HomeMy WebLinkAbout2000-P02845 - mechanical ` PERMIT
�I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2sas
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: s�2i�oo
SITE ADDRESS: 3017 North Shore Dr
WAYZATA,MN 55391
PID: 09-117-23-32-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 42.50 Valuation: $ 3,400.00
State Surcharge Fee: $ 1.70
Misc. Fee: $ 1.50 MAIL IN
TOTAL FEE: $ 45.70
APPLICANT: SEDGWICK HEATING&AIR CONDIT OWNER: NDY A HIGGINS
8910 WENTWORTH AVE SOUTH 3017 NORTH SHORE DR
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.
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APPLI ANT PE ITEE I NATURE ISSLTED BY SIGNATURE
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Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applications will be � �
reviewed and a pernut 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 Desi�ns - 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
sha11 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. ;; ' , '
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Please check one: New Addition Repair Replace �'�
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_� Residential Commercial '` "'�"
3f3B SITE: -,�c:%i ' � �'1 4 "� �Y �iP�_ �
Owner's Name: ; � Telephone Number: �;''F'�- �Zyy �'�
Mailing Address.',' �. City: Zip:
Contractor's Name��.��� � � ° �phone Number: , �`�,�'�:�li�
Mailing Address: 9p�Q�pt�qw�e 9o�Crty: "" Zip:
A�'�016,Ai/i���it
SYSTEM DESCRIPTION
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HEATING SYSTEMS
Quantity: . -'
Ma��P: �.
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: % _
Ma�e: �_� �� �
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Model: � C D
Tons: �
H. Power
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`�'OOD BURNING EQUIPMENT
Wood stove with flue -
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
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
���� . � GD x .0125 $ �1.�0
(contract price}
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �. �b
or $.50, whichever is greater (concract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �5�.�'D
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
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,
tenant or any oiher party the reasonable market value of such items must be ad�ed to the estimated cost
or contract 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 contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over S1,000,000 call the Depanment 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.
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Applicant's Signature:`-� Date: Da
Approved By: 1 Date:
D/ATE T ME
CITY OF ORONO CALLED IN �t"" � � ��
INSPECTION N TICE .� SCHEDULED - — � �9� DD
PERMIT NO. D ✓� COMPLETED r� �
ADDRESS a� d• ��'`-�-� -� •
OWNER � CONTR. S � u-`�`�-- t�
TELEPHONE N . �S� ��l— %� �v
� DESCRIPTION � /[��
l� 01 FOOTING �.MECHA 18 EXCAV/GRADING/FILLING
Q02 FRAMING MFC`HANI("'AI FINAI f� ig 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 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 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d �IORK SATISFACTORY:PROCEED �ROJECT COMPLETE
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� ��7 CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
� C; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ! CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac o on site:
Inspector.� � � J
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