HomeMy WebLinkAbout2000-P03114 - mechanical '� PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3i la
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: io�i2i2o
SITE ADDRESS: 4755 Bayside Rd
MAPLE PLAIN,MN 55359
P ID: 06-117-23-22-0021
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: FIRESIDE CORNER OWNER: RUDY WILDLANDER
2700 N FARVIEW LANE 4755 BAYSIDE RD
ROSEVILLE,MN 55113 MAPLE PLAIN MN 55359
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 BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE 1 NATURE SLTED BY SIGNATi1RE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERIVIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GEi�IERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within 2 working days.
2. Permit cards will be sent by retum 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 Desisns - 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. When any new construction or remodeling is involved, a separate building permit must be obtained.
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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: � New Addition Repair Replace
,� Residential Commercial
JOB SITE: �/ i �-S s� '��, `,� � 'i Zip:
Owner's Name: ', J _ i Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: At�ed F�est� TelephoneNumber:
MailingAddress: •��si�� City: Zip:
2700 N.Fairview Aw.
SYSTEM DESCRIP'TION�$�N,MN 5511�
651/633-2561
HEATING SYSTEMS
Quantity: �.,1� ��r �� %�
Make: ,-�� �,�° _
Model:
Fuel: C�--��
Flue Size:
Input BTUs:
Output BTUs: -� �:-
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
WOOD BUR�'vING 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.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PE�LiV1I'T FEE CALCULATI�I'+1
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
x 1.25 $ ';:` .
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(contract price)
2. State Surchar�e. ** Add the State Building Code D��vis�ir�r���� �
Surcharge to each permit. _�<_.s�-----��-;—��"Mx 0005`' $ - �'s
(contract pricb), '
3. PostaQe and Handlin� (Only mail-in applica�ians) . ~ � $ �
4. TOTAL PERMIT FEE (Add lines 1-3 above) �� ,, ,, ,, $ ;'� ;�
* 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 fumished by the owner,
tenant or any other party the reasonable mazket 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 Mi.nnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant'sSignature: �" � ��.i�t_ Date: i�, u ���
Approved By: Date:
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CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �-�`��n^
PERMIT N0. �'� ��/� COMPLETED Z�� Ih
ADDRESS ���-� /�� �1� 1��" ,���
OWNER ��P�� ��� CON�._l��%_Y—/�f'1G�
TELEPHONE N0. l/�� � ��' G���' /
� DESCRIPTION � 1�� r�'�'�c L
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l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS 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
= 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��-WORKSATISFACTORY: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 RETURN
C�STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
L; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on ite•
Inspector.
White opylinspector's File Canary CopylSite Notice