HomeMy WebLinkAbout2004-P08277 - mechancial C�TY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P08277
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: i2i9i2ooa
SITE ADDRESS: 4025 Dahl Rd
Mound,MN 55364
P I D: 07-117-23-14-0002
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 850.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Countryside Heating&Cooling OWNER: Larry Mclain
6511 Hwy 12 4025 Dahl Rd
Maple Plain,MN 55359 Mound MN 55364
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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APPLICANT__E S[GNA URE [SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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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 off7ces. Applications
will be reviewed and a pennit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALiD UNT1L 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 specitications are required for eacll
heating, ventilation, humidification-dehumidification, and air conditioning installation
including heat loss/heat gain calculation, design temperatures, equipment ratings and
identiflcation 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 permit must be
obtained.
5. All work inust 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
Complcte all items on this application. Compute the permit fee. Sign and date tl�e
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you
have questions, call (952) 249-4600.
_._....
Please check one: �N ___� Additiou Repair Replacc
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Reside � Commercial
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JOB SITE: � � � �Z � Zip: ���'
Owner's Name: V /�C , //L' Phone �umber: y's� -�j�-L/l�'/
Mailing Address: fJ S� ��City: � Zip: __���
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Contractor's Name: � � �lC� �� Phone Number: �a Y�7y��
Mailing Address: �,5/� /���� City: ���i"� Zip: S'��S /
SYSTEM DESCRIPT[ON
HEAT[NG SYSTEMS
Quantity: �
Make: ��N d�
/
Model: /�� �
Fuel: _��_�
�� vc��
Flue Size: ,
Input BTUs: �1.�
Output BTUs:
CFM:
COOLING SYSTEMS
Qttantiry:
Makc:
Model:
Tons:
H. Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
� Wood stove with flue
Brand Name Model No.
VENTILATION
Na Kitchen Exhaust duct recalculating cfin
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: � gallons underground inside or outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential�xtLire or appliance that meets all three of the foilowing
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of S500.00 or less; excluding 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 S 15.00
State Surcharge � .50
Mail-In Fee S 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
� '� �� �
x .0125 $ � �
(conh�act price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
J�
�� • x .0005 $ �' �
(contract pricc) (minimum$.50)
3. Posta�e and Handlin�(Only fnail-in applications) S 1.SO
��5�
4. TOTAL PERMIT FEE (Add lines 1-3 above) S -7 '
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted 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 contract price for permit fee purposes. In
the event that there is a dispute on the amount of the job cost,thc 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 greatec For
valu�tions over$1,000,000 call the Department of Inspectional Services for the price.
The undersi�;ned hereby applics 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 � a ons of the Minnesota State Bliilding Code,and certifies that
all statcments made on this applica[ion are coi e true and correct.
Applicant's Signature: �� Date: /� J �
Approved By: Date:
Reset Form
� � ✓(� �, DATE TIME
CITY OF ORONO ca��Eo iN `�? I N�C''
INSPECTION NO�TJCE SCHEDULED �%.:�/� -�_�! �l
PERMIT NO. �r'i?�:T 7� connP� 1Eo !1
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ADDRESS ��7�� ���-���. /C�
OWNER (���:�,�"�1 ��c Lt,-,�� CONTR. CGJ:1 t�vS;�����-._
TELEPHONE NO.�U�ic,� �� �;._ 7C,P� S�� I��/S—
� DESCRIPTION j–.';,'�:c 4 '� �������' �' <�� s �i:�
� 01 FOOTING 11' ECHANICA � - 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECH I AL FIN� 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
v 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑,J4IORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
Wl CORRECT WORK 8 PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
r7 CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
� INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor o 'te�
Inspector
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