HomeMy WebLinkAbout2004-P07223 - mechanical PERMIT
CIT�Y OF ORONO permit Number:
2750 Kelley Parkway - PO Box 66 Po�22�
Crystal Bay, Minnesota 55323 Pet'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2iioi2oo4
SITE ADDRESS: 4700 Creekwood Tr
Maple Plain,MN 55359
PID: 30-118-23-33-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS: � ' .�;,�,�.
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Approved per resolution#: ;.�,al E�a� MN 553�'.3
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Separate permits required: :��It0104 15:36:35
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NOTICES/REMARKS: p @ �'� `'
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FEE SUMMARY: Permit Fee: $ 35.00 1 � U.79 ��. '
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ir�vestigatian �ee
State Surcharge Fee: $ 0.79 ' � ���� �'�
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-- .79
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TOTAL FEE: $ 35.79
APPLICANT: Countryside Heating&Cooling QWNER: Mr. &Mrs. Vernor
6511 Hwy 12 4700 Creekwood Tr
Maple Plain,MN 55359 Maple Plain,MN 55359
THE UNDERSIGNED IIIItF.BY REQLTESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C1TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUII.DING CODE REQiJIRF.MFNTS.
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Af CANT PERMITEE SIGNAT SSUED BY SIGNATURE
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: 1-File(Sie�iitures Renitiired), 1-Apolicant, 1-Monthlv Reqorts, 1-Assessine, 1-Finance Page 1
(�,�C4���ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 1 of 3
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CITY OF ORONO 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 offices. Applications will be reviewed
and a permit will be issued within two working days.
2. Pern�it cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECENE 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 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 pennit must be obtained.
5. Al] 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 check one: New Addition Repair Replace Residential Cammercial
JOB S1TE: �-�l �O C�Z����oo t� i c� z�p: �.5�35�
Owner's Name: Si4rYlCS (/[-.� t)C�/� Phone Number: qS� -�90� - ��5�
Mailing Address: �-� �p [,�e�'�'�JLOd 71� City: �'i�c;�� Zip: ��3j�
Contractor's Name: ��T�f'/T/yJ�3�r�i �T! �u� Phone Number: 7���"��/�' l��c�U
Nlailing Address: �,�%/ s�<.'y t'�--- City: /j7.9�cc= i✓ Zip: �'s 3��
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I_
Mal<e: ltGNd�
Model: (,��� �!X!
http://www.ci.orono.mn.us/mechanical%20permit.html 2/6/04
�ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 2 of 3
� Fuel: /�/}� �
Flue Size: ��
Input BTUs: ��'(� (7/�
Output BTUs: _
CFM:
COOLING SYSTEMS
QuantitY�
M al<e:
Modcl:
Tons:
H. Powcr
FllZEPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
http://www.ci.orono.mn.us/mechanical%20permit.html 2/6/04
�ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3
>
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00�
� U
�S—��. �Z X .�I25 � ��• �
(contract price) (minimum$35.00)
2. State Surchar�e. '�* Add the State Building Code Division a Minimum Fee of($ .50�
- ��7d -�'�� X .000s � � 7 9
(contract price) (minimum$.50)
3. Postage and Handling (Oraly mail-ifi applications) $ 1.50
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 is furnished by the owner,tenant or any other party the reasonable market value of such items must be added to the estimated
cost or conrract 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$I,000,000 or$.50-whichever is greater. For valuations over
�1,000,000 call the Department of Inspectional Serviccs for the price.
The undersigned hereby applics to the Ciry 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[ylinnesota State Building Code,and certifies that all statements made on this application
are complete,true and correct. '�
_`—� -
Applicant's Signature: ��� Date: � ��
Approved By: Date:
http://www.ci.orono.mn.us/mechanical%20permit.html 2/6/04
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\ \ ��^ ��� AATE � TIME �
CITY OF ORONO ` CALLED IN G� �b� �'
INSPECTION NOTICE SCHEDULED � �
PERMIT N0._�t�CU 7Z Z-3 COMPLETED �
ADDRESS �f —7 � C: C��`�C� %C �_c�C`;C;�t �T/�
OWNER CONTR. �l%� c��fv2-/S/�—
TELEPHONE NO. � C���'� '-� �/ � ���J� ��i-`'�r (
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� DESCRIPTION ���'���-�� � ��� �` ��l
� 01 FOOTING 17 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 SE TI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Call forthe next�nspection 24 hours in advance. (952� 249-46��
OwnedContra , n si :
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Inspector. `
White Copyllnspector's file Canary CopylSite Notice