HomeMy WebLinkAbout2006-P09552 (mechanical) `� . PERMIT
CIT'Y O� ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09552
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemlits
(952) 249-4600 Date Issued: 1/26/2006
SITE ADDRESS: 3245 Carman Rd Unit#
Excelsior,MN 55331
PID: 20-117-23-14-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 59.69 valuation: $ 4,775.00
State Surcharge Fee: $ 2.39
TOTAL FEE: $ 62.08
APPLICANT: Practical Systems OWNER: Jon&Kirsten Nielsen
4342B Shady Oak Rd. 3245 Carman Rd
Hopkins,MN 55343 Excelsior,MN 55331
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.
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APPLICA T PGRM SIGt�'ATURE ISSUED BY SIGNATURG
Copies: 1-File(Signatures Reyuired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE O�LY
- City of Orono
f'��O�O�, P.O.Box 66 Datc Reccivcd: �1���k'Pcrmit# ��
. 2750 Kellcy Parkway �/
y i y p� �� hii� Crystal Bay,MN 55323 Approved By: _ Amotmt$: ���1I1
���' � oi:yG`�i' (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must bc approccd by thc Building Official or Inspcctor and/or Firc Marshalq
GENERAL INFORMATION
I. 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 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTTL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PF,RMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ms—Complete calculations,details and specifications are required for each
heating,ventilation,hu�nidification-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.
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 Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑Commercial(Approval Required)
❑ New �Additional ❑Repairs ❑ Replace
Job Site/Owrier Infonnation:
t
Site Address: �' � 1'Y�>>1�l �C�
Owner: �1 Mailing Address:
City: �X����'��� �'�' Zip: ,� � � "� �
Home Phone: Alternate Phone:
Contractor Infor�nation:
Contractor: Kline Corp. ;on:
DBA: Practical Systems
Address: 4342B Shady Oak Road #:
- Hopkins, MN 55343
City: _ 952-933-1868 )ate:
Phone: Alternate Phone:
❑ Insurance—Current:
1
MECI-�ANICAI, SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
F uel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
V ENTILATION
❑ No. � Kitchen Exhaust.�C�+�_�w, duct�recirculating cfin
❑ 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:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: �-i�� �jc.c-�
2
. '
PERM�IT FEE CALCULAT'ION(Sj
BASED OFF- 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of�y500.00 or less;excludin�the cosY of the fixture or appliance:and
3. Is improved,insYalled or replaced by the homeowner or 1icensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERM�T�'EE CALCU�LA`T`IQN S -JO�S'��R$SQOA�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�/,7�s X.ot2s$
—�ontract pricc) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 �
(contract pricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount 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 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 ar 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 SURCHARGF, is.0005 of the Building Department at(952)249-4600 for the price.
ME.CHA�VICAL PERIViIT APPLICATItON AGR�EI�ENT
The 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 and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct. ,
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Applicant's Signature: ,� Date: �C'/�� �
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Reset Form
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CITY OF ORONO � CALLED IN �" I
INSPECTION TI SCHEDULED a-o?'L�lo �•�34
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TELEPHONE NO. �SZ 9�.3 �8+60
� DESCRIPTION /���- /'�
l4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING � MECHANICAL F�I!A 19 IAKESHORE/WETLANDS
y 03 INSULATION 24 URNER/FIREPLACE 34 TREE REMOVAI
Z04 WALL BD. 12 WATER HOOK-UP 77 SITE INSPECTION
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 HARD COVER REMOVAL
� 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑tNSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next insp ction 24 hours in advance. (J52� 249-46��
OwnerlContrac �te:
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Inspector.
White Copyllnspector's File Ca�ary Copy/Site Notice