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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. a �" ' `�-- �� C C C!�-'Yl Cz i l /C�-� APPLICANT__E S[GNA URE [SSUED BY SIGNATURE Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 " } 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 -� --- Reside � Commercial � JOB SITE: � � � �Z � Zip: ���' Owner's Name: V /�C , //L' Phone �umber: y's� -�j�-L/l�'/ Mailing Address: fJ S� ��City: � Zip: __��� �iE'-C��v'�C� � // 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 � � 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: � W 0. � � O >. � O � W � Q � Z W � W � j d 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 White Copyllnspector's File Canary CopylSite Notice