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HomeMy WebLinkAbout2001-P04126 (mechanical) C� � �Y OF ORONO PERMIT "�',"'�0 Kelley Parkway - PO Box 66 Permit Number: Po4126 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 'i26�2o01 SITE ADDRESS: 4645 Bayside Rd Maple Plain,MN 55359 P 1 D: 06-117-23-22-0009 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: Permit Fee: $ 143.75 Valuation: $ 11,500.00 State Surcharge Fee: $ 5.75 Misc. Fee: $ 1.50 Mail In TOTAL FEE: $ 151.00 APPLICANT: Sabre Heating &Air Conditioning Inc. OWNER: Eric&Elizabeth Sims 14505 21 st Avenue 4645 Bayside Rd Suite 230 Maple Plain,MN 55359 Plymouth,MN 55447 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 BU[LDING CODE REQUIREMENTS. �C� ..�/'l j�t ` �� /� /�Z2�-- y`-e � APPLICANT PGRMITEE SIGNATURE ISSUEDBYSIGNATURE Copies: 1-File(Sienitures Repuired). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 ' CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box ti6 (2750 Kelley Parkway) -C;rystal Bay, MN 55323 GENERAL INFOR1�iATION 1. 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 2 working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. , 3. Mechanical Desi.�ns - Complete calculations, details and specifications are required for each heating, ventilation, humidification-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. Identification of and specifications for water heating equipment shall also be vrovided. �. ��'iCll 2Ry it�W �OliSirLLCtIGI'i Oi I'ZTIlOCiciiII� IS 1riVOiVc'd, a Sc�7�uai2 Ut1I�Ciiil� �'iC�:iili .TiuSi �Z Gl7idilleC`i. 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 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: � New Addition Repair Replace �( Residential Commercial ' JOB SITE: yG:�/ ,��2C�.t�s Zip: Owner's Name: � 2 �i�� Telephone Number: =�Ya�;%y�7.:� �� �7;Z Mailing Address: /�'" /' (� vz,,.��1 y7� 2�(�z. � City: � � j���r Zip: �g�..,��i -` . � Contractor's Name: �' �a� � TeYephone Number: "��3 �{7,3�,�G�7 Mailing Address: ( ' - -,r�.� �. �,� : -, ; City: �j �-,�:-`r L���L�� Zip:,5`Sy`/�7 ., SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � l�dKe: ��,���L(�C"'-) _ Model: ,,� �p� Fuel: �- Flue Size: 3" Input BTUs: 11'%� `�ccC' Output BTUs: �L��%.OL?�� � CFM: COOLING SYSTEMS Quantity: 1' Make: ��a;Z������ ModeL• L �_ Tons: --�� s H. Power j�� ,�i� �. � WOOD BURNING EQUIPMENT Wood stove with flue � Wood combination or add-on � Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other � Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. � , �� VENTII..ATION - No. Kitchen Exhaust ducted recirculating cfm No. �_ Bath Exhaust (must be ducted outside) cfm s No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening ; PERMIT FEE CALCULATION � 1. 1.25% of Contract Price* or Minimum Fee ($35.00) I �� h�,� x .0125 $_ /`�� 7`� e (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. `� , ���� x .0005 $ �� �5 or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 � 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ f �1. C�`- ` . * 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 installation 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 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 SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. 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 Minnesota State Buildin� Code, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: >� " C� Date: ���"C` Approved By: Date: ��� � � DATE TIME CITY OF ORONO CALLED IN INSPECTION N � SCHEDULED �s-r�1 ��u u �'�I PERMIT NO. ���� COMPLETED l A ADDRESS y�� � � ��/c�10� OWNER CONTR. Cn��X�— TELEPHONE NO.�r:i I� –��� �y�—`�� /� , ., ' � DESCRIPTION ! "� � �� � 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � O W� �NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W�❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL FEfURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next in e �on 24 hours in advance. (952� 249-4600 Own�dContra n e: Inspecto . �t----- White Copyllnspector's File Canary Copy/SHe Notice DATE TIME CITY OF ORONO � CALLED IN INSPECTION NOT E % SCHEDULED � ' �d PERMIT NO. � COMPLETED � � � ADDRESS �CB�I � �Cc.y S. �'�— OWNER CONTR. �-=�"� �z� . TELEPHONE NO. � G� j �{� � ��� 7 � DESCRIPTION l�� ���-�i � � 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 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO W �O NTS: � � � f� � S S � o � � 0 � W � Q � z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � RRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOfV REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnedContra tor on site: Inspector. � , White CopyllnspectoPs File Canary Copy/Site Notice