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Home My WebLink About2004-P08121 PERMIT �I T�r O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 Posi2i Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits (952) 249-4600 Date Issued: io�2s�2ooa SITE ADDRESS: 4375 Bayside Rd Maple Plain,MN 55359 P I D: 06-117-23-12-0008 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: In Floor Heat,Rough In Linesets for future, FirePlace FEE SUMMARY: PernutFee: $ 231.25 Valuation: $ 18,500.00 State Surcharge Fee: $ 9.25 TOTAL FEE: $ 240.50 APPLICANT: Countryside Heating&Cooling OWNER: Steven&Patricia White 6511 Hwy 12 4375 Bayside Rd Maple Plain,MN 55359 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 SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � /t�e%ii�1 , %/L�C;3a'X� APPLICANT PERMITEE S[GNATURE UED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 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 worlcing days. 2. Pennit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE 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. Identification 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 inust be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work inust be inspected(rough-in and finai). Call(952) 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Com ute the ermit fee. Si n and d — certi ication. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New ___�_Addition Repair Replace esidential � Commercial �oB siTE: �3� S� �-o-zs Zi) z��: Owner's Name: rl/l_f '�1�tZ. Phone Number: �5'��- -�"�S�- � �33 Mailing Address: 5�� l� City: �;�Lu�U Zip: Contractor's Name: � �'�� Phone Number: ��?5 'l�� Mailing Address: '' I !a-W City: �� ;,:.�t Zip: �j"� 3 S ��s�F- �� , " , ��r G? � " EF Jnv PERMIT FEE CAI.CULA'I'ION(S) 2002 State Statute 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 ar less; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the hoineowner or licensed contractor. S1dp next section; Cost of Pennit $ 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 Fee of($35.00) 0: �� x .0125 $ ��• Z`�� (contract price) (ininimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) ,. L � .,- �:5� x .0005 � _ _ (con ract price) (minimwll$.50) __ � P�ct�ge and Handlin�lOnlv rraail-in applications) � 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��' �� *CONTRACT PRICE or JOB COST means the actual or estimated dollar ainount 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 installation is 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. **Thc STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valu�tions over$1,000,000 call thc Department of Inspectional Scrvices for the price. The undersigncd 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 c'Fe* ions of the Minnesota Statc[3uilding Code,and certifies that all statements made on this application are c i�11 nd correct. Applicant's Signature: Date: f� 2 s''��/ Approved By: Date: Reset Form , . � ' SYSTEM DESCRIPTION HEATINC SYSTEMS ��Y ��i-� k%�GJGrli.,f�— �-�iZ.�ZerY��' / d��r Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: coo�iNc svsTEms ,,�oc��N� /•rJ 2,i N t�rSL%��-�� Jt2 �� n�a✓� �� .�- Quantiry: _ Make: Model: Tons: H.�'ewec FIREPLACES V Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Naine �/rl � (9�W Model No. ��v�%��-�� VENTILATION Na Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfin FUEL STORAGE (MUST BE APPROVED BY F[RE MARSHAL) Installation or Removal Fuel oil: gallons underground inside or outside LP Gas: gallons Other Cas opening �� - ✓ �DE1Tf� - J�� TIME CITY OF ORONO CALLED IN <<'�� INSPECTION NOT1C�1� � SCHEDULED -��C�y__� PERMIT NO. /�''C5 COMPLETED ADDRESS `T� 7� '�� `� � ` �� /`� OWNER CONTR. �--��=-� � � �Z TELEPHONE NO. �L� � � 7 9 l�� DESCRIPTION f�i�/ ��f �— __C-�-; I�ir�,� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � ' J O o >. � O � W � Q � Z W � W Et - _ ` -- - � � ❑CORRECT WORK&PROCEED r W ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. (J52� 249-4600 Owner/Contra�en i : Inspector. White Copyllnspector's ile Canary CopylSite Notice