HomeMy WebLinkAbout2004-P08118 - mechanical w �
CITY OF OR N PERMIT
� � Permit Number:
2750 Kelley Parkway- PO Box 66 PoBiia
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pe�i�
(952) 249-4600 Date Issued: ioi2si2ooa
SITE ADDRESS: 3085 North Shore Dr
Wayzata,MN 55391
PID: 09-117-23-32-0015
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Pernut Type: Mechanical Permits Pernut Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 300.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: West Side Plumbing,Inc. OWNER' Paul&Ruth Olson
9735 Shady Oak Drive � 3085 North Shore Dr
Chaska,MN 55318 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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ANT PERMITEE SIGNATURE ISS[JED BY SIGNATURE
Conies: 1-File(Si�nitures Required), 1-Avnlicant,1-Monthlv Revorts, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (27�0 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits Uy 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 Ue sent Uy return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi m�s - 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, equipinent ratings and identification as to type, manufacturer and
model. Data shall be presented on fonn provided. Identification of and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must Ue done in accordance with the Unifonn Mechanical Code/State Building Code
requirements.
6. All work must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must Ue suUmitted Uefore final.
Instructions
Complete all items on this application. Compute the pennit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
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JOB SITE: �/- �� �//,>%�� � f•' �-J�' �«/i� ', Zip.
Owner's Name�;�'///; %7� ��;l` �' Phone Number:
MailingAddress: �".=y;;,�- ,r:���%���;��s City: �=f,���„ ,^ Zip:
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Contractor s Name: //�.,/ �,j,��jJ ��//� �Phone Number: ..v�
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Mailing Address:/n%s�, �✓,('J�� /�/,1,� :�� City: �',����1� Zip: �, �y �;
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SYSTEA'f DESCRIPTION •
NEATINC SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLINC SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
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❑ Gas factory fireplace [�Installing a Gas Line Only
❑ Wood Uurning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Namer'(',��l''(�/"; Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or ap lip �ance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) , Has a total cost of a500.00 or less; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced Uy the homeowner or licensed contractor.
Skip next section; Cost of Pennit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
.y�'i%' " � x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Posta�e and Handling (O�ily mail-i�i applicatio�:s) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
*CONTRACT PRICE or JOB COST means the actual or estimated dollar 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. 1f any material,
equipment, labor,or installation is 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. �n 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 contracc.
**The STATE SURCHARGE is.0005 of the contract price under�1,000,000 or$.50-whichever is greater.For va►uations 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� � %'� Date: ��� ���� ��
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Approved By: � � Date:
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2 �� � D T TIME �/
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CITY OF ORONO CALLED IN �
INSPECTION N /� / SCHEDULED 0 �
PERMIT NO. �/ ` COMPLETED /
ADDRESS J O��S NOY� �,(..O�U �
OWNER CONTR. ���(�-P�GL'l�11'l�
TELEPHONE Na ��a g� Y �'4�g�
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� DESCRIPTION �Q% L.�Lt2C�
� 01 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 05 FINAL 14 SEWER HOOK-UP O6 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 MEEf YOU:_YES_NO
c�., COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952) 249-46��
OwnerlContra r te:
inspector.
White Copyllnspector's Fi Canary CopylSite Notice