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HomeMy WebLinkAbout2005 - P08726 - mechanical PERMIT CIrTY'OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P08726 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/12/2005 SITE ADDRESS: 4665 West Branch Rd Mound,MN 55364 PID: 07-117-23-22-0015 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Multiple Mechanical Items Permit Type: Mechanical Permits DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Fan Construction OWNER: John&Carmen Grove 100 Bridge Ave 4665 West Branch Rd P.O.Box 277 Mound,MN 55364 Delano,MN 55328 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 SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, I-Finance Page 1 FOR CITY USE ONLY City of Orono ov ' P.O.Box 66 Date Received: Permit# 2750 Kelley Parkwa • y .. Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600 CITY OF ORONO -MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs-Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That Apply) Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs Replace Job Site/ Owner Information: Site Address: 4' t s GLS test Bf P.YC'/1 ,'d Owner: :Phil/ Cite kci k ,`oy/r Mailing Address: City: (`W/a Zip: S53$ Home Phone: q$'2• y77 . 20(.7 Alternate Phone: Contractor Information: Contractor: 12/v, ea)7.5-rrvetv Contact Person: /e°d F2/1A Address: / d BoX X77 State Bond#: 7/8$ City: De/2�c--, Zip:ss3 - Expiration Date: 3 3!• a (S Phone: 7 '3-9'7.2 -342os Alternate Phone: 7 / ❑ Insurance-1Ctirrent: 9 y 1 MECHANICAL SYSTEMS BEING INSTALLED HEATING SYSTEMS Quantity: Make: Model: &&MU 5109 6 -1 c•x Fuel: NQT• S Flue Size: '1 " D •v • Input BTUs: Output BTUs: -1 °► V VV CFM: COOLING SYSTEMS Quantity: ( i ) Make: Model: &-(A LAP. 03011a Tons: . H.Power FIREPLACES Gas Fact. replace ❑ We• turning Fireplace ❑ -.d Stove t Woo. ' •ve With Flue Brand Name: Model No.: VENTILATION No. • n Exhaust duct recirculating cfm ❑ Bath Exhaust(must have duct outside) cfm ❑ o. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) hi Installation ❑ 'emoval Fue or' gallons ❑ Underground ❑Inside ❑Outside • .s: gallons Other: GAS LINE ONLY • - * .a. .. .r . 2 PERMIT FEE CALCULATION(S) BASED OFF- 2002 STATE STATUE ❑ 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;excluding 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S) JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (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. MECHANICAL PERMIT APPLICATION AGREEMENT 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. Applicant's Signature: 7/91/Ort., Date: $ • 7• d s 3 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOF CEry. SCHEDULED q LZ vS� 3•u DPNi PERMIT NO. Vo70-0-(o COMPLETED A r ,7 ADDRESS LI 1p Le 5^ (NJ ST- (3C u"C- rcY OWNER CONTR. r-7-0..,-1 C Orl St TELEPHONE NO. S oZ (I 7 rc9- caoc / DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W 02 FRAMING 13 M. Q ' 19 LAKESHORE/WETLANDS Q03 INSULATION 24/25 ••WV' -/FIREPLACE 34 TREE REMOVAL • 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL sT OWNER/CONTRACTOR TO MEET YOU:_YES_NO Col COMMENTS: cc Q.. cc4-1(O cc cc cc WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZO ❑ CORRECT 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 nex ' spection 24 hours in advance. (952) 249-4600 Owner/Contr- - .• -n i e: Inspector. .c White Copy/Inspector's File Canary Copy/Site Notice