HomeMy WebLinkAbout2004-P07274 - mechanical CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: po�2�a
Crystal Bay; Minnesota 55323 P@fllllt Typ@: Mechanical Permits
(952) Z49-4600 Date Issued: 3i2i2ooa
SITE ADDRESS: 3570 North Shore Dr
Wayzata,MI�T 55391
PID: 08-117-23-34-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 90.00
Valuation: $ 7,200.00
State Surcharge Fee: $ 3.60
,,\,
TOTAL FEE: $ 93.60
APPLICANT: Tonka Plumbing OWNER: Thomas&Marylou Lutz
265 Cty Rd 110 North 258 Cygnet Pl
Mound,MN 55364 Long Lake,MN 55356
TT�UNDERSIGNID I�IItF_.BY 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 BUII,DING CODE REQUIRF.MENTS.
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APP CA PERMIT ESGNATURE IS UEDBYSIGNATURE
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Copies: 1-File(Sienitures Reauired). 1-Anvlicant. 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 INFORMATION
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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.,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 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: ��J' S�l� ��'���5�17�� �� ' Zip: S� �
Owner's Name: �T(�� �,���-Z Phone Number: �1 �j a.-�•a• � �
l�iailing Address: �"10 1��r�'1�.��N���City: �}Ypy�� Zip: _ - r'
-�nr�..�P 1u,mb� (-�
Contractor's Name: i �Phone Number: ��a' �'�1���
Mailing Address: � r. City: n/1 c7k.,no� Zip:
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SYSTEM DESCRIPTION - `
HEATING SYSTEMS ;��;
Quantity: ��
Make: 1�1�—
Model:
Fuel: N�17 - Ol,�j•
Flue Size:
Input BTUs: p�,l��
Output BTUs:
CFM: �
COOLING SYSTEMS
Quantity: �
Make:
Model: �
Tons: .�
H.Power y':�
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FIREPLACES GAS LINE ONLY �
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove !.
❑ Wood stove with flue �:
Brand Name Model Na '�
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VENTILATION �
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No. Kitchen Exhaust duct recalculating cfm 'i�
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �
❑ Installation or ❑ Removal �
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside '�
❑ LP Gas: gallons "j�
❑ Other Gas opening .�
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PERMIT FEE CALCULATION(S) '_�
2002 State Statute ❑ Yes This Section Applies �"
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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 ar less; excludin�the cost of the fixture 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
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) �
�] ] y� �y '•
I il�V�-- X .0125 ,p k
(contract price) (minimum$35.00) y,h
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERi�'IIT 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 fumished 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 S 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 Signature: Date: J � v
Approved By: Date:
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L' DATE TIME
CITY OF ORONO CALLED IN Z u"�'`�
INSPECTION NOTICE SCHEDULED -2�'��y _'��l�,vl
PERMIT N0. � COMPLETED
ADDRESS -�5���7 C '�-�;/'T<-� ,���y.�
OWNER CONTR.�/Z'L.�C�- /"�(ir1�-`.�-
TELEPHON E NO. /�7�� ,�-�1 C% C��y !
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� DESCRIPTION
� 01 FOOTING �t1"MEC�ALRI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 L FINAL 19 LAKESHORE/WETLANOS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN
INSPECTOFi WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContract+orr�on 'te:
Inspector. �-
White Copy/lnspector's File Canary CopylSite Notice
D� � DATE TIME V
CITY OF ORONO n�-�"a 7�CALLE IN
INSPECTION NOTICE f� SCHEDULED 2
PERMIT NO. COMPLETED
ADDRESS �� � � n f ���
OWNER CONTR. ��Gr�/�G'c �/Lcrnb.
TELEPHONE NO. ��� � a�On - go�/ S
� DESCRIPTION T�i r --��'�-j �CaCZS
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILC NG��
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS '
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTA�L. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� �f WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUiRED.CALLTOARRANGEACCESS.
Call for the next inspection 2a hours in advance. (J52� 249-46��
OwnerlContractor on site:
Inspector. �, � l�� ��
White Copyllnspector's File Canary CopylSite Notic�