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Home My WebLink About2001-P04277 - mechanical CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P04277 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 8/30/2001 SITE ADDRESS: 2328 Olive Avenue Wayzata,MN 55391 PID: 17-117-23-44-0065 DESCRIPTION: Proposed Use: Other Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 39.05 Valuation: $ 3,124.00 State Surcharge Fee: $ 1.56 Misc. Fee: $ 1.50 TOTAL FEE: $ 42.11 APPLICANT: Sedgwick Heating&Air Conditioning Inc. OWNER: Mr. & Mrs. Jacobson 8910 Wentworth Avenue S 2328 Olive Avenue Minneapolis,MN 55420 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. MCl/ ci714c-e-r7 APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Siznitures Reauired). 1-Applicant. 1-Monthly Reports, 1-Assessine, 1-Finance Page I CITY OF ORONO APPLICATION FOR MECHANICAL .SIS D Box 66 (2750 Kelley Parkway) .7 0 2001 Crystal Bay, MN 55323 YurORONO 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 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 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 fmal). 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 47r Replace Residential Commercial JOB SITE: ) i.-e1 t� Zip: Owner's Name: 472,-0 A.&//fi Telephone Number:4.11_ 1/9/-d,33V Mailing Address: City: Zip: �°P P q 5 ,, o. Contractor's Name: ` = z Or is ^3 one Number: Mailing Address: ;City: Zip: SYSTEM DESCRIPTION ‘1,54 HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: /J4a3 , JLf Tons: vL , H. Power WOOD BURNING EOUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION . No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PER1MIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimt}m Fee ($35.00) i /.), L/ x .0125 $ ,_gi C (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ /4 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) $ _ /i * 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 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 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 Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: .70-r p4 4' , #4/,re..,1i Date: .41;27/4± Approved By: Date: / DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE, , SCHEDULED /' - .) 3 : 0 P� PERMIT NO. 7-0'1277 COMPLETED �C--5---6/ 3; ADDRESS (Q3a1 CV I/� 4---(f6 OWNER 3CA-CO S6il (��CONTR. acat.l1 c/C i-tkiri-ifC �a �d TELEPHONE NO. Q 19 G oc E DESCRIPTION ALA Fes( 4C 91n, � 'IGtu_. 4, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 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 C 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT *-.I 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP cC IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL S OWNER/CONTRACTOR TO MEET YOU: V YES_NO o COMMENTS: CC W Q. CCLi,0-4 clexa o cc 0 4. W cc Q W Z W cc IQriDWORK SATISFACTORY:PROCEED 'I %PROJECT COMPLETE W 0 CORRECT WORK&PROCEED !0 ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contraptor on site: Inspector: /I 1 , ` . ./ White Copy/Inspector's File Canary Copy/Site Notice