HomeMy WebLinkAbout2001-P03861 - mechanical ! �� , PERMIT
C IT`ti( O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P03861
Crystal �ay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 24J-4600 Date Issued: s�29i2ooi
SITE ADDRESS: 2795 Shadywood Rd
EXCELSIOR,MN 55331
P I D: 21-117-23-31-0002
DESCRIPTION:
Proposed Use:
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTIC�S/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.63 Valuation• $ 5,650.00
State Surcharge Fee: $ 2.83
Misc.Fee: $ 1.50
TOTAL FEE: $ 74.96
APPLICANT: Countryside Heating&Cooling OWNER: S R&P A BECK
6511 Hwy 12 38 ADDRESS LJNASSIGNED
Maple Plain,MN 55359 MN 00000
TI�UNDERSIGNID HEREBY REQUESTS PERNIISSION 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 BUII.DING CODE REQUIREMENTS.
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L T�°RATT�E- ISSUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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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 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 OIv
THE JOB SITE.
3. Mechanical Desiens - 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 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: N�ew Addition Repair Replace
✓Residential Commercial �
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JOB SITE: �.-1�S' S tJA p; w r��S� CZ c=�� Zip: 5S•3�,�. :
Owner's Name: c3Cct� Telephone Number: �r5,�.- q� �-os�5 �
MailingAddress: S�w�C City: Zip: �
Contractor's Name: ���N-��s�or }.�-r�+c�C, Telephone Number: �c��3�-.��4 -t�op k
Mailing Address: �S c� �-�•w�4 �a_ City: t�n�v�C p z��N Zip: s s��$��, �
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SYSTEM DESCRIPTION � �
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HEATING SYSTEMS '
Quantity:
Make:
Model:
Fuel: �
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: 1
Make: �R�;l�,r�,�
Model: S`3�
Tons: i .S""
- H. Power �
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FIREPLACES � ``
as factory fireplace
Wood burning factory fireplace with flue
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Wood Stove
�,I' Wood stove with flue `�'
�i= �;=_.
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_:;' Brand Name kG Z`� 1\E�� Model No. 9��.
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:;�;;,' ,
VENTILATION
�!'' No. Kitchen Exhaust ducted recirculating cfm �
�; <
:;�� No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ��
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside "
LP Gas: gallons
Other Gas openinQ
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($3�.00)
s�,S� , c� � x .o12s $ �� .�3
( ontract price)
2. State Surchar�e. ** Add the State Building Code Division
= Surcharge to each permit. x .0005 $ � . � 3
or $.50, whichever is greater (concract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.�0
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �? � � `� �o
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
R : work including materials, labor,profit, and other fixed costs. It is the amount to be charged to che customer
� ; for the work done. If any material, equipment, labor, or installation are furnished by the ow�nzr, 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: [he Cit}�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 - whiche��er is greater.
i For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the Minnesota �'
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State Building Code, and certifies that all statements made on this application are complete, true
and correct.
,
Applicant's Signature: - Date: � a '-� � �
�_ Approved By: Date:
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.rt
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO;T�jCE a(�/- SCHEDULED "a ,-o v �"l
PERMIT NO._ f� J6 CC�� COMPLETED �� �--�
ADDRESS _ � 7�S �5�1 Cc-Q CaW do ' �.
OWNER ,S�t7���1 ��-� �' CONTR. �'Oc/n1-r S,'
TELEPHONENO. � 'y�7 '- �/-S s�-7'37 -/ZZC$ ��%" �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAI 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
Q OS 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDAT�ON/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �y(JORKSATISFACTORY:PROCEED �OJECTCOMPLETE
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContract on site:
Inspector. ��
White Copyllnspector's File Canary Copy/Site Notice