HomeMy WebLinkAbout2006-P10466 - mech PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Num er: p10466
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 10/18/2006
SITE ADDRESS: 4455 Bayside Rd Unit#
Maple Plain,MN 55359 ��
P��� 06-117-23-21-0002
DESCRIPTION:
Proposed Use: Residential �
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Petmit Fee: $ 112.50 Va►uation: $ 9,000.00
State Surcharge Fee: $ 4.50 �
Misc.Fee: $ 1.50
TOTAL FEE: $ 118.50 I
APPLICANT: Woodland Stoves&Fireplaces OWNER Georgette&Aaron Uban
2901 E. Franklin Ave. 4455 Bayside Rd
Minneapolis,MN 55403 Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE RE L IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CIT OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: ]-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing, IfSeptic, 1-Septic) Page 1
��;�:mCEIVED
� �"� 1 1 2006 � r�,ox�c���v usF o�L��
. ,�p�, City of Orono .
� � P.O Box 66 Date Recen;ed Permit# _ __
2750 Kelley Park�vay-.�� *-�4� ��C1��
a y '• � Crystal Qay,MN 5�3�� � �``� Approved F3y: Amount�
� o` (952)249-4600 — _—_.._
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CITY OF ORONO—MECH NICAL PERMIT
(All Commercial permits must be approved by the Building fticial or Inspec[or and/or Fire Marshall)
GEN�ERAL IN�'QRMATION � ' �� � �
L You may apply for mechanical permits by mail or i person at the City offices. Applications will
be reviewed and a pernlit will be issued within two orking days.
2. Permit cards will be sent by return mail after a revie is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WO MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SIT .
3. Mechanical Desiens—Complcte calculations,detail and specifications are required for each
hezt:ng,��nti.utie,,n�;:r.idificaYion-dehumidifcatics,sr.d air condi�iening ins:altat;oti ir�cluding
heat loss/heat gain calculation,design temperatures, quipment ratings and identification as to
type, manufacturer and modeL Data shall be p�esen d on form provided.
4. When any new construction or remodeling is i volv d,a separate building permit must be
obtained.
5. All work must be done in accordance with the Unifo m Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final�. Ca I(952)249-4600.
(24-48 hour notice required) �
7. House Heating Test Record must be submitted befor final.
TYPE OF PER 1T
(Check All Thaf ply) �
� Residential ❑Commercial(Approval Required
❑New ❑ Additional [�Re airs ❑ Replace
,iob Site L Owner I�nformation: �
Site Address: 445s eayside tta
OWIIeC: Georgette&Aaron Uba❑ Malllri AdC{I'eSS: 4455 Bayside Rd
Clty: Map1e Plain Z� : 55359
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Home Phone: (9s2�249-933� Alltern te Phone: (61z�s99-2s4�
Contractor Information:
COI]tP1Ct01': WOodla��d Stoves&Fireplaa Cindy
Contac Person:
2901 E Frauklin Ave 2558
Address: State B nd #:
Minneapolis 55406 10/20/06
City: Zip: Expirat on Date:
P�10110: (612)338-G606
Alterna e Phone:
� OS/26/07
Ins�uran e—Current:
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HEATING SYSTEMS
Quantity:
Make: ,
Model:
Fuel:
Flue Size:
Input BTUs:
Uutput BTUs:
CFM:
COOL[NG SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FiREPLACES
�✓ Gas Factory Fireplace -- ��csS[,e•7-�
� Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Scan / Kozy Heat DSAS(70540911001) / 911N
+��_� Model No.:
VEN"i'[LAT�ON �� �y GC�t� (c,,�t�`>
❑ No. Kitchen Exhaust� uct recirculating cfm
❑ No. Bath Exhaust(must hav duc outside) cfm
❑ No. Other Fans: Locations ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MAR HALL)
❑ lnstallation ❑ Removal
Fuel Oil: gallons I Underground ❑Inside ❑ Outside
LP Gas: gallons ',
Other: '
GAS LINE ONLY
❑ Outdoor Grili ❑ Other/List What Where:
2
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❑ Yes,this section appiies
The replacement of a Residential fixture or appliance tl�at m ets all three of the following requirements:
1. Does not require modification to electric�l ar g s service.
2. Has a total cost of$500.00 or less;exclu in=t e cost of the fixture or appliance: and
3. Is improved, installed or replaced by the ome wner or licensed contractor.
Skip next section, if this applies; Cost o Perinit $ 15.00
State urcharge $ .50
Mail-[ Fee(If Applicable) $ 1.50
Total ermit Fee $
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G� ;���� ��.� ��� }���,� t ���?. � :ss �vcx $so,.,���- ,� �„
If above does not apply; fol(ow guidelines below:
I. CONTRACT PRICE * is ].25%of contract rice with a(Minimum Fee of$35.00)
9,000.00 I t 2.50
x.0125 $
(contcact pri e) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bld Code Div. Surcharge(Minimum Fee of�.50)
�,000.00 x .0005 g aso
(contract pri e) (minimwn$ .50)
3. POSTAGE&HANDLING (On(y on Mail-In Ap lications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 118.50
• * CONTRACT PRICE or JOB COST means the actu or estimated dollar amount charged for the
permitted work including materials, labor, profit, and ot er fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equ pment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable ma ket value of such items must be added to the
estimated cost or contract price for permit fee purpose . In the event that there is a dispute on the
amount of the job cost, the City may request the submi sion of a siened copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the Building epartment at(952)249-4600 for the price.
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The undersigned hereby applies to the City for issuanc of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the ity and the regulations of the State of
Minnesota, and certifies that all statements mad on this application are complete, true and
correct.
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Applicant's Signature: ��/6�� '� '�' Date: �� U (}�v
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�Reset Form ��
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,�DA�F� TIME
CITY OF ORONO CALLED IN _� �
INSPECTION NOTI E scHE�u�E� �
PERMIT NO. D COMPLETED
ADDRESS �� S �
OWNER GL�� ���-CONTR. l.(/ L�- "1���1
TELEPHONE NO. �� �� 5�7 S
� DESCRIPTION t�' � � � ��1
l� 01 FOOTING 11 MECHANICAL RI 18 E CAV/ RADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESH RE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 T�EE R OVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SI E IN ECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PF1jOGR S
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 C�yIMP NT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLO UP
= 09 PLUMBING RI 23 SEPTIC FINA� 35 H RD C VER REMOVAL
J 10 PLUMBING FINAL 36 F�UND ION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT CO PL
W ❑CORRECT WORK&PROCEED '- ISSUE CERTIF CATE F OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEI�APOR RY
V BEFORECOVERING PERMAN NT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKE
INSPECTOR WILL RETURN ❑ CITATION ISS�ED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. �952� 49-4600
OwnerlContr site:
Ins ector. �
P
White Copyllnspector's ile Canary CopylSite Not e