HomeMy WebLinkAbout2006-P10512 (Mechanical) PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p10512
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
10/30/2006
SITE ADDRESS: 1436 Baldur Park Rd Unit#
Wayzata,MN 55391
PID: 08-117-23-43-0006
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: Pernut Fee: $ 206.25 Valuation: $ 16,500.00
State Surcharge Fee: $ 8.25
Mise.Fee: $ 1.50
TOTAL FEE: $ 216.00
APPLICANT: Air Mechanical OWNER: Jeffrey&Margret Mikkelson
16411 NE Aberdeen St 1436 Baldur Park Rd
Ham Lake,MN 55304 Wayzata,MN 55391
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.
,./���l!/ J
� '�--�C c��-nc.�� ���
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
'.�CE14'E�'
FOR CITY USE ONLY
' "p,�`� City of Orono _
� 4 `� ` P.O.Boa 66 �' , �i Da[e Received: Permit#
�, �" ?750 Kelley Parkway �
,�, � ''� �; Crystal Bay,MN 55323 Approved By: Amount$:
P ``� o, ' (952)249-4600 � � �
tak���' '
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the F3uilding Official or Inspector and/or Fire Marshall) ,`Y`,�D
V
GENERAL INFORMATION
��oos
1: You may apply for mechanical permits by mail or in person at the City offices. Applications wi(1
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 UNTTL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 A 1 ) �
�Residential ❑Commercial(Approval Required)
� New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: ���j � �j�p �(��a� �,�,� ����
Owner:� , (���,� � Mailing Address: � (,J �� ��p�--
City, ���(1 f t�� Zip: ��c3 I'�
C�.
Phone: �',�a� ���(,—b(,�(p;�. Alternate Phone:
Contractor Information:
Contractor: �
"�V� K.YJI Lor(2� Contact Person: ����` �{y,�--
Address: �� ' � State Bond #: �`��,��'j�, _ ;1( ���'�
City: � Zip:55��( Expiration Date: �'�a,5�al9l� r7
Phone: ��3-��(�-�3'� ` ;1 Alternate Phone: ���j-�(,�j�(-- ���
� Insurance—Current: �^�� �
1
� �'����� �MECHANIC�L SYSTEMS BEING INSTALLED � � � •
HE_aTING S1'STEMS
Quantity: �
Make:
Model: ,rjg�(1�j�gQ"��
Fuel:
Flue Size:
Input BTUs: �
Output BTUs: `�_�QQ _
�—
CF�9: �
COOLING SYSTEMS
Quantity: �
Make:
Model: ��AFj1�'j�-(c�.3
Tons: ���
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTf LATION
� No. t Kitchen Exhaust duct recirculating 50O 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 ONL1'
❑ Outdoor Grill � Other/List What&Where: �j1iDl� , �Q�`-�00 ����Q�'�� �
--c
W� �-�l;l.`�l�
2
f .
� PERMIT FEE CALCULA'I'ION(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;excludin�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:
l. CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$35.00)
�L��SDD ' � X.o�2s $ �D(� ° a�'
(contract price) (minimum$35.00)
2. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
I(� ,�,1D � X .000s $ �', a 5f
(contract price) (miniroum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���m •� �G���
�
■ * 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 Pennit, 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 Sign ture: - Date: �� '"„Z��f� !�
Reset Form
3
��� D 9T,�,, TIME �
CITY OF ORONO cn" ��E�iN ��o`v
INSPECTION N TICE SCHEDULED 1�,6 �
PERMIT NO. � COMPLETED
ADDRESS �T3� � a�� ��`�- �
OWNER CONTR.�_�Ce�
TELEPHONE NO. 7�3 77� ?J 7S �
� DESCRIPTION �� �' �Q��--� ��
� 01 FOOTING MECHANICAL RI 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
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�.
�
O
�
W
�
Q
�
Z
W '
�
W
�
j
d
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-46�0
OwnedCont�a�r site:
Inspector.
White Copyllnspecto's File Ca�ary CopylSite Notice
�- � � qATE� TIME V
CITY OF ORONO �ED IN �/ � 1�' �
WSPECTION NOTICE SCHEDULED �� �
PERMIT NO. �I C�I Z COMPLETED
ADDRESS I � .�(LL��t ��/ �� �
OWNER CONTR. �I`' �(���
TELEPHONE NO. l � � � ��C� '-' '��7(l'��
� DESCRIPTION � ' �'1CX I _'� � ���C:)n :� .
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
Q 03 INSULATION 24/25 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
�
j � � �
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITtONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call forthe n xt inspection 24 hours in advance. (952� 249-4600
Owner/Co or ite:
Inspector.
White Copyllnspector's FiI Canary CopylSite Notice