HomeMy WebLinkAbout2001-P04464 - mechanical f PERMIT
CITY' CF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04464
Crystal Bay, Minnesota 55323 P@Ctlllt Type: Mechanical Permits
(952) 249-4600 Date Issued: loi9i2oot
SITE ADDRESS: 4245 Chippewa Lane
MaplePlain, MN 55359
P I D: 31-118-23-42-0001
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: $ 54438 Valuation: $ 43,550.00
State Surcharge Fee: $ 21.78
Misc.Fee: $ 1.50
TOTAL FEE: $ 567.66
APPLICANT: Sabre Heating &Air Conditioning Inc. OWNER: 7ohn Adams
14505 21 st Avenue 4245 Chippewa Ln
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 BUILDING CODE REQUIREMENTS.
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APPLI ANT PERMITEE SIGNATURE � ED BY SIGNATURE
Copies: 1-File(Signitures Reguired),]-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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CITY OF OR4N0 APPLICATION FOR MECHANICAL PERMIT
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 off'ices. Applications will be
reviewed and a permit wili 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 DesiQns - Comple[e calculations, details and speci6cations are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculauon, design temperatures, equipment ratings and identification as to type, manufacturer and mo�iel.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall aiso 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. AIl 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 permit fee. Sign and date the certification.
INCO:�IPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-735'7.
Please cheek one: � New Addition Repair Replace
Residential Commercial
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Owner's Name: e,'�f;-�'Z,,i G2cz°c� � � Telephone Number: t,�/� ;3i,; -f�C��
Mailing Address: '.�. CitY� C.hcu�ha�a Zip: 5�3l' 7
Contractor's Name: L � � Telephone Number:
Mailing Address• - -� � City: ��� Zip: �`�' L �� '-7
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: �'�.n'Zt�d�
Model: ��`�'�!�"�
Fuel:
Flue Size: � '��
Input BTUs: -��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: ��
Make: � �
Model: ' )(
Tons
H. Power �
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WOOD BURNING EOUIPMENT
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 Exhaust ducted recirculating cfm
No. _L Bath Exhaust (must be ducted outside) cfm
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 �as opening
PERMIT FEE CALCULATION
l. 1,25% of �Contract Price* or Minimum Fee ($35.04)
�3. �.�'�. �}c� X .olzs $ 5�� 3�
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(contract price)
2. State Sur�harge. ** Add the State Building Code Division -
Surcharge to each permit. x .0005 $ �/• ���
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in appiications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ h�� (o��
* CONTRACT PRICE ar 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
customer for tlte work done. If any material;equipment, labor, or installaiion are iurnished by tfie 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 purgases. 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 Building Cade, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: �'�
�.P.� � t vate: �C1�3_�/
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQTIC SCHEDULED '7�-q'-d 3 �,�,+�
PERMIT N0. ���-'�/ COMPLETED
ADDRESS__ ��S�� �' ^ �
OWNER T� .��'� CONTR. c�G�bv�
TELEPHONE NO. �S�-� �{7� ��� �/ � ���'"�
� DESCRIPTION ��di �C�.e� - ��-�-5 U�'e�
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 FIPIAL 35 HARD COVEFI REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFECONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nex inspection 2a hours in advance. (952) 249-4600
OwnerlContr on '
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF O ONO CALLED IN
INSPECTIO OTICE SCHEDULED
PERMIT N���� � COMPLETED -� �� �
ADDRESS J�
OWNER CONTR. '��''� ri�
TELEPHONE NO. . / �� —T � � �-�-��
� DESCRIPTION
� 01 FOOTING 1 MEGHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL F� 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 05 FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COM ENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site:
Inspector.�/���fi��C%�-�'1-S
White Copyflnspector's File Canary CopylSite Notfce