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Home My WebLink About2001-P04384 - air conditioning CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po43g4 Crystal Eay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 9i21�2o01 SITE ADDRESS: 2345 Blaine Avenue(Well No. 3 Pumphous Wayzata,MN 55391 PID: 17-117-23-34-0011 DESCRIPTION: Proposed Use: Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 110.50 Valuation: $ 8,840.00 State Surcharge Fee: $ 4.42 Misc. Fee: $ 1.50 TOTAL FEE: $ l 16.42 APPLICANT; Gilbert Mechanical Contractors Inc. QWNER: Village of Orono(Well No. 3 Pumphouse) 4451 West 76th Street P.O. Box 66 Edina, MN 55435 Crystal Bay,MN 55323 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ) ��/� � f ��t � ��- � �_ L%�. `' � G� <��'�'� APPLICANT PERMITEE SIGNATURE ISSUEDBYSIGNATURE Copies: 1-File(Signitures Reauired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1 Page 1 of 3 . CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT ,�� BOX 66(2750 KELLEY PARKWAY),CRYSTAL BAY,MN 55323 ;,: � I �GO� GENERAL INFORMATION � , t%r :.:,;4s::��y: 1. You may apply for mechanical permits by mail or in person at the City of�ces. 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_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 identifica�ion as to type, manufacturer and model. Data shall be presented�n 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 (952) 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 (952) 249-4600. Please ck one: New Addition Repair�Replace Residential Commercial JOB SITE:�� L.� "b� �"�t.'-�_ Zip: j , Owner's Name: �� l�,rn L�! ��CQ.f�� Telephone Number: .^ Mailing Address;�� Q�,�� U�„ City: �_��;�� Zip: '/ n , Contractor's Name:�-L-��- �C ��C� , Telephone Number:`"I�2 ��3S —3�"�(� � _�� Mailing Address:��`�� ' 7�{��_�, City: �Et.f.2 p: J ,j� _ ti.Q_ Zi J SYSTEM DESCRIPTION HEATING SYSTEM5 Quantiry: � Make: Model: Fuel: Flue Size: Input BTUs: http://www.ci.orono.mn.ushnechanical%20pennit.html 9/19/2001 Page 2 of 3 , Output BTUs: CFM: COOLING SYSTEMS w/�� `w hr/�r �L' �c v�-��....,,zf„ Quantity: Z Make: G/-�/2izri-2 Mode1: 5U/�,1 vU� Tons: S TUN H. Power FIREPLACES N�J/�/� Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION NUN'� No. Kitchen E�aust ducted recirculating cfm No. 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 Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract P_rice* or Minimum_Fee 35.00 http://www.ci.orono.mn.ushnechanical%20permit.html 9/19/2001 Page 3 of 3 , � (� �,�, • (Contract Price) O �� '— x .0125 $ ��'�� 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. (Contract Price) �v��U � x .0005 $ �`� Z or$.SO 3. Postage and Handling (Only mail-in applications) $ 1.50 / 'v � Z 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, pro�t, 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 permit 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 Building Code, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: � � �-�j�--- Date: 9 / �/ !d �'�! L rrtr� Approved By: Date: http://www.ci.arono.mn.us/mechanical%20permit.html 9/19/2001 �'/_�TE TIME CITY OF ORONO CALLED IN � INSPECTIO�OT CE ' SCHEDULED � I ' '� PERMIT N0. -3 � COMPLET D , v ADDRESS Z3`+5 � �' OWNER CONTR ��5�� -Q� TELEPHONE NO. � �— /Q _ S , �L�!�ee5(o� L � ` c�z.e •fv �C � DESCRIPTION '� `� � � t� � 07 FOOTING 11 M,_HANICAL RI 18 EXCAV/GRADING/fI�LING 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 Z OWNER/CONTRACTOH TO MEET YOU:_YES✓NO � COMMENTS: � W a � o �- �/�'�� c'� ll .-��.��,�,�.� 0 � 0 � W � Q � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PflOCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � [�GORRECT WORK,CALL FOR AEINSPECTION TEMPORARY V ��F�EFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �"�JSPECTION REQUIRED.CALLTO ARRANGE ACCESS. ( .� Cail for the next inspection 24 hours in advance. �952� 249-46QQ Own�erlContra on site: Inspector. --�" White Copyllnspector's Ffle Canary CopylSite Notfce � DATE TIME CITY OF ORONO CALLED IN INSPECTIONNOTIC /�� SCHEDULED ��i ✓ :30F'.�J PERMITNO. ��7,J� COMPLETED �� ADDRESS ,��5 Gci� �'�"v� OWNER CONTR.�'�r��-Cd'� �� . TELEPHONE NO. � �a �O ,—�� DESCRIPTION /I V. � �� i—i �L� � 01 FOOTING � 11 MECHANICAL RI 18 EXCA�//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 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 FINA 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W o. � � O � � O � W � Q � 2 W � W � � d W� �-N(ORKSATISFACTORY:PROCEED �pROJECTCOMPLEfE W j❑CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY 0� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL FiETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlCo �tor on site: Inspector � � S White Copyllnspector's File Canary CopylSite Notice