HomeMy WebLinkAbout2008-P11843 - mechanical � � PERMIT
�ITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P11843
C�rystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued:
1/29/2008
SITE ADDRESS: 1350 Rest Pt Cir Unit#
Mound,MN 55364
P��� 07-117-23-31-0024
�
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernvt Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 200.99 Valuation: $ 16,079.00
State Surcharge Fee: $ 8.04
TOTAL FEE: $ 209.03
APPLICANT: Horizon Contractors,Inc. OWNER: Louis B Baldwin
8197 Horizon Dr 1350 Rest Pt Cir
Shakopee,MN 55379 Mound,MN 55364
THE UNDERSIG�j EREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES�Q O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA LT� DFNG CODE REQUIREMENTS.
:f
,` ,,jj''..
i�
C PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� - ►+
� F�R CITY i7SE ONLY
O,¢��O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
� ,. •'�� Crystal Bay,MN 55323 Approved By:: Amount$:
��$y (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
• 1. You may apply for mechanical pernuts 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 Desi�—Complete calcularions, details and specifications are required for each
hearing,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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PERMiT
(Check All That A 1
❑Residential ❑Commercial(Approval Required)
,�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: ��� ��7" �T-C,(�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone;
Contractor Informatimn: '
E ;
Contractor: /�l�i? (,e��i�5�� Contact Person: r 5�
Address: S197 l��iiz'n �r State Bond#: �
City: 5►�.lw�-L Zip: S� Expiration Date: ��/�8'
Phone: G��S� -�a� Alternate Phone: b���S�g' 9a�J.(//��,
y
❑ Insurance—Current:
1
w - .
HEATING SYSTEMS
Quantity: /
Make: �'� i�Q
Model: �-'�i6TC/lk�C/d
Fuel: �
Flue Size: ,j N
Input BTiJs: ����
Output BTLTs: l.�O
CFM: CI�(J .
COOLING SYSTEMS
Quanrity: /
Make: l �c�4��@..
Model: �j�3�jC0� �
Tons:
H.Power ��
FIREPLACES
� �- Gas Factory Fireplace �'��5-
❑ . Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No::
VENTILATION
� No. _� Kitchen Exhaust_�duct recirculating �Q� cfrn
No. �_ Bath Exhaust(must have duct utside) ��cfm
�] No. _� Other Fans: Locations G�t��3• ,s0 cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill �- Other/List What&Where: GP�% �a�� �/�/���•
2
_ . .1
�
❑ 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;excludine the cost of the fixhue or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Perxnit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
��D�7 9� X.oi2s$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
' x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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 installations 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 puYposes. 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 Building Department at(952)249-4600 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 orsiinances of the City and the regulations of the State of
Minnesota, and certifies that all st,�e made on this application are complete, true and
correct. ,,�,���'
.",;`� /
Applicant's Signature: Date: Q��
3
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO IC SCHEDULED ���'
PERMIT NO. �� COMPLETED
ADDRESS �35� � � � ��`
OWNER CONTR._�fIY'�7.D�'( C��� -
TELEPHONE NO. lP�a �SoB ��a�j
� DESCRIPTION /�f"T r ! C��7` "�h��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL / ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WAI.L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
� (J�'�l�U(/l,� � i il�C�
0
a
�
0
�
w
�
Q
�
Z
W
�
W
�
j
d
W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. �� �-lit.t/
White Copyllnspector's File Canary CopylSite Notice
'� d�—�
� � TIME
CITY OF ORONO CALLED IN �
INSPECTION I SCHEDULED �
PERMIT N0. c �� o
�; ADDRESS��� ' �' �
� OWNER_ CONTR�
(TELEPHONE N 6 ��-� a�
; �
� �DESCRIPTION �i��Q�L
� ,❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q '❑ FRAMING `' ❑ LAKESHORENVETLANDS
O ❑ INSULATION ❑ WOOD BIJRNER/FIREPLACE ❑ TREE REMOVA�
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q p FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� �,] DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ � PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
o JNI.�}�t D� 'r�S� � JU � y
'' P�K
�
0
�
W
�
Q
�
z
W
�
W
�
�
d
� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CDRRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑$TOP ORDER POSTED.CALL INSPECTOR
❑NSPECTIONREQUiRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection�4 hours in advance. (952) 249-4600
OvmerlContractor on site:
Inspector. o. I,�` l
White Copyllnspecto�'s Flle Canary Copy/Slte Notice