HomeMy WebLinkAbout2002-P05160 - mechanical � PERMIT
CiTY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos16o
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: sisi2oo2
SITE ADDRESS: 3264 North Shore Dr
Wayzata,MN 55391
P I D: 08-117-23-44-0001
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: � 237.50 Valuation: $ 19,000.00
State Surcharge Fee: $ 9.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 248.50
APPLICANT: Riccar OWNER: Russell Norum
2387 Commercial Blvd NW 3264 North Shore Dr
Andover,MN 55304 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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APPLICANT PERM[TEE S[GNATURE (SS D SIGNATURE �
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Copies: 1-File(Sienitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323 �
GENERAL I�'�TFORMATION
1. Y:1 may apply for mechanical permits by mail or in person at the City offices. Applications will be
re�iewed 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 Desiens - 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
�hall also be provided.
4. •Vhen any new construction or remodeling is involved, a separate building permit must be obtained.
5. :�Il 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.
Please check one: New Addition Repair Replace
Residential �Commercial
JOB S?TE: _��� C�-C� � ; ,���� c�� �C�',���l �a� Zip:
Owner's Name: ��� }-�(�,y'�'1� � Telephone Number: _��'
Mailing Address: City: Zip:
Contractor's Name: �� r ', ��� Tele hone Number: �-�C.p�j�-�75�/� �-/C�
Mailing Address: �� C;7 "�' �Cl (.�� ty:t t ;'L: � Y'Zip: ,`�,"��G �
SYSTENI DESCRIPTION
HEATING SYSTEMS
Quantity: � � � ':�'
Make: '�i � ; _�,y :�
Model: � - � -/��-�'� L ,, �
Fuel: ��Q�C_ �;�`-�- i
Flue Size: �� r i / �
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Input BTUs: — �
Output BTUs: � Q �
CFM: �
COOLING SYSTEMS
Quantity: �
Make: �rL.�� k
Model: �C/
Tons: � !�
H. Power
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FIREPLACES 3
Gas factory fireplace �
Wood burning factory fireplace with flue £
Wood Stove �
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Wood stove with flue
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Brand Name Model No.
;
�VENTILATION k�
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. = Other Fans: Locations _ __ cfm
FUEL STORAGE�MUST BE APPRO ED B IF RE MARSHAL) ��
Installation Removal �
Fuel oil: gallons underground inside outside �
LP Gas: gallons
Other Gas opening �
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PERMIT FEE CALCULATION `T�
1. 1.25% of Contract Price* or Minimum Fee ($35.00) _ �
1�1 � ('1�i s� x .0125 $ �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � q , � ��� x .0005 $ � �
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or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50 ''
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �L�� ,�j� �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials. labor,profit, and otl:e: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 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 Ciry 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.
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 Signatur . Date: , � �'
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���� Approved By: Date: .
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! DATE TIM
CITY OF ORONO ALLED IN
INSPECTION NOTICE SCHEDULED o'ti. D` �
PERMIT NO. i�� �/�;� COMPLETED
ADDRESS 3 Z[c �f l� Jl���✓,� ��Z
OWNER CONTR. �i C�'-t-''j" �cz �°
TELEPHONE N0. �T��.3 7.��/- �/OC�D
� DESCRIPTION �'.�!" /t�-��-'� ����
lL 01 FOOTING 1 CHANICAL RI 18 EXCAV/GRADING/FILLIN PS�-
� 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FpLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HAFD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTORTOMEETYOU: YES_NO �
� COMMENTS: l.�lJ ^ �
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on i :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
� ATE TIM �
CITY OF ORONO CALLED IN ���' � ��
INSPECTION TICE SCHEDULED �� _�y��
PERMIT N0. � COMPLETED^
ADDRESS � c �, ' .� �
OWNER CONTR.
TELEPHONE NO. �1�. -� �c �/-� yC�`j�)
� DESCRIPTION �� - �� �/�Q/?'���)
W OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLIN(3��
y ��MING� �, 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�O
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITNIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CALLTO A RANGE ACCESS.
Call for the next i sp ction 24 hours in advance. (952� 249-46�0
OwnerlContra site
Inspector. "
White Copyllnspector's File Canary Copy/Site Notice
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ATE _ TIME V.
CITY OF ORONO CALLED IN �� 'U�
INSPECTION NO E SCHEDULED � ���G��
PERMIT NO. ��� COMPLETED
ADDRESS—_�CO�{ �d�T/1 S�I Cl�- �`
OWNER CONTR. �iCc�t� �I7�7'
TELEPHONE N0. ��� �-5 7 �G1���
� DESCRIPTION ������ �1 G��Yl.�/I'C /�
� 01 FOOTING 11 ICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ECHANI AL FINA 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/2�YMA ER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 10 PLUMBING FINAL �� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU:�YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance. (g52) 249-46��
OwnerlContra si e
Inspector.
White Copyllnspector's File Canary Copy/Site NoUce