HomeMy WebLinkAbout2007-P10773 - mechanical PERMIT
CITY OF O,RONO
2750 KelleyrParkway- PO Box 66 Permit Number: p10773
Crystal Bay, iVlinnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
2/16/2007
SITE ADDRESS: 2785 Shadywood Rd Unit#
Excelsior,MN 55331
P��� 21-117-23-24-0054
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: PerniitFee: $ 60.00 valuation: $ 4,800.00
State Surcharge Fee: $ 2.40
TOTAL FEE: $ 62.40
APPLICANT: Heating&Cooling Two Inc. OWNER: C.K. One
18550 County Road 81 161 Prim Rose Lane
Maple Grove,MN 55369 Plymouth,MN 55340
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.
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APPLICANT P RM EE S[GNATl7RE-•--� ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
�
�Q� City of Orono FOR CiTY USE ONLY
� P.O.Box 66 Date Recerved .
,� � }wlti,., � 2750 Kelley Parkway . -�Permit'#
'�, Crystal Bay,MN 55323 ' `
`�����y�� (952)249-4600 Approved By `Amounf;$
�
CITY OF ORONO—MECHANICAL pE�IT _
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION >
� 1, You may apply for mechanical pemiits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued wi t h i n t�,o Wor k i ng days.
2. Pem�it 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
PERi1�iIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi s—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installarion 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 pernZit must be
obtained.
� 5. All work must be done in accordance with the Unifoim 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 PERIVIIT : ' '
(Check'All That A ply)
�'Residential ❑ Commercial(Approval Required)
❑New ❑Additional
❑ Repairs Replace
Job Site/Owner Information:
Site Address: 7 5� �-Yl�q J� t�Ul� I�I
�
Owner:_ � O S ��I � , �
Mailing Address: � (� � ���y�-����^� �w .
city: ��'1 ���1 A� 1� zip: ," � 3 � �
Home Phone: Alternate Phone: � (,� ��.- �5��, - �'{(��
Contractor Information:
Contractor: Contact Person: HEATINCa 8 COOLING TWO INC,
t st�+�+(1 Counh�Rd. 81
Address: Mapie Grove, MN 55369-9231
State Bond #: (763)428-3677
City:
Zip; Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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HEATING SYSTEMS , _, _.. : �;
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Quantity:
Make. � " �"' �
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'.COOLING SYSTEMS . ;: . '. . : : . ; ';: _
. Quantity;: �
Make: '��' . {� �
., Model: � � � . ��.
. Tons: �,5,,.•
H.Power -
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FIREPLACES ; ` ; ; ' - . . . �
❑ Gas Factory Fireplace _
� , Wood Burning Fireplace
'.. 0 Wood Stove _
❑ Wood Stove With Flue �
- Brand Name: Model No.: .
VENTILATION , �
0❑ Na Kitchen Exhaust duct recirculadng ��
_ Na Bath Exhaust(must have duct outside)
❑ '. No. Other Fans: Locarions ��
: , cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHpLL) .
� ❑ Installation � ; Removal :
FuelOil: gallons . .
' LP Gas: ❑ Underground ❑Inside ❑Outside, -
gallons
Other:
' GAS LINE ONLY ' _ .
❑ ' Outdoor Grill ❑ Otlier/List What&Where:
2 �
.
�� £ �, ���x *.;�h•a�
; • � � ����x�� #� �-�PERNfF'I�FEE CAL;CITL�'A�I'ION(S) ��;'� ` �t:= 't , � ��,_,��
�, _ - , .... _ n �
' ` .-,B�S�,D`;_OF� =�2002,�5`�ATES�'ATU��-� t =��.�
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� . Yes,this secrion 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;excludinQ the cost of the fixture or appliance: and '� '
` :3.,, Is improved,installed or replaced by the homeowner or licensed contractor.
'`� � Skip next secrion,if this applies; Cost of Pernut $ 15.00
�` Sfate Surcharge $ - .50
� -;� � '
Mail-In Fee(If Applicable)` ' $ 1.50
- Total Permit Fee $ .
.�.,� : ` .
•`� 5 ��� ,��,�PERMIT,.�EE ��LCT�LA`�ION(�)--�-�JOB,S==O�ER;$500:00�. � ��.�;� ��� '
�-� � � _ E
- If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� � �
"��V�; x.0125 $ �
� (contractprice) (minimumS35.00) x ':
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50)
:: ' . , ' _ , x.0005 $ ... . ; .
(confract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $
' �' * CONZ'RACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 iterns must be added to the
estimated cost or contract price for pernut fee puiposes. 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 Departrnent at(952) 249-4600 for the price.
'
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.� ,,.:�:MEGHf1NICA��PERiVIITAPPT,TCATIO�AGREEMEI�T . .. �,° �_.�.,,,��;�:,
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 that all statements made on this application are complete, true and
correct.
,\
Applicant's Signature: ` �.5�� - —
, \ __. ti� Date: �. � �9 �J�
3
� DATE TIME
CITY OF ORONO CALLED W � ����
INSPECTION NOTICE SCHEDULED -� -�� -��`�
PERMIT NO.p !t' �7��3 COMPLETED
t/�r� �
ADDRESS :� (NU C� Al�re�u�R'�:I�
OWNER CONTR. C� '� �- �
TELEPHONE N0. �T��� �'��- 6 3j�7�
� DESCRIPTION ��?.(_.� �c/1"/lG�c.c_
L� 01 FOOTING 11 M 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MEGMRN A 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOA REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContractor 't :
Inspector.
White Copyllnspector's File Canary CopylSite Notice