HomeMy WebLinkAbout2005-P08381 - mechanical � PERMIT
CI"�'Y OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P08381
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249-4600 Date Issued: ii26i2oos
SITE ADDRESS: 2625 North Shore Dr
Wayzata,MN 55391
PID: 09-117-23-42-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 113.95
Valuation: $ 9,116.00
State Surcharge Fee: $ 4.56
Misc.Fee:
TOTAL FEE: $ 118.51
APPLICANT: Ditter Inc. &Ditter Properties OWNER: Bartholomew&Elizabeth Butzer
820 Tower Drive 2625 North Shore Dr
Medina,MN 55340 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.
.
-7� V�� �"- ���
APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
c�'�1�-C�����
� . ��ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 1 of 3
. ;
� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City o�ces. Applications will be reviewed and a
permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU
RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
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, manufacturer and model. Data shall be presented on form
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 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-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 (952) 249-4600.
Please check one: New Addition Repair Replace Residential Commercial
JOB SITE: �(.V v�� QY` I j Y�Q � ✓\ Zip: ������
Owner's Name: n� .I� t �� � Phone Number: _ �/,� - ����- � �
Mailing Address: �r�fi City: �.i�6'in�_Zip• 3�-�
y
Contractor's Name: ��w � G • Phone N mber•
�CP� - `�� � ����
Mailing Address: City• Zip• ��
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: � r
Make: L�1�1�� � ��y�y���
Model: �' �1 � �'T��`7J �o��".�'� � �ZJ"�/�
Fuel: �' � ,
Flue Size: ���
Input BTUs: ��,�" l _ '�Q� ''� I'�
Output BTUs:
CFM:
file://C:\Documents%20and%20Settings�rriimi\DesktoplCITY%200F%200RON0%20APPLICA... 7/31/2003
l.l l T Vt' VKVIVV HYYLil,H11V1V t'VK 1Vl�l,t1H1V1l,HL Y�K1V111 Yage 2 of,3
� �.
` l .
f
t •
COOLING SYSTEMS f
��
Quantity:
Make: �—��
Model: ����
Tons: 1�
H.Power
FIREPLACES
GTas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No. _
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
Na�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
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This 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;excluding the cost of tne fixiure or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ _ 15.00 _
State Surcharge$ .50
Mail-In Fee $ 1.50
I�a�ove Toes not app y, o ow gui e tnes e ow:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) ,
--- - --�--- � ,�- ` ���> ,
- � __.
��j%('_� x A125 $ � �_,� ------
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Div�sion aMinimum Fee of($.50)
-�<r _ ---_--------- ,._ -
-_------- ! � .` -
��' x.0005 $ � �
file://C:\Documents%20and%20Settings�nimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003
l,i�Y Vt' VttV1V V HYYL1l.H 11ViV I'VIC 1Vl�l.tiHlVlI,HL Yr,K1V111 Yage � ot�
� , . .
, � - � (contract price) (minimum$.50)
3. Postage and Handling(Only mail-in app[ications) $ 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.If 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.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$1,000,000 call the
Department of Inspectional Services for the price.
T'he 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 Minnesot State Building Code and certifies that all statements made on this application are complete,true and
correct. i
,
��_� r ; /"; Y� �_
Applicant's Signature: `� • ' �����'��L�1 - Date: � -X� �� �-� �
Approved By: `��_ Dat :
file://C:\Documents%20and%20Settings�nimi\Desktop\CITY%200F°/a200RON0%20APPLICA... 7/31/2003
� �
G DA�C�' TIME
CITY OF ORONO CALLED IN Q ����
INSPECTION N TI SCHEDULED � b-�� _1�
PERMIT NO. / COMPLETED
ADDRESS_ c��po2.5 %���� �� ��
OWNER CONTR. 1���(,
TELEPHONE NO. 7�� "�' �78 — g���
� DESCRIPTION ___ �t���. ��'�`� `C�1'�'��Z��Z?�t¢'�
� 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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
d
W ORKSATISFACTORY:PROCEED ❑ OJECTCOMPLEfE
� � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next i spection 24 hours in advance. (g52) 249-46�0
OwnerlContra o t :
Inspector.
White Copyllnspector's File Canary CopylSlte Notice