HomeMy WebLinkAbout2006-P09946 - mech � 1 PERMIT
CITY OF ORONO
Permit Numb r:
2750 Kelley Parkway- PO Box 66 P09946
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issu d:
6/5/2006
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 ermit Sub-type(s): Heating Systems
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
In floor piping I
FEE SUMMARY: Pernut Fee: $ 59.94 Valuation: $ 4,795.00
State Surcharge Fee: $ 2.40
TOTAL FEE: $ 62.34
APPLICANT: WestonkaMechanicalInc OWNER WofMinnetonka
6501 County Rd 15 4455 Bayside Rd
Mound,MN 55364 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 ALI�CIT OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATUR/F,��
,
Cop�es: 1-File(Srgnatures Required), 1-Applicant, 1-Monthly Reports, 1-Asse�sing,(If Septic, 1-Septic) Page 1
. I i y
� FOR CITY USE ONL
,¢0� City of Orono
P.O.Box 66 ate Received: Permit#
��;;;,,,,a � 2750 Kelley Parkway
''�l''�'' Cr sta]Ba ! roved B Amount$:
.� 1��...:u,�-,- � Y Y,MN 55323 PP Y�
� ^������.�c, (952)249-4600 �
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CITY OF ORONO —MECHANI AL PERMIT
(All Commercial permits must Ue approved by the Building Offic al or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in�er on at the City offices. Applications will
be reviewed and a permit will be issued within two wor 'ng days.
2. Pernut cards will be sent by retutn mail after a review is ompleted. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK UST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations, details an specifications are required for each
heating, ventilation,hunudification-dehunudification, a air conditioning installation including
heat loss/heat gain calculation, design temperatures, equ� ment ratings and identification as to
type,manufacturer and model. Data shall be presented foim provided.
4. When any new consh-uction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Unifoim echanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(9 2)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before fii 1.
TYPE OF PERMIT
(Check All That A 1 )
[��Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repair ❑Replace
Job Site/ Owner Information:
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Site Address: ���7 S� J�/ t �
Owner:� U�'li►I,���<�} Mailing ddress:
City: Zip:
Home Phone: Alternate hone:
Contractor Information:
Contractor: �-�'S��-� I<� Contact P rson: c� ��1
Address: � S �1 �'.v 1Cr� �� State Bon #: ���`� ��
City: Wl�� ��� zip: 5 S 3b�Expiratio Date: � a � � 1 - � �
Phone: C(S� �?°� y�l� °1 Alternate hone: �Z S Z - �l 7 Z - �/ g 6 �
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❑ Insurance Current: �—C �
1 �
I I
MECHANICAL SYSTEMS BE]NG INSTALLED �
HEATING SYSTEMS
Quantity: d� o �� l � � � n ���� �
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Qtiiantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(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:
�
PERMIT FEE CALCULA ION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture ar a��liance that n�ueets 11 tluee of the following requireinents:
1. Does not require modification to elech�ical or gas se vice.
2. Has a total cost of$500.00 or less; excluding the co t of the fixture or appliance: and
3. Is improved, installed or replaced by the homeown or licensed contractor.
Skip next section, if tlus applies; Cost of Per 't $ 15.00
State Surc rge $ .50
Mail-In Fe (If Applicable) $ 1.50
Total Per 't Fee $
PERMIT FEE CALCULATION(S)-J BS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 125%of conn�act price with a(Minimum Fee of$35.00)
79 %
x.oi2s $
(conu•act price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Co e Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only on Mail-In Applic tions) $ 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
pem�itted work including materials, labor,profit, and other xed costs. It is the amount to be charged
to tbe customer for the work done. If any material, equipm nt, 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 or contract price for pernut fee puiposes. I the event that there is a dispute on the
amount of the job cost, the City may request the submissio of a signed copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the Building Dep rtment at(952)249-4600 for the price.
MECHAI�TICAL PERMIT APPLICAT ON AGREEMENT
The undersigned hereby applies to the City for issuance o a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the Ci and the regulations of the State of
Minnesota, and certifies that all statements made on th� application are complete, true and
correct.
� ��� �� � �� 5 � �
Applicant s Signature�� `'� Date:
-,
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� � DA T
CITY OF ORONO ,a� ��E�iN '
INSPECTION I SCHEDULED � "'D
PERMIT NO. COMPLETED
ADDRESS
OWNER CONT . 8S �
TELEPHONE NO. � 5���a� -I
� DESCRIPTION �1.,l
� 01 FOOTING 11 MECHANICAL � 18 EXCAV/G�iADI /FILLING
Q 02 FRAMING `13 MECH7iTJTCAL-FTNAL 19 LAKESH�RE/W TLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REf�tOVA
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTI N
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRE$S
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAIr T
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-�1P
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COrER R MOVAL
J 10 PLUMBING FINAL 36 FOUNDAi�ION/R MOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLET
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE�F OC UPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORA Y
V BEFORE COVERING PERMANE�T
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L, pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t next inspection 24 hours in advance. �95Z� Q9- 6QQ
OwnerlContr r site:
Inspector.
White Copyllnspector's F e Canary CopylSite Noticle