HomeMy WebLinkAbout2007-P11761 - mechanical t PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11761
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
12/17/2007
SITE ADDRESS: 1340 Vine PI Unit#
Mound,MN 55364
PID: 07-117-23-42-0031
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: $ 1,290.00
State Surcharge Fee: $ 0.65
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.15
APPLICANT: Differ Inc. OWNER: Richard Cherba
820 Tower Drive 1340 Vine PI
Medina,MN 55340 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.
APPLICANT PERMITEE SIGNAT17RE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
FOR ITY SE ONLY
O�` City of Orono
Og `rO P.O.Box 66 Date Received:jk/ 07ermit# �
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount
yr (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 i 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 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 Designs—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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply)
esidential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs —?1lace
Job Site/Owner Information:
Site Address:
C
Owner: h I C G�Q V- Mailing Address:) yLp
City: Wow in � Zip:
Home Phone: Alternate� Phone:
47
Contractor Information:
r
Contractor: Contact Person:
Address: ��G•H AVE State Bond#:
SZID
City: Zip: Expiration Date:
l'►6
Phone: Alternate Phone:
❑ Insurance—Current:
1
HEATING SYSTEMS
Quantity:
Make: If
Model: 4=
Fuel:
Flue Size:
Input BTUs: e�O
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ ood Stove
❑ Wood.Stove With Flue
Brand Name: Model No.:
VENTILATION
No. Kitchen Exhaust duct recirculating cfm
ED] o. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS-F4NF.ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
- 2 -
❑ Yes,this section 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;excludine 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 S .50
Mail-In Fee(If Applicable) $_ 1.50
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with aLMinimum Fee of$35.00) 0 d
� x.0125$
c ntract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $moi [P
(contract price) (minimum$ .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 Building Department at(952)249-4600 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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Date:
Applicant's Signature:
r
3
V
e -7
5� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED --2 Oa
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. �l�—��� .3 A47Y
DESCRIPTION--
E]❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING 6�-#ECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINA ❑ FOUNDATION/REMOVAL
OWN NTRACTOR T EET YOU:YYES_NO
COMMENTS:
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W RK SATISFACTORY:PROCEED ROJECT COMPLETE
ac ❑CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952) 249-4600
Owner/Contr site:
Inspector.
White Copylinspector's ke Canary Copy/Site Notice