HomeMy WebLinkAbout2005-P09019 (air cond.) PERMIT
CIT`�( OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09o19
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 8/1/2005
SITE ADDRESS: 3275 Carman Rd unit#
Excelsior,MN 55331
P��� 20-117-23-14-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 76.34 valuation: $ 6,107.00
State Surcharge Fee: $ 3.05
TOTAL FEE: $ 79.39
APPLICANT: Horizon Contractors,Inc. OWNER: Mitchell&Kimberlee Olson
8197 Horizon Drive 3275 Carman Rd
Shakopee,MN Excelsior,MN 55331
THE UNDERSIG �IEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES T O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA I D�NG CODE REQUIREMENTS.
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A P RMITEE SIGNATURE SUED BY SIGNATURE
Copies: ]-File(Signatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, ]-Septic) Page l
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FOR CITY USE ONLY
,�` Clty Of�I'0110
� �O`Y P.O.Box 66 Date Received: Permit#
�", � 27j0 Kelley Parkway
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a '�j�i`�,�-: � Crystal Bay,MN 55323 Approved By: Amount$:
�+ ���w:y��i�.$o` (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Peinut cards will be sent by retuni 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 DesiQns—Complete calculations, details and specifications are required for each
heating,ventilation,hunudification-del�unudificatioil, and air conditioning installation including
heat loss/heat gain calculation, design temperariu•es, equipmeilt ratings and identification as to
type, manufachu�er and model. Data shall be presented on form provided.
4. When any new consh-uction or remodeling is iuvolved, a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements. a
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 subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
„�Residential ❑ Commercial(Approval Required)
❑ New �dditional ❑ Repairs ❑ Replace
Job Site/ Owner Infornlation:
Site Address: 5��7� C��Y►'<<t,r� 14X
Owner: t����� YVlailing Address: �v��J C� ���-
City: �x�5��� Zip: - �S ��?3
Home Phone: Alternate Phone:
Contractor Information:
' � I •1 k1z �-��r�c a
Contractor: �+►z��r�-�ia�5,���ontact Person: � �
Address: ���1 Z �s t z�.-� ��- State Bond#: I�L�. �E %�7 C
5�3�( ���NI��,
City: S�c.�� Zip:� Expiratioil Date:
Phone: G ��"Sv`�`�1�3�% Alternate Phone: �i�-�� �- `����
❑ Insurance-Current:
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MECHANICAL SYSTEMS BElNG INSTALLED • �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quautity: �
Make: I�ilGll�<<�
ModeL Q � �3G� ��f -�c+;,�p- —3.��� �✓1D�� l LC's►�c�P:�S�;
To��s: r�a /�5���
H. Power �
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Bunung Fireplace
� ❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. I�itchen E:chaust duct recirculating cfm
� No. _� Bath Exhaust(must have duct outside) �C cfin
❑ 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:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes, this section applies
The replacemeilt of a Residential fixture or appliance fllat meets all three of the following requirements:
1. Does not require modification to elechical or gas service.
2. Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed 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 $
PERMIT FEE CALCULATION(S}-70BS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
��;/UT — x.oi2s$
(contract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLIIvG(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
pemlitted 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 inarket value of such items must be added to the
estimated cost or contract price for pernut fee puiposes. 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 Departnient at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 Ciry and the regulations of the State of
Minnesota, and certifies that all � � ents made on this application are complete, true and
correct. �
;J��.,r
Applicant's Sib ature: Date: ��/ ��
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� � � ATf� TIME ✓
CITY OF ORONO c,a"��Eo iN -/�
INSPECTION T SCHEDULED � �
PERMIT N0. �� 1 COMPLETED
ADDRESS 7
OWNER CONTR.
TELEPHONE NO.�� _���T��
� DESCRIPTION �C.(..�'�- �T — �/�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED �:� ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. L, pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. `' �'
White Copyllnspector's File Canary CopylSite Notice
� � � p DnAT�Ey TIME �
CITY OF ORONO CALLED IN 7�O�7`�
INSPECTION NOTICE SCHEDULED 9-�� r�S� / ��/ �fi1
PERMIT N0. �C.>�'fU IC( COMPLETED
ADDRESS �o�� J CC.�(- /Y��r T_�
OWNER CONTR.���Ri�Zr?.l�
TELEPHONE NO. � I a' ��� � �'o� LO
� DESCRIPTION ��'�S �-���z � ( � f ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED [-, PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
C INSPECTION REQUtRED.CALI TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (J52� 249-4600
Owner/Con te:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
D E TIME ✓
CITY OF ORONO CALLED IN /�
INSPECTION TI E SCHEDULED .�c�
PERMIT NO. COMPLETED
ADDRESS c3a 7S C �i
OWNER CONTR. 1�01''1 ZQ� /�'t�.L•.�
TELEPHONE N0. ��� �6� ���
� DESCRIPTION ��n� ' Vl��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
OwnerlContra � te:
Inspector. ���""
White Copylinspector's File Canary CopylSite Notice