HomeMy WebLinkAbout2007-P11600 (mech) . PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P11600
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued: l0/22/2007
SITE ADDRESS: 4050 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 06-117-23-11-0004
DESCRIPTION:
Proposed Use: Residential ��
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: Sabre Heating&Air Cond Inc. OWNER: Thad&Danielle Steele
3062 Ranchview Ln N 4050 Bayside Rd
Plymouth, MN 55447 Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK(N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PER'�IITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, l-MonChly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
� PERMIT
LITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p116o0
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: l0/22/2007
SITE ADDRESS: 4050 Bayside Rd Unit#
Maple Plain,MN 55359
P��� 06-117-23-11-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Heating Systems
Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 50.00 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: Sabre Heating&Air Cond Inc. OWNER: Thad&Danielle Steele
3062 Ranchview Ln N 4050 Bayside Rd
Plymouth,MN 55447 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.
IQ ' 'L-�..
PLICANT PE E SIGNATU ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
,►` Cit,y of Orono
�i'�•Y � p p gox�,�, Date Received: Pennit#
� �'�' 2750 Kcllcy Parkway
a t.'� �' ���'� Crystal Bay,MN 553�3 Approved By: Amount$:
�,p���������., (9�2)249-0600 _
CITY OF ORONO-MECHANICAL PERMIT
(All Commcrcial pcnnits must bc approvcd by thc Building Official or Inspector and/or Firc Marshall)
--------- —
� GFNERAL INFORMATION
� -
1. You may apply fbr mechanical perinits by mail or in person at the City offices. Applications will
be rcviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PF,RMITS ARL NOT
V.�LID UN"I�IL YOU RI:CEfVG A PERMI'I'. WORK MUST NOT BEG1N UNTIL THE
PENMI"1'CARD IS YOSTED ON 7'HE JOB SITE.
3. Mechanical_Des1�n5� �Complete calculations,details and speci(ieations are required for each
hcating,vcntilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design lemperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodcling is involved,a separate building pennit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State E3uilding Code
requirements.
6. All work must be inspectcd(rough-in and final). Call (952)249-4600.
(24-48 hour notice required)
7. f louse Heating Test Record must be submitted before final.
� TYPE OF PERMIT
� (Check All That Apply)
�------- --
�Residcntial ❑ Commcrcial(Approval Required)
J��
❑ Ncw ❑ Additional ❑ Repairs �Replace
v �
Job Site / Owner Information:
�_---- -__-- ------ --
Site Address: � � U ���_�C 1
Owner: �`�,� � ��,��, ��.�� Mailing Address: ���, �
City: ���- VV�Vl l� "Lip: �����
liome Phone: ' �1�_�(�j� niternate Phone: (���-�� '� ��
__ _- ---- --- 1
�Contractor Information:
` �'i,,`
Contractor: {c�'v" �-j�1� Contact Person: ��U\.�-Y��
Address: .'�� 1�--�v�(��U1'el� State Bond#: � ��j� '7 c��
City: �-�- _ lip:�� Expiration Date: I ��
Phone: '�1��=�13'�..Z.Lp� Alternate Phone:
❑ Insurance -Current: �-eS
1 -�—
�� MECHANICAL SYSTEMS BE1NG INSTALLED
HEA7'ING SYSTEMS
Quantity: �_
1 �
Makc: l�
- -�1 �
Modcl: ��, _
FucL �1e��_•_ --—
Fluc Sizc:
Input f3 I Us: ��-}��� ----
Output f3TUs: ����1��`�J— — -
Cf�M:
COOLING SYS"CEMS
Quantily: � — --
Makc: ��-�--- -
ModcL ���Q� -- —
I�ons:
H. Powcr
FIRN;YLACN:S
❑ Gas Factory Fireplace
❑ Wood E3urning Fireplace
❑ Wood Stovc
❑ Wood Stovc With Flue
Brand Name: Model No.:
V F.ti'I'l l,A"I ION
❑ No. Kitchcn Exh�ust duct recirculating cf�n
___ _ __ ___ _-
❑ No. Bath Exhaust(must havc duct outside) cfm
❑ No. Othcr Fans: Locations ct'm
FUEL STORACE(MUS"I�BE APPKOVED BY F1RI; MARSIIALL)
❑ Installalion ❑ Removal
t�uel Oil: _ __gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
_____ __—
Othcr:
GAS LINE ONLY
❑ Outdoor Griil ❑ Other/List What&Whcrc: ��� � '�C��
�'"�-�,t,l�!(�,
2
" . . .
__ _ _ ___ - -- ---
! PERMIT E t:;I CALCULATION(S)
� BASED OE'F - 2002 STATT STATUE �
❑ Yes, this section applies
Thc rcpiacement of a Residential (ixture or appliance that mcets all three of the following requirements:
1. Does not require modification to electrical or gas service.
Z. t�las a totai cost of$500.00 or less;excludi�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homcowner or licensed contractor.
Skip next scction, if this applies; Cost oCPermit $ 15.00
Statc 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. CON"I'RAC"I'NRICE * is 1.25°/,of contract price with a(Minimum Fee of$35.00)
� ��y.� � x .0125 $ �
(contract pricc) minimum 35.00)
2. S�'A7'E SURCHARGF ** Add the Statc Bldg Code Div. Surcharge(Minimum Fee of$.50)
�_�����--- -- x .0005 $_���
(contract pricc) (minimum$ .50)
3. POS'1�AGE & HANDLING(Only on Mail-In Applications) $_ 1.50
4. "1'OTAL PERMI"1' FEE(Add Lines 1-3 Abovc) $�����V
■ * CON"TIZACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work incl�iding materials, labor, profit, and other fixed costs. Il is the amount lo 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 perniit fec purposes. In the event that there is a dispute on the
amount of thc job cost, the City may request the subinission of a signed copy of the actual contract.
• **Thc STATE SURCf IARGE is .0005 of the F3uilding Dcpartmcnt 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 slrict accordance with thc ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on tl�is application are complete, true and
correct.
Applicanl's Signature: ^� � ' \ Datc: � Z.� (�
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CITY OF ORONO CALLED IN `O ���" � �'�
INSPECTION N I E SCHEDULED ��' ��
PERMIT NO. �� D C MPLETED
ADDRESS �� �
OWNER I � CONTR.
TELEPHONE NO. � � g � `'��Z
� DESCRIPTION — � — NC/�V
� ❑ FOOTING ❑ MECHANI L RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANI L 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
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ BING FINAL ❑ FOUNDATION/REMOVAL
� WN CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
� INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContrac�t�pn ite:
Inspector. �
White Copyllnspector's ile Canary CopylSite Notice