HomeMy WebLinkAbout2000-P03178 - mechanical • � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3i�s
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(612) 249-4600 Date Issued: toi26i2o
SITE ADDRESS: 4755 Bayside Rd
MAPLE PLAIN,MN 55359
PID: ob-ii�-23-22-oo2t
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits Air Conditioning
Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAIIMARY: PermitFee: $ 100.00 Valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
i u i ai,i+r;�;: � 104.00
APPLICANT: �CCAR OWNER: RUDY WILDLANDER
2387 COMMERCIAL BLVD NW 4755 BAYSIDE RD
ANDOVER,MN 55304 MAPLE PLAIN MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC�IED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,D NG ODE REQUIREMENTS.
� �
p I , SSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
y
CITY OF ORONO APPLICATION FOR MECHANICAL PERMTI'
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pemut wiil 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 Designs - 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 provided.
4. VJhen any new construction or remorieiing 1S invoived, a �c�Fuat:, uiiliuiii� F;Cai„ii aiiu3t tJ0 v�:�;IlOG�.
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�600. 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 Commerc'
JOB SITE:� �' Zip:
Owner's Name: l�1 C " Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Tele hone Number: =���;�
Mailing Address• � , `— �sl �..i.KLt tY� �iP�
� l V(� I�vJ
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: �
Model:
Fuel: -�
Flue Size: 'r
Input BTUs: � �,�� ��L>(�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: ,►rY1
Model:
Tons: ,�j ' �
H. Power
w
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.
VENTILATION
No. �_ Kitchen E�aust � ducted recirculating cfm
No. � Bath Exhaust (must be ducted outside) cfm
No. _� Other Fans: Locations U,�v1'1u'�Q,t,,�' �-Cn2 � ,
� - '�J S��-C�-� .�>��"-� �-
FUEL 3 (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
�_ Other ����--�d��(,i��,(� �� � Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
��o�. c�c� X .oi2s $ 1 ��- O C�
(contract price)
2. State Surcharge. ** Add the State Building Code Division ��,,
Surcharge to each permit. ��`�i�O� x .0005 $ �- � �
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) $ ( ���, - �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
cust�mer f�r tt:e�=�erk de.^.�. If ar:; ma:erial, eq�aigmer.t, lz�^r, or installaTion�e fi�rnished 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 pemut 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 Ciry and the regulations of the Minnesota
State Building Code, and cer ' a tatements made on this application are complete, true
and correct. �' �
�_ �
Applicant's Si� re: f _ - -- _�'ate: ��'��� U �
\
Approved By: Date:
DAT TIME
CITY OF ORONO CALLED IN �b �_� �`�a"'
INSPECTION �T�E-7{� SCHEDULED _���� a�
PERMIT NO. � l j v ,COMPLETED l�'���� Z' '�
ADDRESS ��SS
OWNER CONTR. 12�CCQ,�
TELEPHONE NO.
� DESCRIPTION
L� 01 FOOTING 1 ME HANICA 18 EXCAV/GRADING/R�LING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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/REMOV
� OWNERICONTRAC O TO MEET YOU:_YES_NO
� COMMENTS�� � - �'S �
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W��WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
W' ❑ CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector. ����z ��/-S
White Copyllnspector's File Canary CopylSite Notice
�
DATE �7 TIME
CITY OF ORONO CALLED IN � ����G� d� t G� �'�'�
INSPECTION N TICE SCHEDULED S�- %-�y'v/ �.�1
PERMIT NO. " COMPLETED " �
ADDRESS �C �- � ; ^
OWNER CONTR. i`�' -t �� `J
TELEPHONE NO. 7L�'� 7S y 7 G CI(?
� DESCRIPTION �/ �� �"7 "E'.d%� (`��G����, T�S ��
�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 M HANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 5 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W •
�
Q
�
Z
W
�
W
�
�
d ,�VORKSATISFACTORY:PROCEED ;' PROJECTCOMPLETE
��/
[7 CORRECT WORK&PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN �
i CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac o si
Inspector. �
White Copyllnspector's File Canary CopylSite Notice