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HomeMy WebLinkAbout2002-P05494 - mechanical CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P05494 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 8/12/2002 SITE ADDRESS: 2530 Old Beach Rd Wayzata,MN 55391 PID: 21-117-23-22-0008 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICESIREMARKS: FEE SUMMARY: Permit Fee: $ 43.69 Valuation: $ 3,495.00 State Surcharge Fee: $ 1.75 Misc.Fee: $ 1.48 TOTAL FEE: $46.92 APPLICANT: Golden Valley Heating&Air OWNER: Laurel Partridge-Staubly 5182 West Broadway 2530 Old Beach Rd Crystal,MN 55429 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. L I '� S2?VYVA � P i APPLICANT PERNATEE SIG ATURE ISSUED BY SIGNATURE Copies: 1-File(Sienitures Required). 1-Applicant. 1-Monthly Reports. 1-Assessing. 1-Finance Page 1 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 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)2494600. 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)gResidential ❑ Commercial JOB SITE: �t � -Zip. J Owner's Name: Phone Number: o� Mailing Address: City: Zip: Contractor's Name: �6EY C.Phone Number: Mailing Address: "'^""'� �C T�&AIR City: Zip: - t�=fH 7 CROADW'AY I_, pIN 55429 FRICHM0 N!D P1 FOtVs FL I'C• INC, (763) 535-2000 DBA:GOLDS!'!VALLEY HTG &Alfa 5182 WEST BROADWAY CRYSTAL,MN 55429 (763)535-2000 1 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: '' II Make: V 9M V1 ox Model: Fuel: 1i Flue Size: Input BTUs: 00 O Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas 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 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 2 PERMIT FEE CALCULATIONS) 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) Hasa total cost of$500.00 or less; excluding 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($$3\5.00) x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of 6.50) x .0005 $ I (contract price) (minimum$.50) 3. Postage and Handling(Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � C, " *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. 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 innesota State Building Code,an ertifies that all statements made on this application are complete,true and correct. AUG - 8 2002 Applicant's Signature: Date: Approved By: Date: 3 ` CITY OF ORONO V ALLED IN DATE TIME INSPECTION N TICE SCHEDULED-- y PERMIT N0. 4 CIL-1 COMPLETED ADDRESS S 3 C l C� V .cam-� � OWNER CONTR. L (Gtr- L 1 UCS CC TELEPHONE NO. 4 - ©��b l03 S 3 S — -2- DESCRIPTION Ch 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTORTO MEETYOL&YES No COMMENTS: cc W CL O O U. - W QC Q 2 W W 0r d W� RK SATISFACTORY.PROCEED ROJECTCOMPLETE W d CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/ act o ite: Inspector. Whit opy/inspectoPs File C n ylSite Notice