A ly)''
"�Residential ❑ Commercial(Approval Required)
..� `
❑New ❑Additional ❑ Repairs ��Replace
Job Site/Owner Information:
- �
Site Address: �� '����� (' I � �
Owner� Mailing Address: ' K1�'� �
City: Zip:
Home Phone: Alternate Phone: �� ��j �D��v
Contractor Information:
Contractor: ����ntact Person:
18550 County Rd.81
Address: Msple Grove. MN 55369-9281ate Bond#:
t763)42&3677
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
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FIREPLACES �1 .
. - . . .
- ❑ ; . Gas Factory Fireplace � ,
`, '. 0 :, , .:. Wood Burning Fireplace : .
�: ❑ Wood Stove � ; ..
❑ . : Wood Stove With Flue j
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' � Brand Name• � ' Model No.•
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.: VENTILATION _ - . '. . : , .
- ❑ No. • Kitchen Exhaust ` ` duct recirculating cfm
❑ � : No. Bath Exhaust(must have duct outside) cfm_
_ ❑ . No. Other Fans: Locarions . cfm `
•.,;
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) - '' �
- , :- -. , 1 . , .
- ❑ .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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ERMIT FEE CALCULATION(S) ": , `
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��` ` `<BASED OFF.-�2002 STATE ST;ATLTE � , _ .� �
❑ .Yes,dus 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 less;excludinQ the cost of the fixture or appliance: and
' • 3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
` Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
����,Y�;'���;�.� �PERIVIIT�FEE GALCULATION(S)=="JOBS OVER$500 00 '�����'�'��a-� ��;:�
If above does not apply;follow guidelines below:
' 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� � UQQ x.0125$ � �}� ~ +
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
dU
x.0005 $
(contract price) (mini um$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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: 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted work including materiais,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 fiirnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or con�act price for pernut 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.
:_IVIECHAN ICAT;PERMIT'APPLICATION AGREEMENT :` . �, . ' ,.. ._-,���:
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 all statements made on this application are complete, true and
correct.
.---
Applicant's Signature: w.. Date: _ ��^�l� '" � �
3
� DATE TIME �
� -� -�
CITY OF ORONO CALLED IN t� S
INSPECTION NOTICE SCHEDULED l�-v�''3 -c�S l=vc�P�
PERMIT NO. �C��f`��� COMPLETED
ADDRESS ���(�� �r,2�--� �1�� _
OWNER CONTR.�i�I f 1. l'�' �c:'�.`�,���r �nc �
TELEPHONE NO. L� �� -��k��J S SCn�
� DESCRIPTION f`�� �'�C.._.
� 01 FOOTING 11 EC PN6A�R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 ECHANICAL _ - 19 LAKESHORE/WETLANDS
y 03 INSULATION 24•/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM `',�. � � 36 FOUNDATION/REMOVAL
� OWNE CONTRACTOR T EET YOU:�YES_NO
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W ❑WORKSATISFACTORY:PROCEED C; PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46��
OwnerlContractor on site:
Inspector_
White Copyllnspector's File Canary CopylSite Notice