HomeMy WebLinkAbout2007-P10970 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10970
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-46C�� Date Issued:
5/7/2007
SITE ADDRESS: 4785 Creekwood Tr Unit#
Maple Plain, MN 55359
PID: 30-118-23-33-0009
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: Pernut Fee: � 45.00 valuation: $ 3,600.00
State Surcharge Fee: $ 1.80
Misc. Fee: $ 1.50
TOTAL FEE: $ 48.30
APPLICANT: Ditter Inc. OWNER: Lonnie w/Marsha Underhill
820 Tower Drive 4785 Creekwood Tr
Medina,MN 55340 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.
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APPL►CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CIT]'USF ONL.Y'
�>'—�-`�., City of Orono
4 � ' P.Q Box 66 Date Received: Pennit#
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I� ,; � 2750 Kelley Purkway
� 1� �G�� �,�� Crystal Bay,MN 55323 Approved By: Amount$:
. � , ���t`%7 (953)2d9-d600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial pcnniis must bc upprovcd by Ihc[3uilding Ofticial or Inspcctor and/or Firc Marshall��.�,�'•`' '��-"°';��
GENERAL INFORMATION 7
1. You may apply for mechanical permits by mail or in person at the City offices. ��i�t�y��ONO
be reviewed and a permit will be issued within two working days. v
?. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERM[T. WORK MUST NOT[3EGIN UNTIL THE
PGRMIT CARD IS POSTED ON THE JOB S1TE.
�. Mechanical Desi,r.s—Ccmp!ete caleGlatians,details and specification�are required ior each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to
type,mar.ufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate buildin�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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A �I )
sidential ❑Commercial(Approval Required)
❑ New �dditional ❑Repairs ❑ Replace
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Job Site/Owner Information:
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Site Address: � ` �p��
Owner: � r '� Mailing Address: � ��� Cy ' �j�� ��
e ���� �
City: G� I Zip:
Home Phone:�������-���� Alternate Phone:
Contractor Information:
U ,
Contractor: �� ,. Contact Person: C�
Address: g�( � ��L�� �Y State Bond #: � �� �����
City: ������ Zip:s���/�iratio�� Date: c3 � �7
Phone: `7�� `� / - �� �J � Alternate Phone:
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❑ lnsurance—Currcnt:
1
MECHANICAL SYSTEMS BE1NG INSTALLED
' IIGATING 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 l�'amc: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑, No. Bath Exhaust(must have duct o tsi cfm
� No. � Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: ��allons
Other: �
G.AS LIIVE ONLY �..—••--_.
Outdoor Grill ❑ Other/List What&Where: �� � ��
_� V�
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2
PERMIT FEE CALCULATION(S)
• BASED OFF - 2002,STATE STATUE
� ❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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. ts improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ ].50
Total Pcrmit Fee $
� � �PERMiT FEE CALCL'LATION(S)-JOBS OVER $500.00� '�� � � � �
If above does not apply;follo�v guidelines below:
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$35.00)�j.
� � � x.0125 $ �
contract price) (minimum$35.00)
2. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(Minimum Fcc of�.50)
/� �� �%
. "�Il%G � x .0005 $ ,
(6ontract price) (mini wn$ .50)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $
(���//
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and oCher fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added te 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 Buildin��Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The �indersigned 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 State of
Minnesota, and certities that all statements made on this application are complete, true and
correct.
Applicant's Signature'` Date: � � � C.-��1 `�
Reset Form
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CITY OF ORONO CALLED IN ��-
INSPECTION NO IC J SCHEDULED -1-� ��d 7 02%
PERMIT NO. ��7 d COMPLETED
ADDRESS �7(�S C,��-�-C�"�O� �
OWNER CONTR. L.L�i1 i
TELEPHONE NO. �i�.3 ��� �S_S�
� DESCRIPTION �1- � ��r��� ��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMM�N S:
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� ❑ CORRECT WORK&PROCEED '' ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDIT�ONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTpR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next ins ction 24 hours in advance. (952� 249-460�
OwnerlContract it�
Inspector.
White Copyllnspector's File Canary CopylSite Notice
r�� �J � � -(� � '�� DATE TIME
CITY OF ORONO ����E� 7
INSPECTION NOTI scHE�u�Eo ��I�,�
PERMIT NO. � ���Q COMPLETED
ADDRESS � -
OWNER CONTR.
TELEPHONE NO. �� C,—�-'� � � �,��
� DESCRIPTION ��� ��'�-'� i��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/ tt7�',�/'
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAND
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL �`�
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION �
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 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
Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED f; PROJECTCOMPLETE
� �ORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. � ����
White Copylinspector's File Canary CopylSite Notice