HomeMy WebLinkAbout2002 - P05638 - mechanical PERMIT
C r TY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P05638
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9/20/2002
SITE ADDRESS: 4760 West Branch Rd
Mound,MN 55364
PID: 06-117-23-33-0002
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:
FEE SUMMARY: Permit Fee: $ 65.00
Valuation: $ 5,200.00
State Surcharge Fee: $ 2.60
Misc.Fee: $ 1.50
TOTAL FEE: $ 69.10 t�
Westair Inc.
APPLICANT: OWNER: Micheal&Carman Rodewald
11184 River Road N.E. 4760 West Branch Rd
Hanover,MN 55341 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.
A r I ANT PERMITEE SIGNATURE ISSUE BY SIG SIGNATURE
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing. 1-Finance Page 1
• .,Aua-05-2002 10:42am From-CITY OF ORONO +9522494616 Ti748 P.001/005 -270 e /G
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CITY OF ORONO APPLICATION FOR MECH.AN CAL PERMIToi
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
C,..-,:1
1. You may apply for mechanical permits by mail or in person at the City offices.App lications will be
reviewed and a permit will be issued within two working days. I CA,.' L°`-OriONO
2. Permit cards will be sent by return mail after a review is completed.PERMITS A'I NOT VALID
UNTIL YOU RECEIVE A PERMIT. A ORIS MUST NOT BEGIN UNTIL THE I ERMIT CARD IS
POSTED ON THE JOB SITE..
3. Mechanical Designs-Complete calculations,details and specifications are require', for each heating,
ventilation,humidification-dehumidification,and air conditioning installation incl ding heat loss/heat
gain calculation, design temperatures,equipment ratings and identification as to pe,manufacturer and
model. Data shall be presented on form provided.Identification of and specificatio s for water heating
equipment shall also be provided.
4. When any new constriction 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 juestions,call
(952)249-4600.
Please check one: ]New I I Addition Repair n Replace Resident' l ❑ Commercial
JOB SITE: LI 7 ) A 61-uiri a. . _ Zip:
Owner's Name: P (k Phone Number: IC —1 -•c
Mailing Address: _;_ Q O 1 tv1 Li(\ City; D(;ki\t-1-6/1 " ip: y (
Contractor's Name: l'3 .-\\\\(-,
\ Phone Number: .CL/ • 1
MailingAddress: `I '614 k t '(� Ci :it- kY € ' i F
1
Aug-05-ZOOZ 10:4Zam From-1;11Y OF UIUIVU fUOLVIV41510 17140 r uucivvP r—ciu
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: lOVIL
Model: 1
Fuel: Jct v
Flue Size; /'
Input BTUs: • )11
/001 v/��j(
Output BTUs: i��G"
CFM:
COOLING SYSTEMS
Quantity: I
Make:
Model: a{" , • .:
Tons: - 5
H.Power _LO
J
FIREPLACES
Gas factory fireplace
[l Wood burning factory fireplace with flue
E] Wood Stove
Wood stove with flue
Brand Name Model No._
VENTILATION
No. Kitchen Exhaust I duct recalculating cfm
No. 1 Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
,Installation or Q Removal
[] Fuel oil: gallons [l underground [] inside ❑outside
[ Gas: gallons
'O1'titer, Gas opening
2
Aug-05-2002 10:43am From-CITY OF ORONO +9522494616 T1T48 F.003/005 F-270
PERMIT FEE CALCULATION(S)
2002 State Statute n 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; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
I. Contract Price* is.0125%of job with a Minimum Fee of($35.00)
00
x .0125 $
(contract price) (minimum$35.00)
2. State Surcharie. Add the State Building Code Division a Minimum Fee of($.50n.
)vt,)U x.0005 $ _
(contract price) mimum$.50)
3.Postage and Handling(Only mail-in applications) $ 1.50
10
4.TOTAL PERMIT FEE(Add lines 1-3 above) $ •
*CONTRACT PRICE or 5013 COST means the actual or estimated dollar amount charged for the pc •itted work including
materials, labor,profit,and other fixed costs.It is the amount to be charged to the customer for the wor done.If any material,
equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable mar'et 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,
*'t The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
51.000,000 call the Department of Inspectional Jeri iCc;it i 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 a I statements made on this
application are complete,true and correct.
•Applicant's Signature: i Date: 4
Approved By: Date: 9 A / 6 CD
• 3
DATE
CITY OF ORONO CAL IN
INSPECTION IC / , CHEDULEDc- !I
.01)
PERMIT NO. 5W COMPLETED / ''/ ,� o
ADDRESS y �p D /u -4
OWNER CONTR. Ci/CSC . / it
TELEPHONE NO. 1l'1 L( "7l `,!- )
DESCRIPTION 410 Q -/ 111211014`4_
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING (1.3)IECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION /25 WOOD BURNERJFIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
1, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
• 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
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COMMENTS: j � .
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CC
W
CC
W
CC
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ORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CZ 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on si
Inspector. 0
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -30 O —.
PERMIT NO. 5.7P 3 COMPLETED
ADDRESS 'y71, 0 [A) Yc 3i 4../4.1.-1
C ,4 gel
OWNER CONTR. &4 4//'
TELEPHONE NO. `Ice C/ 5s, ?G 7/
DESCRIPTION _L 21—
01 FOOTING c..111.12.61B_ 18 EXCAV/GRADING/FILLING
Lit
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
C/ 03 INSULATION 24/25 WOOD BURNER/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
v 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
j.
Z OWNER/CONTRACTOR TO MEET YOU: YESiNO
o COMMENTS:
cc
W
a
CC
CC
W
cCW
1.9
Lu WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952) 249-4600
Owner!Contrite:
Inspector.
White Copy/Inspector' File Canary Copy/Site Notice
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DC,, 1_037- DATE TIME
CI OF ORONT1 P?- CAAI�LED IN
INSPECTION N ICE HEDULED j- cy /1, 3
PERMIT NO._ 05(03 Ob COMPLETED �I
ADDRESS ,47e, UJ-Q4 R w
OWNER Re 2 dLO c1 c f CONTR. WS
TELEPHONE NO. 7 40 3 T ( K Sid 7/
DESCRIPTION /a%
LU 01 FOOTING ,e1 ANICAL R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
S OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
W
CC
O
CC
O
U-
W
CC
ti
W
CC
O
WCC 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
El CORRECT UNSAFE tONDITIONWITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WI L RETURN ❑CITATION ISSUED
❑STOP ORDER POSTE.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra n Ste:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice