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HomeMy WebLinkAbout2008-P11963 - mechanical � ��° PERMIT �ITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P11963 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 4/4/2008 SITE ADDRESS: 4760 Bayside Rd Unit# Maple Plain,MN 55359 PID: 31-118-23-33-0012 DESCRIPTION: Proposcd Use: Residential Permit Class: General Permit Type: Mechanical Permits Pem,it Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Petmit Fee: $ 50.00 valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 52.00 APPLICANT: Countryside Heating&Cooling OWNER: Greg Barnum 6511 Hwy 12 4760 Bayside Rd Maple Plain, MN 55359 Maple Plain, NfN 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. , / -a , �� �?� �� ,� ,���;�-�� �_,t_c< �� APPLICANT PGRMITEE SIGNATURE ISSUED BY S[GNA7'URE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � �. ---------_-- _ __________ . roii crrv usr,orrLv � ' � City of Orono 4'��O P.O.Bux G6 Date I2ecc.ived. }ermit# i ' __-- — � �'r 2750 Kellcy Park�vay f �t, A roved Ci Anrount.Y�. - � 11��hr�'- � Crvstal BaY.MN 55323 PP Y --.. --._ __ _ ' �' ���ii"e�� (952)249-4600 ---- -- ----_ _.. _ ��;,�o CITY OF ORONO —MECHANICAL PERM�I'I' (All Commercial pennits must be approved by the Building Oi�ticial or hispecror and/nr Pire Marshall) _._ ---- __ -- __ _, GENERAL INFORMATION .____ .-. _-_� 1. You may apply for mechanical pernuCs by mail or in person at the City of�iices. Applic�ili��iis �vill be reviewed and a pernut will be issued within two working days. 2. Permit cai•ds will be sent by reriirn mail after a review is coinpleted. 1'ERMI'1'S ARI;Nt o i VALID UNTIL YOU RECEIVE A PERMIT. W�RIC MUST N01' T3E;GI.N UN'CIl'._�'.111!; PEI21�'IIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specificatioi�s are required ti,r�::��cl� heating,ventilation,humidification-dehunuditication, and air conditioning installation aric�ludin�.; heat loss/heat gain ealculation, design temperahires,equipmeut ratings and idcariifict��tio�7 ��4 to type,manufachuer and model. Data shall be presented on form provided. 4. When any new consh�uction or remodeling is i�ivolved, a separate buildin�;pern�it riiu:;i `�� obtained. 5. All woi•k must be done in accordance with tlie Uniform Mechanical Co�1c/State �3uildira;r,�'�xte requirements. 6. All work must be inspected(rotigh-in and final). Gall(952)249-4fi00. (24-48 hour notice required) 7. I-Ioiise Heating Test Record must be subnutted bel-ore final. ------ -----.__. _ _ _ __ � TYPE OF PEIZMIT � C (Check All That APPIY)-------.---__._ _ .____--- _. _l SG� �e� � �ia,f Cornc�� �Residential ❑ Commercial(Approval Required) � l4s f�f��`e L ❑ New ❑Additioiial ❑ Kepairs ❑ ��Ep�<«=Q1 Job Site/ Owner Information: . SiteAddress: ���6U �`��S�Jc �o�c� ____.---------.___________----- , � � J Owner: G�-e.� ��-r n��� Mailing Acldress: ___---..__ ._ City: Of U�'v Zip: �����t Home Phone: '�i�f' `/7�- 7 9 YoZ Altei7�ate Phnne: --_______--.__. _.__ ___ Contractor Inforn�ation: �' /•t c � � C011taCt PeCsotl: �a r r y l ►��'l��� Contractor: .oN� �s•� I�I�G - �,��^ _ _ _ __.. _ . Address: l��� ���''� �� State Bond #: __ Cit !�►�r�c P�`''' ^ Zip: St�r`� Expiration Datc: ___ _ ____. . �C S-�/1 q ��� �0 Altei7�ate P11one: Phone: 7 _ _ ____ _ _. _.._ . ❑ Insurance— Ctn�rent: __. __._ _ _ 1. . ' ► ' � MECHANICAL SYSTEMS BE1NG 1NSTALLED HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: l-� f-�r Model No.: G'c r o�.�� ya VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ [nstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . , � � . - , • — ---- - , ,, PERMIT FEE CALCULATION(S) y, 'I �. . ; " ' '; .: BASED OFF - 2002 STATE STATUE _-- '------ _------__� � Yes,this section applies The replacement of a Residential fixture or appliance that meets all ttu�ee of tl�e tallowing requirrn�er7ts: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excltiding the cost of tlie tixture or appliance: ai�c', 3. Is improved, installed or replaced by the homeowner or licensed contracl:o��. Skip next section, if this applies; Cost of Pernut �-.---�'�t��� ' `�O StateSurcharge `� _..--- Mail-L7 Fee�(If Applicable 1 '� -__ _ �-:?`) Total Permit I+ee S_... . __ — ---._ —__.' `�� � PERMIT FEE CALCULATION(S) --JOBS OVER$500 00___,_ __, If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(A�linimum N ec of$35.0� � � y�� � X.ot2s �__---5---- __ .__.___ (contract price) (minimurn 9;�'�UD) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surchar�e(�7iuim��1�j�f�.50) /�c� �. % x .0005 $ _._.._.---___. _ __._ _.__. (contraCtprice) (minin'uin'i9; ',ll) 3. POSTAGE&kiANDLiNG(Only on Mail-In Applications) `�___..._.._.._..__� `�!� �� i 4. TOTAL PERMI'T FEE(Add Lines 1-3 Above) $__..____._____._ __ ____..._____ ■ * CONTRACI' PRICE or JOB COST means the actual or estimated dullar amotmt char�;ed 1or the. permitted work including matenals, labor,profit, and other fixed cc�sts. If is tlie arnounf tc> be char};c+l to the customer for the work done. If any material, equipment, labor or iustallations arc fi�rnished l�y the owner, tenant or any other party, the reasonable market value of such items nn�st hc �+isie<1 to lhc estimated cost or conhact price for permit fee puiposes. Iii tlie event thal thcre is a disuute c>n ilie an�oiuit of the job cos,, the C:ty may request tl�e submissior. of a si�;ned cc���� e'!��?1N :`'t"_i! "`-"�!!�°.i`-•r ■ ** The STATE SURCHARGE is .0005 of the Building Departtncnt at(952)249-4600 kbr tr�c�pricc. ------ _ _..-- -- _._ � MECHANICAL PERMIT APPLICATION AGREENIENT___ _ _ � The undersigned hereby applies to the City for issuance o'f a Mechanical Permit, a�rc�•s lo do all �vork ii1 strict accordance with the ordinances of the City and tl�� �re�;ulations of� lk�,� St�ate ot� Minnesota, and certifies that all stateme�lts made on this application arc cornplc�i�, irue and correct. Applicant's Signature: j�`;t�' �/� JG�- 3 . � PERMIT APPLICATION c�esidential ❑ Commercial Customer: �fQ� � I(1�a r c� � �rv��,,,,,., � —, C o m m e rc i a l C o m p a n y: �,2u+�.��•�..-�-- C�i.2�i���i J�^ Physical Address: �7�c� I�C�Sc �- � City of Residence: �to� z�p: ���S`� Phone��o�rfe# ��� �����Z- Cell# Work# Pager# Job# r'�/T ���S/ ❑ New ❑ Repair ❑ Interior Finish �Addition ❑ Remodel/alter Equipment (Model, Size, Qty) � C�`:.� ,�� �/ z Work to be done: � V�'� 4 Permit Applied for by: Total Job $ Amount: Y�v Date: �� aJ"" DAT TIME �/ CITY OF ORONO CALLED IN — INSPECTION NO C SCHEDULED ' 'D o?.'� PERMIT NO. �� COMPLETED ADDRESS �7�D � -P � , OWNER CONTR. C..� TELEPHONE NO. � DESCRIPTION ��� �e� �� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � d W� �WORK SATISFACTORY:PROCEED PROJECT COMPLETE� W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �.{ / Lh � � �� � White Copyllnspector's File Canary CopylSite Notice