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HomeMy WebLinkAbout2007 - P11696 - mechanical PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P11696 Cry tal Bay, Minnesota 55323 Permit Type: Mechanical Permits (92) 249-4600 Date Issued: 11/19/2007 SITE ADDRESS: 2606 West Lafayette Rd Unit# Excelsior,MN 55331 PID: 21-117-23-21-0001 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: $ 225.00 Valuation: $ 18,000.00 State Surcharge Fee: $ 9.00 TOTAL FEE: $ 234.00 APPLICANT: Gateway Mechanical Inc. OWNER: Paul&L Ekholm 13950 Radium St.NW 2606 West Lafayette Rd Ramsey,MN 55303 Excelsior MN 55331 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 SNICrURE .SUED BY SIGNATURE *• Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 -� A-7)'/ FOR CITY USE ONLY O�O City P.O. ofBox 66 Orono //% Date Received: Permit "t. 2750 Kelley Parkway .! ,,)L Crystal Bay,MN 55323 Approved By: Amount$: 1 '�, yo (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 final. TYPE OF PERMIT (Check All That Apply) 'Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace Job Site/ Owner Information: Site Address: e; (0_ Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information:' Contractor: „a „ Air' _ � Contact Person: , c+ /3730 Address: rST ,lop State Bond#: / q 7 70, City: SaeKS'e r Zip`-4 '"Expiration Date: /© ` O g Phone: 76,3-7 '",�'�,62 Alternate Phone: 760 adW7- ❑ Insurance–Current: 1 .: .. . r � � _ , 3 � ' ,.. ,,. �.��'�:. . `, HEATING SYSTEMS Quantity: Make: /)t':2US Model: R 5 Fuel: A -c Flue Size: C Input BTUs: / C3', ?CC Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill P. Other/List What&Where: ea 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;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 $ § y® j' e F W '� :,',/: 1 »nil #§ i.7-,7127-1)070 ell�"I '. '""i ''.y.) .,p rt '�, � � �1 � � �„ � � � § ... ��7E��C .� ' . I 114IP� �k+ 4.. �.., If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) /� 0 C9 c i r x.0125 $ . (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) i= pS� /F d C93 . x.0005 $ A (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ g,3l/ • * 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. Applicant's Signature: — - --e.., ./1--- � �� Date: �/— /�'" 3 �- ✓ DATE TIME CITY OF ORONO CALLED IN / b INSPECTION NOTICE SCHEDULED /._ 0 .3b PERMIT NO. P//ooc9j COMPLET ADDRESS AMY/7g i / n�/,%// ��o� OWNER / CONTR. pi /` Q -L TELEPHONES. .� 2 3 5-O g Ed !2 -"4133 7=2447,R DESCRIPTION CAI-47n— Lu ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc (PC' p sT 4/c S.•* cc Lk cc W W cc Lu• /ORK SATISFACTORY PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 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/Contractor on sit J / Inspector. �✓ /- 43is,s White Copy/Inspector's File Canary Copy/Site Notice DATE TIME J CITY OF ORONO CALLED IN //`/9 INSPECTION N Ic G} SCHEDULED 1 - O7 PERMIT NO. / f �D COMPLETED �����_� ADDRESS a . b Weal' La /e`, OWNER CONT . O °4,`2 TELEPHONE NO. n 7 ' 3—/33— o2rbb� goo a4 zirt_tv J P - eD * L ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. E COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP LIJ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES NO COMMENTS: cc cc O CC O W W CC W W Cl-i] W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC G❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED CISTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the net spection 24 hours in advance. (952) 249-4600 Owner/Cont : ' •, •n t : Inspector. `\ White Copy/Inspector's File ` Canary Copy/Site Notice