HomeMy WebLinkAbout2004-P07967 - mechanical �, PERMIT
C fiY �J F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P07967
Crystal Bay, Minnesota 55323 Permit Type: Me�n�,i�al Pe�ic�
(952) 249-4600 Date Issued: 9/20/2004
SITE ADDRESS: 1300 Spruce Pl
Mound,MN 55364
PID: 08-117-23-32-0016
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#: �
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 587.50 Valuation• $ 47,000.00
State Surcharge Fee: $ 23.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 612.50
APPLICANT: Kleve Heating&Air OWNER: Killian's Gate LLC(Dr.Dennis Killian)
13075 Pioneer Trail 1300 Spruce Pl
Eden Priaire,MN 55347 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.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Avulicant, 1-Monthlv Reuorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT �
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION -
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be °�'
reviewed and a pernut 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTII..THE PERMIT CARD IS `$
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns-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 (952)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
(952) 249-4600.
Please check one: � New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
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JOB SITE: ��QQ ��r U �� r ���� Zip; �� �C� �
Owner's Name: _�GfQ r �1'Q�f f"1��`�Phone Number: ��L. — � �� — CD I (.D i�
Mailing Address: ��p�- 2n �t tQ�� City: �� C Q��,�O,� Zip: �SJ�/
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Contractor's Name: � � I I f £ lC., Phone Number;�� ��� � J`��,� � �
Mailing Address: �' O'j� r I� � ,� City: - r ��ip: �3 '
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SYSTEM DESCRIPTION
HEATING SYSTEMS
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Quantity: h
Make: ���i" �'�°J�
Model: � ^' �`-'l
Fuel: Y� c��•
Flue Size: ��� C�
Input BTCJs: � ��� ��
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Output BTUs: � V� ��
CFM:
COOLING SYSTEMS
` Quantity: 1 �
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Make: �1 M�{�l!A u nl� Q
Model: �C�O��L- 1,1����1�V'2
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� ' Tons: Z�
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H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
- ❑ Wood Stove
❑ Wood stove with flue
4:� Brand Name Model Na
VENTILATION •
' No. I Kitchen Exhaust ✓ duct recalculating cfm
No. � Bath Exhaust(must have duct outside) cfm
`' No. I Other F.� Locations V Q Al MCt� S,QI� �cfm
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
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❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
z ❑ LP Gas: gallons
��� ❑ Other Gas opening
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PERMIT FEE CALCULATION(S) ;�
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or ap�liance 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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00 �.
State Surcharge $ .50
Mail-In Fee $ 1.50 ;
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If above does not apply, follow guidelines below: ��
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1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) i
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x .0125 $ � ��� • ��
(contract price) (minimum�35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
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� `1' �, x .0005 $ Z�J. 5�
contract price) (minimum$.50)
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3. Posta�e and Handling (Only»:ail-in applications) $ 1.50 ;�
50 �
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � Z. "' `�
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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 tl:e w�ark dune.If any material, �;
equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items ;s
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. �
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**The STATE SURCHARGE is.0005 of the contract price under�I,000,000 or$.50-whichever is greater.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 State Building Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signature: _ `�---� ` O. _ Date: `�—� � - 0`�" `�
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN d'
INSPECTION NOTICE SCHEDULED O ' - icTc�
PERMIT NO. ��� �o� COMPLETED
ADDRESS � ea-- �
OWNER CONTR. �
TELEPHONE NO. ���� l�f ��jI �� �
� DESCRIPTION t"T�� r ��.� 6�- �/�rs h�
� 01 FOOTING 11 'RT�A 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL 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 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (g52) 249-46��
OwnerlCo� site:
Inspector.
White Copyllnspector File Canary CopylSite Notice
"]D TIME "
CITY OF ORONO CALLED IN /'"
INSPECTION N ICE SCHEDULED � :DO
PERMIT NO. � COMPLETED
ADDRESS ��Ob �'��GI�-e (�.,Q
OWNER CONTR.��-12Q.l��
TELEPHONE NO. 9S� �� � 7 �� I
� DESCRIPTION �"� — /"� '���1'U
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETl1RN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Cal1 for the nex inspection 2a hours in advance. (952) 249-4600
Owner/C i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
C � ,����' "il DATE TIME "
CITY OF ORONO CALLED IN -r����
INSPECTION NOzIC�q �� SCHEDULED � �
PERMIT NO. t'L7 COMPLETED
ADDRESS 1�C(� S Q�Cs��I_
OWNER CONTR. ���`�.
TELEPHONE N0. CI��- 9�I � ' �a� I
� DESCRIPTION —.�._ T � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL 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
� 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:,�YES_NO
� COMMENTS:
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INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (g52) 249-46��
Owner/Co r o ite:
Inspector. '
White Copyllnspector's File Canary CopylSite Notice
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DAT TIME
CITY OF ORONO CALLED IN �-� -0
INSPECTION NO CE SCHEDULED /-3/-D,6 ;�
PERMIT NO. � COMPLETED
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next i� pection 24 hours in advance. (g52) 249-4600
OwnerlContract i e:
Inspector.
White Copyllnspecto�'s File Canary CopylSite Notice