HomeMy WebLinkAbout2007-P11654 - mechanical PERMIT
CITY�OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11654
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 11/2/2007
SITE ADDRESS: 4680 Creekwood Tr Unit#
Maple Plain,MN 55359
PID: 30-118-23-33-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approvcd per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 106.25 valuation: $ 8,500.00
State Surcharge Fee: $ 4.25
TOTAL FEE: $ 110.50
APPLICANT: Heating&Cooling Two Inc. OWNER: Dale&Jonmari Olsen
18550 County Road 81 4680 Creekwood Tr
Maple Grove, MN 55369 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.
�
APPLIC NT PERMI E SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(Signatures Regaiired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
`
.
¢Q� City of Orono , FOR CITY USE ONLY
P.O.Box 66 Date Recerved . '
� ��,�ti„ � 2750 Kelley Parkway , `�PeRrnt#
'�, � �1`'�?� Crystal Bay,MN 55323 �' ;� �
�, ��• � Approved By �'Amourif;$
�� ��y,� (952)249-4600
asao8
s
CITY OF ORONO-MECHANICAI, pE�T
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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 will be issued within two working days.
2. Pernut 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 Desi�*ns—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calculation, design temperatures,equipment rarings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4• When any new construction or remodeling is involved,a separate building pemut 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
. : TYPE OF PERMTT '
(Check All That A ly)
�Residential ❑ Commercial(Approval Required)
❑New ❑Additional ,t,(
� ❑ Repairs ��Replace"
Job Site/ Owner Information:
Site Address: � k�Q -�
�' ��
Owner:_ ��,��(� Mailing Address:
City:
Zip:
Home Phone: Alternate Phone:
Gontractor Information:
Contractc��AT�����N� Contact Person:
18550 Counry Rd. 81
Address: Maple Grove, MN 55369-9231 State Bond#:
8-3677
City: �.��atcool2.coLm
lp� Expiration Date:
Phone: Alternate Phone:
❑ Insurance-Current:
1
' i �����'�.�-�'.���'�����Iv1ECHANICAU S-YSTENIS$E]NG TNS��I,�EII�� ,�� �,��-�:
'_ ..n � N'�.5��.
Y . . . . . . . � . � . � . , . - .. - � �
;HEATING SYSTEMS : _
: �
� Quantity: (
Make: -�-
` Model: ': �Q
Fuel:� �,
Flue Size
Input BTUs. ��
�
Output BTUs: - � : ?
CFM: � '
COOLING SYSTEMS
Quantity:. J :
Make: :�� -�-,
. ,
_. , ..
Model: -
. Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace -
�] Wood Burning Fireplace
; ". ❑ Wood Stove . , ' ` ,. • ;. . .
❑ Wood Stove With Flue
_ Brand Name: Model No.: " . - .�
VENTILATION :
❑ Na Kitchen Exhaust duct recirculating c�
❑ No. Bath Exhaust(must have duct outside) cfm �
❑ No. Other Fans: Locations ��
FUEL STORA,GE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation � : Removal
FuelOiL• gallons .
� LP Gas: ❑ Underground ❑Inside ❑ Outside.
gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Odier/List What&Where:
2 �
.
.
, ���-���`�������"��'��'�' ���PERIvII'I�FEE_C.AI;CtTL�'A�TION�S) � ;� , < ; _{ �.
y�i:�s Y. � � i: .� :- n ,�� -, t i c �. q -El >i� � .
; r=� _ BASED;'OFF �24Q2;�'I`ATES`�ATLT���;�� ���a��`������'�+.�����..��
. . _ ' t _6«' o;."w„�'�-SY.�i�:�.>',5,.a fY�:4�.�'S'":s� .
_ ❑ .Yes,this section applies . �
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
' 1. Does not requue modificarion to electrical or gas service. ` �
2. Has a total cost of$�00.00 or less;excludin�the cost of the fixture or appliance: and
;r � ;3... Is improved,installed or replaced by the homeowner or licensed contractor. "
� � . Skip next section,if this applies; Cost of Pernut $ 15.00�
�
~ _ State Surcharge $.- .50
_ Mail-In Fee(If Applicable)� ' $. ' 1.50 .'
` Total Permit Fee $
,��� �`�'�'�, ���PEI?NII'�';.FEE.�.�LCT�I;A`�IOI�� "`'�� t �:
( ).:�TO�S�;O�ER��500`00�.�;��.�'��;��;,�.
If above does not apply;follow guidelines below:
� ; ' L CONTRACT PRICE *is 1.25%of contract price with.a (Minimum Fee of$35.00) ` . �,
� �
' �.- , G ' ` .
: �
_ (�.�� .._ x.0125$ : ,. . ,
(concract price) (minimum$35.00) : ''�
2. STATE SURCHA,RGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) '
_ x.0005 $
(contract price) (minimum S .50)
: -- 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $ �
• � * CONTRAC'T 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 installations are fumished 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 puiposes. 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 con�act:
• : **The STATE SURCHARGE is.0005 of the Building Deparnnent at(952)249-4600 for the price.
�� � �'�i` � ;:.�{MECHANICA�PBRMIT`APPL`TCATTON4AGREEMEI�,�������s �i � '�K- _ �
,r . �, . ,..
-.. . �. �..::,��,r�
The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
(
Applicant's Signature: _ Date: � Z �
3
�\ � T / 7 TIME �
CITY OF ORONO �CALLED IN ���,�.���` �� `—�-��
INSPECTION NOTI E SCHEDULED ���.��'�'� _�L,t
PERMIT NO. � � COMPLETED
ADDRESS �J��i �/�� �L L�-�� T�C '
OWNER CONTR. '
TELEPHONE N0. l�`�- (��� �O��".�7,S�/ � ����"
�
� DESCRIPTION rl� "" ��C� /1
�
� ❑ 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
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
a
� � f � �-
o —
� ' `� e `- � C Ic.Q
0
�
Q �l � C c>✓��--(� � �.r �� ��)✓l�
z �L -�- -�' ,�=�l.l�} �
� D��� � G S S Q �L��.�
W
�
�
d
W ❑WORK SATISFACTORY:PROCEED Ci PROJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CAIL FOF REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site:
Inspector. �.c���'/���
White Copyllnspector's File Canary CopylSite Notice
` � ��}�(,��7 [�S �
DATE TI E
CITY OF ORONO CALLED IN ��' p� '��
INSPECTION NOT C SCHEDULED I I'��7 1�3tl�°Vvl
PERMIT NO. �� COMPLETED
ADDRESS �� �`���� �
OWNER CONTR. d�
TELEPHONE NO. l I lU�Z-'
� DESCRIPTION � — �1Yl��il
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ 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
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
J 1✓ l�'�'v�, ! � P/v�X� � � � �/l �
0
�
�
0
�
w
�
Q
�
z
w
�
W
�
�
d
W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ ORRECT WORK&PROCEED C fSSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on s e:
Inspector. ~� �
White Copyllnspector's File Canary CopylSite Notice
��� � ���C ATE TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION TICE SCHEDULED t �;��D
PERMIT NO. � COMPLETED
ADDRESS B�D (�
OWNER CONT � � �
TELEPHONE NO. l � — �S��
� DESCRIPTION `-���, L'1�
� ❑ FOOTING ❑ MECHANICAL RI � EXCAV/GRADING/FILLING
y ❑ FRAMING �.�v1ECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
a �� : �t�'A�C�
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
1
�
d
W� WORK SATISFACTORY:PROCEED C� ROJECT COMPLETE
W ❑ RRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-7 CITATION ISSUED
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
Owner/Contractor on site:
Inspector. 1',�f ��� � !�
White Copyllnspector's File Canary CopylSite Notice