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HomeMy WebLinkAbout2002-P05398 - mechanical PERMIT CITY OF ORONO 275b Kelley Parkway- PO Box 66 Permit Number: P05398 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 7/15/2002 SITE ADDRESS: 4480 Watertown Rd Maple Plain,MN 55359 PID: 31-118-23-24-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: gas fireplace FEE SUMMARY: Permit Fee: $ 77.50 Valuation: $ 6,200.00 State Surcharge Fee: $ 3.10 Misc.Fee: $ 1.50 TOTAL FEE: $ 82.10 APPLICANT: St. Cloud Heating OWNER: Timothy&Mary Sweezo 3705 NE Qual Road 4480 Watertown Rd Sauk Rapids,MN 56379 Maple Plain MN 55359 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. a6747,14 APPLICA T PERMITEE GNATURE ISS D BY SIGNATURE �� Copies: 1-File(Sienitures Rectuired), 1-Applicant, 1-Monthly Reports, 1-Assessin2, 1-Finance Page 1 07-.08-02 10 : 01 GOULET HOMES INC ID=612 253 8161 P . 02 r•II 444/1444 r-r;L • CITY OP ORONO AFPLICATTON FOR ME Al C T �,L, Mx Box 66 (2750 Kelley Parkway) Crystal Bay MN .55323 s ragag . capau7a>y 1. You may apply for mechanical permits by mail or in person at the City offices. Applicatlon4 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 AP,E NOT VALID UNTIL YOU RECEIVE A PERMIT, WORK NE,1sT NOT BEGIN UNTIL TIfEjbERMITICA,RD Is • POSTED OlsaltE103.1LIE. 3 Mechanical De-hipn, s -Complete calculations,details and specifications are required for each heating, ventilation,humidification-dehumiditie ktion,and air conditioning installation including heat loss/beat gain calculation,dc::ign temperatures,equipment ratings and identification ass to type, filanca,acrurer and model. Data shall be presented on font 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 bq icibtained. 5. All work must be done iii accordance with thc.Uniform Mechanical Cnde/State Euilding t ode requirements. f 6. All work mast be inspected(rough-in and final). Call(952)2494600.24-hour notice required. 7. House Heating Test Record must be submitted before final. Iii ruetfons Complete all items on this application. Compute the permit fee. Sign and date the cert fiction. INCOMPLETE APPLICATIONS WILL NOT RE PROCESSED.If you have questio4s, call (952) 249-4600. Please check one: ISNew D Addition Repair Replace p � p Residential E!C4cmmereiAl • JOB SITE: Zip: y N , Owner's Name:ame: li re ,• Phone Number: q 7 2W% Mailing Address: ALS jakIjectiNaLeta City: tyktik, pjg. r Zip: ' Contractor's Name: Sk`C\u0 \-"\-e_ �NJc Phone Number: 3 2_0 _ S 3 -6 b C Mailing Address: 37OS11.lE ( < < $ C-rty:5o.0 Zip: 5` :327 • l , 41 i ' . O^.> 00 OD 100'� CO VLL^T IIO}SL'C i►[C ID-010 pC J' 0101 I'' . 00 wow 1',114if Y4i r-i as j�p,fir nen A A� n.. r`t•a waij.w-ter' .' 11.74.4i 4 L".747A i L'JJ Ah m ULt ��r� .V Tv i A( E Minnesota Statute Section 176.182 requites every state and local`flcensing agency to withhold the issuance or renewal of a license or permit to operate a business in Minnesota until the applicant presents acceptable evidence of compliance with the workers' competion insurance coverage requirement of Section 176.181, Subd. 2. The information required its The name of the insurance company, the policy number, and dates of coverage or the permit to self-insure. This information will be collected by the licensing agency and put in their company file. It will be furnished, upon request, to the Department of Labor and Industry to check for compliance with Minnesota Statute Sec. 176.181, Sttbd. 2. This information is required by law, and licenses and permits to operate a buss may not be issued or renewed if it is not provided and/or is falsely reported. Furthencnore, if this information is not provided and/or falsely reported, it may result in a $1,000 petty assessed against the applicant by the Commissioner of the Department of Labor and Industry payable to the Special Compensation Fund. Provide the information specified above in the spaces provided, or certify the,precise reason your business is excluded from compliance with the insurance coverage requirem ni for workers' compensation, \ Insurance Company Name: . (NOT the insurance agent) (12 Policy Number or Self-Insurance Permit Number: S 7 J- ? Hates of Coverage: — - OR I am not required to have workers' compensation liability coverage because: ( ) I have no employees covered by the law, ( ) Other (SP `Y) ,T I HAVE READ AND UNDERSTAND MY RIGHTS AND OBLIGATIONS WI REGARDS TO BUSINESS LICENSES, PERMITS AND WORKERS' COMPENSATION'COVERAGE, AND I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT. 7-9 Pug) C o.�� e � � 3 z S. S'3 6 (Company) �, (ewe triage Matted 07-08-02 10: 02 GOULET HOMES INC ID=612 253 8161 P . 03 ,001101-1v I,. 1-J91.1 r.,4Maruua r-13 MATING mrsTEMS Make: //,++ 1 1„ ;;;I. 1 LkCPCOC1o/4'X(46 Flue Stave9 : 3), P`�' C_- Input ftTUs: E d Output BTUs; • Maks Model: kc_Q3oig TOM; H.For Egialibeign 142r-4544'faculty fireptiie ' Q Wood burning factory fiireptace with flue D Wood Move 0 Wood stove with fine 31� N T Brand Dame c,1.jp cam' e 0 /j Model No. i 9 x 2_0 n c Fr f-eo r ecc'V t/k hk-r No. ICitcher,Exhaust duct I recalculating,�cfm e cka et No. Bath Exhaust(mug have duct outside) cfm No: Other Fans: Locations cfm F(,l'EL STORAGE(MUST BE APPROVED BY FERE MARSHAL) D Installation or ❑ eenoval ❑Fuel oil: gallons F underground ] inside Doutside LP Owgallons DI Other Gas opening 2 1 , a , , 07-01-02 10 : 02 GOULET HOMES INC ID=612 253 6161 P . 04 u I-neo f ILIUMWO 1-1151 • I pE CALCULATThN(S) 2002 S , to State El Yes This Section tu The replacement of a esid Kitt ixnirapplipp�ance that meets all three of the following regtlirextents: 1) atm=require modification to electrical or gas service. 2) I las a tura t of$500.00 or less;excluding the cost of the fixture or applies and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $, State Surcharge$ P Mail-In Fee $ If above does not apply,follow guidelines below: 1. Contract Price*is.0125%of job with altigimangiggl 620 4.0 C x.0125 $ 7r 0 (contract price) (minirAw►$35.00) 2.S1m,„§ rchharac. **Add the State Building Cade Division aMinimum 'ee ofJ SO) �zOc9 t�r� x.0005 $ 3 / D (contract price) (mitirstum$,50) 3, Poostage�$fid A�t> ng(Only mail-in applications) 4.TOTAL PERMT FEE(Add.lines 1-3 above) $ 0 *CONTRACT PRICE or JOB COST mean the aortal 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:l' y material, equipment,labor,or installation is furnished by the owner,tenant or any other parry the reasonable market value: (such items must be added to the estimated cwt or contract pi ice for permit fee purposes.In the event that there is a dispute,cul the amount of the job cost,the City may request the suhrniviion of a signed i copy of the actual contract. "The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or 5,50-whichever is greater.Fpr*eluations over 51,000,000 call the Department of Inspectional Services for tete price. The undcrs;sued hereby applies to the City for issuance aft Mechanical Permit,agrees to do all work in strict accordance with rho ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that ail statements made on MIS application arc complete,true and correct, Applicant's Signature: A / !, Date Approved By: .�.,. Date: ' 3 { 't kt STCLOUdheating Fax 320-253-2037 Sep 17 15:42 emr OF ST. CLOUD • HEATING TEST RECORD . ;I :;;. RERMIT:NO. ^� . I OWNER L 6 ' • 1 0.r+S, '� ADDRESS Cf IIVSTALLED BY HEATING CONTRACTOR GAS DESIGNED UNIT • I • MAKE ,. 4 (`'1/V ;: MODEL , -� ,.� : F:: SERIAL ___ L O f L RATED INPUT I!TEST MANIFOLD PHESSURE3'S G --�� INPUT CFH PERCENT CO2 Q 3 i PERCENT oa STACK TEMP - _I _PERCENT/PPMCO ...P"" {' LIMIT BETTING- ka_L ---'- •':"; ri PERCENT EFF DATE TESTED • NAME OF LICENSED TESTER ,-•::�� I I��r , > CITVLICENSE#�_— ?',} W9TRi6UAGN:W,fITE•IBBY@C•fOA Y ! @CLOW-DEALER•TAR•CUBTONEq •.t:•• - — -r . L • } /‘LO ins 4 -s -- ?. • • i I. i.i • } :'?:i;. ;f i • SC--• -• DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE, .3 p SCHEDULED X7/19 YJ PERMIT NO. rO 5.3(1O COMPLETED ADDRESS '1 0 CL -ramt?y,)._ � f, OWNER CONTR. Sk C-Li t/ 'I-L ai- . TELEPHONE NO. 'C)© „,)5-3 _ C(c 5--) DESCRIPTION N1041 LL, 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 st 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL g OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: ' cc W Q. cc /jj-7. ft--/C.., cc O 4.1 Q _ fA - ems - _ / _ "` Mr—. to W i8✓� W CC Z d W2 ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract•r on site: actor. ,�,/ , ,,,le Copy/Inspector's File anary Copy/Site Notice ki DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE (� SCHEDULED 9.—5 � Com.. PERMIT NO. 5 3 CQ COMPLETED ADDRESS e/7 (YL) (L)c ._/('k.7,76,-a..1,— 9• OWNERCONTR. k- O,/(- TELEPHONE NO. .'.2C -2 J.-$ C (c)._."5-77 -- Jqeft/ ; ,/,., , DESCRIPTION 6� w �.a../..- _t-c' /.�- C c ,,2 L 01 FOOTING 1111M-ECCHANICAL.BL��..., 18 EXCA'//GRADING/FILLING Q X 02 FRAMING 13 MECH-ANICALFINAL—___) 19 LAKESHORE/WETLANDS ti 03 INSULATION 2 5 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 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. A = . 6-757-- 0 W ccW /,0-- S 7` -XJ._ A---.7—"G >LiC — W cc d Wu ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑//PR; CT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY ",/�:�RRECT WORK,CALL FOR REINSPECTION TEMPORARY �- BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Co. ac o . site: Inspector. / W to Cop nspector's File Canary opy/Site Notice