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HomeMy WebLinkAbout2006-P10039 - mechanical PERMIT CITY OF ORONO 275G Kelley Parkway- PO Box 66 Permit Number: P10039 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 6/27/2006 SITE ADDRESS: 1400 Rest Point Rd Unit# Mound,MN 55364 PID: 07-117-23-33-0002 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: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 79.11 valuation: $ 6,329.00 State Surcharge Fee: $ 3.16 Misc.Fee: $ 1.50 TOTAL FEE: $ 83,�� APPLICANT: Joel Smith Heating&Air Conditioning Inc OWNER: David Williams ETAL 4920 173rd Avenue NE 1400 Rest Point Rd Ham Lake,MN 55304 Mound MN 55364 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,Q�t..l �i'�. (/ r��-�",1..� APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: I-FiJe(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY , ¢��� City of Orono O Q� P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � �j��;�.�� Crystal Bay,MN 55323 Approved By: Amount$: �„���,� (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 L 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 DesiQns—Complete calculations,details and specifications are required for each heating,vcntilation,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. Vl�hen 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 final. TYPE OF PERMIT (Check All That A 1 ) �,Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑Repairs [�Replace Job Site/Owner Information: Site Address: 1 y C�[� ����� ��\`(\� '(��(`�(�� Owner:�_���1�:irl �I�?t��l('� 't'1'\r-, Mailing Address: I�'� (��`..��"�;A'C�� �.C�._ City. 1�-���.�1'1 z'-�� �-��_�.�,�� Home Phone:��2— y�l'L- 11��� Alternate Phone: Contractor Information: �C�'I S��tt��l Contractor: r-�-t"La �11C� C�; �-�r�C``- Contact Person: SC�C� �:�V�t1����� � � Address: �-}�'I�(� -I�l,,+�` ��1,�- �1�-State Bond#: �LT ��D�L��`�1 City: F}'Q r'�(1 �Lll'1'SF� Zip:.`��� ��� Expiration Date: �D���� Phone: ���N��1�-)L����c�� Alternate Phone: �(.!"?1 Z�3�c�-- �-1 G� Insurance-Current: `� � ❑ t�-'..r�'x--c�. c -_�,. 1 � MECHANICAL SYSTEMS BEING 1NSTALLED HEATING SYSTEMS Quantity: � Make: ModeL• � � � Fuel: Flue Size: Input BTUs: C��:{��. Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: f� � Model: G'���(,>�j�[� Tons: ,3 H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations 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: 2 � PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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; excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: L CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ����1 . o�� X .olzs$ "��1 , � I (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) C�/�}�G � C'C._' x.0005 $ ?j r I� (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 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 i3uilding Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT 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 State of Minnesota, and certifies 11 statements made on this application are complete, true and correct. � Applicant's Signa . �,o�r Date:��L'��j��? Reset Form 3 �.a� ,�, � — Building Codes and Standard Division ' Building Codes and Standard Division Commissioner of Labor and Industry � Has Received and Filed a 525,000 Surety Bond, Commissioner of Labor and Industry As Required by MS 326.992,for Work Regulated Has Received and Filed a $25,000 Surety Bond� by the State Mechanlcal Code As Re uired b MS 326.992 for Work Re ulated 'ro: Joel P.Smith Bond No: RL[561434 q y � g Joel Smith Heating&AC,Inc. MB ID: 00340 by the State Mechanical Code Eftective Date Expiration Date 7/1/2005 6/30/2006 To• Joel P.Smith Bond No: RLI 561434 ' Joel Smith Heating&AC,Inc. MB ID: 00340 4920-173rd Ave. Ham Lake MN 55304 Effective Date Expiration Date 7/1/2005 6/30/2006 MBFormRC �� D TE TIME CITY OF ORONO LLED IN ��� b INSPECTION N TICE SCHEDULED -z1— •� PERMIT NO. COMPLETED ADDRESS l �� � OWNER CONTR. � ����� ��� TELEPHONE NO.��i�''� 7 ln Z /D�L� � DESCRIPTION /"IL�--P� � ��( W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 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-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAI 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:. YES_NO y COMME TS: � a �� d` � � O � � � � � ' 1' � c� (9 r`r W � .�� � Q � 2 W � w � � � W 51WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V ' BEFORECOVERING PERMANENT �CQRRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR 1MLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContra�tor site: Inspector. ` White Copylinspector's e Canary CopylSite NoNce