HomeMy WebLinkAbout2001-P03718 - mechanical CITY F OR N PERMIT
O O O Permit Number:
275Q�K�1!�� Parkway - PO Box 66 Po3�is
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249-4600 Date Issued: a�tai2ooi
SITE ADDRESS: 1270 Spruce Pl
MOUND,MN 55364
PID: 08-117-23-32-0013
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: Permit Fee: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Fireside Corner OWNER: K H& E E E�CKSON
2700 N Fairview Lane 1270 SPRUCE PL
Roseville, MN 55113 MOtJND 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.
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PPLI ANT PERMITEE I NATURE r SSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
�` BoY 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GE�]ERAL 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 da5�s.
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 L'NTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical Desisns - 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.
�. All work must be done in accordance with the Uniform Mechanical Code/State BuildinJ 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: �New Addition Repair Replace
�_ Residential Commercial
JOB SITE: � 0 � , � Zip:
Owner's Name: ., . ; - Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: A����S;a. Telephone Number:
Mailing Address: dba Fireside Corner City: Zip:
License #20090911
SYSTEM DESCRIPTIO�i Z�00 N. Fairview Ave.
Roseviile, MN 55113
651/633-2561
HEATING SYSTEMS
� Quantity:
Make: �-
Model:
�� Fuel:
� Flue Size:
Input BTUs:
Output BTUs: ����}�,;
CFM:
COOLING SYSTEMS
Quantity:
Mal:e:
N1ode1:
Tons:
- H. Power
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� FIREPLACES ���
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Gas factory fireplace ��������
Wood burning factory fireplace with flue ,° _'�'�� ;��' ` �� "`F
Wood Stove ; :�� � � •"-
Wood stove with flue -" ��� ��� -�� ���'°� ���� � - �
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Brand Name Model No.
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
PERMIT FEE CALCULATION -
1. 1.25% of Contract Price" or Minimum Fee ($35.00)
lI[':�U.c�_, x .0125 $ �S cz>
(contract price)
2. State Surchar�e. �`* Add the State Building Code Division
SurcharQe to each permit. u pp�� x .0005 $ -�,�-
or $.50, whichever is greater (contract price) �
3. Posta�e and Handlin� (Only mail-in applications) $ -'�56�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �5.;.� ;
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* 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 .000� of the contract price under$1,000,000 or $.50 - whichever is greater.
For valuations over $1,000,000 cali 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
j 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: �,,_ - Date: �//��Y �
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Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC� SCHEDULED /.�-3fo� = 1n %/�v0
PERMIT N0. ���/� COMPLETED
ADDRESS �o� �O c�/��'t�' �a.c��
OWNER�L S�''1 • CONTR.__f /��S ��� �t�f''a/L-
TELEPHONE NO. r < �����
� DESCRIPTION �S j � 3 � `�`� � �
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANIC 19 IAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 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
= 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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� �IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOfl REINSPECTION TEMPOFiARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspe ' n 24 hours in advance. (952) 249-46�0
Owner/Contractor ite•
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
DATE TIME
CITY OF ORONO CALLED IN ���'Q'�'�
INSPECTION NOTICE SCHEDULED �3 - �
PERMIT NO. ���� COMPLETED � � ,�
ADDRESS l� � � rS��L- �L- -
OWNER CONTR.�rre S��c ����
TELEPHONE NO. C�.S-� Lo 33 �S�Z�P �
� DESCRIPTION N/Pc�i,�-L
� 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 ICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� EFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnedContract r on sit •
Inspector.� l _(
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White Copyllnspector's File Canary Copy/Site Notice