HomeMy WebLinkAbout2003-P06103 - replace hotwater baseboard in kitchen ` ��' PERMIT
C�TY OF ORONO
Permit Number:
"t750 Kelley Parkway - PO Box 66 Po6io3
Grystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3i14i2oo3
SITE ADDRESS: 2655 North Shore Dr
Wayzata,MN 55391
P I�: 09-117-23-42-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Replace hotwater baseboard in kitchen w/in floor radiant tubing
FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 2,198.00
State Surcharge Fee: $ 2.20
TOTAL FEE: $ 37.20
APPLICANT: City View Plumbing&Heating OWNER: Craig&Jennifer Lindell
1880 B Wayzata Blvd W. 2655 North Shore Dr
P.O.Box 150 Wayzata MN 55391
Long Lake,MN 55356
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 PERMITGE SIGNATURE ISSU D BY S[GNATURE
Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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�� � CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
p � GENERAL INF'ORMATION
� 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. Ideatification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a separate building pemut must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. Atl work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this apptication. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair �/ Replace
�/ Residential Commercial
JOB STTE: � ` ll�d� )1�t �� Zip: 5 53�1
Owner's Name: C�a�.. -��P� �, �"Fe�L�'� I J Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: f�' ,' b --P 1-�- TelephoneNumber:�5�2�y 7 3�8'7�3 '
MailingAddress: P, Q, d x / 5 d City: �l�!�� Zip: SS3.S�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: .
Tons:
H. Power
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WOOD BURNING EQ�MENT
Wood stove with flue
Wood combination or add-on
Factory fueplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min_, Clearances, side , rear , min. flTu�e�a•
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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 Mini j um Fee f$35.00)X �125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater � 1.50
3. Posta�e and HandlinQ (Only mail-in applications) $
4. TOTAL PERMIT FEE (Add lines 1-3 above)
* CONTRACT PRICE or JOB COST means the actual or estimated doliar 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 installation are furnished by the owner,
tenan[ 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 $1,000,00� 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. % '
, �_--- , �� � r��� ,/' �_ Date: � � � �
Applicant s Signature: �- � r �
Approved By: � Date:
� DATE TIME�� �
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CITY OF ORONO CALLED IN I�I 3
INSPECTION TIC l ��fJ,�EDULED ��3 �� �`
PERMIT N0. COMPLETED
ADDRESS_ �iC� -C��-� �I �'1.,j�Ll� j�
OWNER CONTR. . I.�/��c,t.%
TELEPHONE N0.__! G-�� �� � �� �
� DESCRIPTION � �'� � ��
� 01 FOOTING ECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
r 09 PLUMBING--R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENT .
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
o ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCES�yS.
Call forthe next insp c �3�o i advance 952) 249-4600
Own ctor on site:
Inspector.
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h' Copyllnspector's File C �ar Copy/Site Notice