HomeMy WebLinkAbout2000-P02196 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : j�0 al�(p
Crystal Bay, Minnesota 55323 Date Issued: O1/20/00
(612) 249-4600
SITE ADDRESS: 825 Brown Road South
Orono, MN 55356
H.N.B.
10-117-23-21 0008
DESCRIPTION: Mechanical
1 Heating Systems Make Lennox
1 Gas line
REMARKS:
FEE SUMMARY: Valuation $1,195
Base Fee $35.00
Surcharge .60
Total Fee $35.60
CONTRACTOR: Plymouth Plumbing OWNER: Pillar Homes
6909 Winnetka 125 Lake Street
Brooklyn Park, MN 55428 Wayzata, MN 55391
THE UNDERSIGNED HEREBY�REQUEST PERMISSION TO MAKE THE REAL 1MPRQVEMENTS SPECIFIED AND
AGREES TO DO ALL WORK IN'STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OP
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT/PERMITEE SIGNATURE IS UED BY: SIGNATURE S.r-�
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CITY (?F ORONO APPLICATION FOR MECHANICAI,p�RMIT
Bax fi6 (275U Kelley Parkway)
Cryatal Bay, MN 553Z3
G�N�RAL INF�RMATIO�t
1. You may apply for �nechar�ical permies by rnail or in peraon at the City officcR. Appli�Ations will be
jcvicN�al and a peru�it will be issucd within 2 working dnys,
2. Pcrrr�it cnr�a will bc senz by recurn mail aft�r a review ia completCd. P�RMITS ARE NO'T VALIp
L1NTiL YOU RE�PIV� A P�R:ti1IT. �Q�j{ j�U$'J fVQT 9EGIN U��TH� E�FRMPT , ]$
PUSTEU O�THE !OB SiTE
3. Moc�ggict�l pceiene - Campletc calcu)ations, details and spccifications arc required for ea�h hcating,
vCr�tiiation, humid�cazian-dthumidification, md air couditioning inscaliation intluding hcat loss/h�at gain
ealculati��n, design tempctaiuras, cyuipu3ent ratings and idantification aa to rype, manufnccurer and �odel.
Data sha(1 be preseatcd on form pruvided. Idetttiftcation of and sptciticati��u for watcr heacing equipmcnt
shal! also Do providad.
4. When any new constructioa or remodelin� is involvcd, a separatr building pernut aiust i� obcaiued.
S. All wurk must be donr in accordance with the Unifarin Mec:hanical CodelStatr Building Code
requircutcnts.
6. All w�rk muxt be fnspatrti (rUuKh-in and final). Cal) 473-7357. 24-hour notice required.
7. fiouse Heatin� Tc�t Rccord must bc aubcnittecl before fina1.
��i� Camplata all iiems on this applicatlan. Computc tbe prrrnit 1're. Sign and date the cenificatiun.
iNCOM}'Lt:7E APFI.ICATIUNS Wll.l.. NOT �E PROC:E.SSED. Jf you hevo questions, c�ll 473-7357.
Plosise chack one: ,`� New ___r Additiun Repair _____ Ropiace
Rcsidentiul Co nmercial
JOS SITE:� a� .� �, Zip:
4wncr's Name: �__t 1�,r- I�,�_.vv�,�,� Ttle�bone Number:
Mail�tu Addrt�ss: L --}- City:�c � z�1' Zip: �c �
Cvntractor's Neme: ,,,,�, e utnber: - �'
MallIn� Address: � ��y: Zip: � •
��'�'.�� AESCR�''I'IU�'Y
H$ATtNG SYSTEM.S
Quantity: 1 �
Make: _�_�v�r�1L ` _ ._
Mode1: L�`_-E- `7�7����-��Q �
Euel: �� � ��S _ r _
Fluc Siae: . ����
input DTUs: �5 �Qa � _
Uucput 9TUs: _ �p�y�,
C�M; �
�u.���-�.-�F� -
CQQI.TNG SYSTEMS
Quxntity:
Make: - - — ---
Model: �_� —. -- --._� .�
1'ons: �^ .- —
H. Puwer � � - _�
. �
��'.�.����Z N�'.�_�'i�I�
Wa�xi stove with flue
� Woc�d combit�ation or add-vn
�� Factory �re�lace with t7ue
�� Fnctoty Fircplace {s) �_� Frecstanding � Mas�nry
Wooc! Stove (s) Frankiin, other
Hrarxi N�ne Mociel No. �!�
Mfgr's Miii., Clc;aranc:rs, sidc `� rear , min. t7ue dia.
Y.�NTI j.,A�N
No. _____ Kitchea f:xhaust ducted recirculating efm
No. _ Bat1i L;xhaust (must be ducted outside) �fm
N��. __� C�ther Fans: Locatipns � Y cFm
'�� � .,�:�5),�� (MUST' BF APPROVF?D BY I=IR� MARS��AI,)
Installation Removal
_ Fuel nil _ ga}lo�as und�rgraund _ inside _ outside
�__. LP Gas: gallvns
�_.__� Othrr ��__._.__ __.�... Gas ogening
PE��VI�����A LJLA����
1. 1.257 of Cnn�ra�t Prite* or �'ee �S3S.Q4)
x .Ol?5 $ ' ��
��„�.- � --. _
(concracc prsaa
�. �tate Surc:hargrt ** Add the S te Building Caie Divisit�n
SurchNrgc to each percnit. 1ta S ��U x .(1QQS $ , � �
or $.50, whichever is greacer (conereat price)
3. Po��a��,and �ia� 1� �O�iiy mail-in applizations) $ _ _ �.�p
4. TUTAL �'ERM1T FFE (Add lines 1-�3 above) $ � � �, � .
* CnNTR.4CT PItIC'�or.fQB COS1'meatu the aetutil or eatimated dollar Amc�unt charged for tfie pertqittcd
work iucluding materials, labor, profi�, and other fized costs. lt is thc amount to be ehar�ed to the
cuutamcr fur the work�nc;. If any mnterial, equipment, labor, or u�,stallution ruG furryiahed by the owner,
tenant or any ather purry the rcasonahle ivarket vrilue of such items must Ge acideci to the estunatad cost
or ccatitrset prlee foc ptnz�lt fre purpoaes. In tha evtnt thut there is a dis}�ut�on the amount of�hC job eost,
thc City may requase the submisaioa of a signed tapy of the actuul coUtrace.
** Tl7e STATE SL'RCHARGE is .Q005 uf the contract price undcr �1,OOU,UOO or S.SA - whichevCr is
greuter. Fnr va]uQtions over S1,000,Q()0 call the DCpartrnrnt of Iuepectian�t Servic;es for the price.
The undersigned hercby applirs to the City for issuanCe vf a Mechani�ai Permit, agrces to do
all work iti strict accordaru;e with the vrdinanc:es of the City anci the rc�gulations of the Minnesota
Statc �3uilding Code, and c�rtifits that all statements made an this application are romplete, tnic
and cornct.
Applicant's Signatur�.- � Date: �� �-�
_ �
Approveci Hy: Dau:
CITY OF ORONO CALLED IN _2 7 UV �M��
INSPECTION NOT E SCHEDULED =_3� --�U �� ��
PERMIT NO. � �� COMPLETED � � Q�d�
ADDRESS ��� �l�C �
OWNER � CONTR. �--�Zc�/C ���'��
TELEPHONE NO. �� �- Cr S �-5
� DESCRIPTION
LL 01 FOOTING �11 MECHANICAL RI � 18 EXCAV/GRADING/FILLING
� 02 FRAMWG � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOfl TO MEEf YOU:_YES_NO
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d ❑WORKSATISFACTORY:PROCEED i— PROJECTCOMPLETE
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� �! CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
[�CORRECT UNSAFE CONDITION WITHIN HOURS. �_ pHOTO TAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
�7 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector��G�-���/S
White Copyllnspector's File Canary CopylSite Notice