HomeMy WebLinkAbout2003-P06491 - mech PERMIT i
CITY OF ORONO Permit Number:
2750 Keli�y Parkway- PO Box 66 Po6491
Cry���al Bay, Minnesota 55323 Per-mit Typ : 1vlechanical Permits
(952) 249-4600 Date Issue : �ili2oo3
SITE ADDRESS: 4105 Bayside Rd
Maple Plain,MN 55359
PI D: 06-117-23-14-0023
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-rype(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Duct/Ventalation for Existing
FEE SUMMARY: Pernut Fee: $ 104.75 Valuation: $ 8,380.00
State Surcharge Fee: $ 4.19
TOTAL FEE: $ 108.94
APPLICANT: Watertown Sheet Metal OWN R: Nick&Sue Burke
14730 Hwy 7 4105 Bayside Rd
Mayer,MN 55360 Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE AL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL ITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assess' �, 1-Finance Page 1
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' CITY OF ORONO APPLICA ION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mzchanical permits by mail or in pers n 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 ompleted. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST N T BEG1N UNTIL.THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns -Complete calculations, details and pecifications are required for each heating,
ventilation,humidification-dehumidification, and air con itioning installation including heat loss/heat
gain calculation, design temperatures, equipment ratings nd identification as to type, manufacturer and
model. Data shall be presented on form provided. Identi cation of and specifications for water heating
equipment shall also be 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 echanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(9 2) 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fi 1.
Instructions
Complete all items on this application. Compute the p rmit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PR CESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New � Addition ❑ Repair Replace� Residential ❑ Commercial
JOB SITE: � `� �'-�' Zip:
Owner's Name: ��p,�Z?' P one Number:
Mailing Address: y/p�` �',�Nc/1r� ,(' C ty: ; ,�+ �' �;�� Zip:
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Contractor's Name: ��,�Ir�'i('j�C�rJ�� � - d"i one Number: �.����..SJ�-''�-���
Mailing Address: /�/7� o ,�/w�j 7 C ty: ,��'J�1���� Zip: .5�5.�G� v
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SYSTEM DESCRIPTION '
HEATING SYSTEMS
Quantity: �/t /> ,�J�f
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Make:
Model:
Fuel:
Flue Size:
Input BTLJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: � >�J o%7�
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
� Gas factory fireplace ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitc_h Ex-h�ust duct recalculating cfm
No. Bath xhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installatio��� ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
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2002 State Statute ,� Yes This Section Applies
The replacement of a Residential fixture or appliance that eets all three of the following requirements:
1) Does not require modification to electrical r gas service.
2) Has a total cost of$500.00 or less; excludi the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the h meowner 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:
1. Contract Price* is .0125% of job with a Minimum Fe of $35.00
� � �� ;�� ���x .0125 $
� (contract rice) (minimum$35.00)
2. State Surchar�e. ** Add the St�te Building Code Divis on a Minimum Fee of($ .50)
x .0005 $
(contrac price) (minimum$.50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
*CONTRACT PRICE or JOB COST means the actual or estimated dol ar amount charged for the permitted work including
materials,labor,profit,and other fixed costs.It is the amount to be char ed to the customer for the work done.If any material, `
equipment,labor,or installation is furnished by the owner,tenant or an other party the reasonable market value of such items
must be added to the estimated cost or contract price for permit fee pu oses. 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 th actual contract.
**The STATE SURCHARGE is.0005 of the contract price under$1,0 0,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanica Permit,agrees to do all work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State B ilding Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signature: �Yf1-�--.� C-� . � Date: �" ��
Approved By: Date:
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O DATE IME �
CITY OF ORONO CALLED IN 7 � � � c 3
INSPECTION OTICE SCHEDULED '7/ 2 IC'?-�,
PERMIT N0. �t �4 q � COMPLETED
ADDRESS �� � � G ��a`-"s , � ��
OWNER CONTR.
TELEPHONE N0. �� ��Z � �'��� — 2 S ( � S -�f'1��-�
� DESCRIPTION �� ���S b u
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADIN FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/W LANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTIO
Q OS 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 HARO COVER R MOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWR MOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OC UPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249 4600
OwnerlContr�c#p�r on s't
Inspector.
White Copylinspector's File Canary Copy/Site Notice
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DATE TI E
CITY OF ORONO CALLED IN 9"�
INSPECTION f�OTICE SCHEDULED 9/Z-Q3 ; o
PERMIT NO. l'D��� I COMPLETED
ADDRESS 4�L�5 � CG� �
OWNER CONTR. D�
TELEPHONE N0. 9�—"`� �a — 8��� li !-�SO
� DESCRIPTION �"��� ��a-j' ��_�p I /��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G DING/F LIN�
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WET NDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 REM VAL
J 10 PLUMBING FINAL 36 FOUNDATION/REM AL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPA CY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL AETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance. (g52) 249-46 �
OwnerlContra orrsit -
Inspector.
White Copyllnspector's File Canary CopylSite NoHce