HomeMy WebLinkAbout2006-P10636 PERMIT
CITY OF ORONO
Permit Numbe :
2;�0 Kelley Parkway- PO Box 66 P10636
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
12/18/2006
SITE ADDRESS: 4355 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 06-117-23-12-0007
DESCRIPTION:
Proposcd Usr. Residential
Permit Class: General
Permit Type: Mechanical Permits � P it Sub-type(s): Wood Fireplace
DETAI LS:
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: Guyer's Builers Supply OWNER: Greg&Lynn White
13405 15th Avenue N 4355 Bayside Rd
Plymouth,MN 55441 i Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERM[SSION TO MAKE THE R�AL PROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY O ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� �-�_s�--�_C`--- T�c��_ C�7�
APPLICANT PGRMITEE SIGNATURE SSUED BY SIGNATURE
Copies: I-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessin�,([f eptic, 1-Septic) Page 1
� FOR CITY USE O�LY
����' City of Orono i
�¢ ��\ P.O.[3ox 66 Date Received: Perrnit#
' �� �� 2750 Kelley Parkway �
a �f�` �s:�=°: �� Crystal Bay,MN 55323 � Approved By: _ Amount$:
� "�r��';��+�.�o` (952)249-4600 i
��
CITY OF ORONO-MEChIA ICAL PERMIT
(All Commercial perrnits must be approved by the Buildiqg Of cial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in pe son at the City offices. Applications will
be reviewed and a permit will be issued within two wo ing days.
2. Permit cards will be sent by returo mail after a review i completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERM[T. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details an specifications are required for each
heating, ventilation, humidification-dehuinidificatipn,a d air conditioning installation including
heat loss/heat gain calculation, design temperature�, eq ipment ratings and identification as to
type,manufacturer and model. Data shall be presented n form provided.
4. When any new construction or remodeling is involved, 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 ( 52)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted befare fi al.
TYPE OF PERMI
(Check All That App )
,�Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repair ❑ Replace
Job Site/ Owner Information:
Site Address: �,� S S �� S" /��- �I�
Owner: /�A-�%��i� y Mailing A dress:
City: Zip:
Home Phone: Alternate hone:
Contractor Information: � j
Contractor: �U Y�+e S �'su/c-DC�°S�PPzyContaet Pe son: �4��/ ����-���
Address: �3�/D �' i S�'��' �j/�- •�/ State Bon #: /�/(� 3 S-�`j/
City: I�L/�--r�c��� Zip: SS`%�//Expiration ate: �Q ""�� - � 7
Phone: (���3���Y' `�'C�s' Alternate P one:
❑ Insurance Current:
1
MECHANICAL SYSTEMS BEING INSTALLED -
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace X Z �S M—y,� �Z
� Wood Burning Fireplace X Z F �V �0� S
❑ Wood Stove
❑ Wood Stove With Flue E'S�A-�G—
�so U� Cof+-s� s�
Brand Name: �-�Nti�O}� 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:
CAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
� :�, � ✓
� ����� TIME
CITY OF ORONO C LLED IN
INSPECTION NOTI /,, SCHED LED �
PERMIT NO.
� V � COMPL TED �
ADDRESS �� �� "
OWNER C NT . `�7L'c-t�e�S
TELEPHONENO. � � - ��� 2-
�-u.�.�+
� DESCRIPTION � ��� P l� � ��� -
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER FIREP CE 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
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS: f G'(�,3(p -
�
W
a
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HO�1RS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCE S.
Call for the next inspection 24 ho rs i advance. (J52� 249-4600
Owner/Contracto site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
'- PERMIT FEE CALCUL TION(S)
BASED OFF - 2002 STAT STATUE
❑ Ycs,this section applies
The replacement of a Residential fixture or appliance that meets 11 three of the following requirements:
1. Does not require modification to electrical or gas s rvice.
2. Has a total cost of$500.00 or less;excludin�the c st of the fixture or appliance: and
3. Is improved, installed or replaced by the homeown r or licensed contractor.
Skip next section, if this applies; Cost of Pe it $ 15.00
State Surc arge $ .50
Mail-In Fe (If Applicable) $ 1.50
Total Per it Fee $
PERMIT FEE CALCULATION(S�—J BS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price ith a(Minimum Fee of$35.00)
� v�d x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Co e Div. Surcharge(Minimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE& HANDLING(Only on Mail-In Applica ions) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or stimated dollar amount charged for the
permitted work including materials, labor, profit, and other fi ed costs. It is the amount to be charged
to the customer for the work done. If any material, equipme t, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market v lue 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 Depart ient at(952)249-4600 for the price.
MECHANICAL PERMIT APPLIC �TI N AGREEMENT
T'he 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 nd the regulations of the State of
Minnesota, and certifies that all statements made on this pplication are complete, true and
correct. ,
A li n ' ' ' • /Z - %t�"d�P
pp ca t s Signature: �� Date.
3