HomeMy WebLinkAbout2005-P08753 - multiple mechanical items .
� PERMIT
CITY OF ORONO �
Permit Number:
2750 Kelley Parkway- PO Box 66 P08753
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
6/1/2005
SITE ADDRESS: 4070 Dahl Rd Unit#
Mound,MN 55364
PID: 07-117-23-11-0019
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: $ 75.30 valuation: $ 6,024.00
State Surcharge Fee: $ 3.01
TOTAL FEE: $ 7$,31
APPLICANT: AI's Heating&Air Conditioning OWNER: Mr. &Mrs. Dahlquist
3041 Aldrich Ave S 4070 Dahl Rd
Minneapolis,MN 55408 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�/T'1�(-�.P �l. ��Gt�_
APPLICANT PERMIi'EE S[GNATURE SSUED BY SIGNATURB
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Scptic) Page 1
` AL 'S MASTER PLMG 6128225408 05l18/05 0�:20pm P. 001
• ,�;�c�. �',— G-'��( — �$� � �
TOR C[TY USC ONLY
°'� City of Ua�ono
f.,;.0::.�;,
rf� '���� P.(1. R�ix 66 [)ate Receivcd: _ Pccmit# __,______
,�(�` � , �1': 2750 Kelley ParkH�y
j.a ��'�`'� ' Crysfal Say,MN 55323 Approved I3y: Amount$:
\�?a������g�� �ys2)zay-a�on
�'as,►a.
CITY ��F OR()1V0—M1�Ci-�AI�ICAL 1'EI2MIT
(All Commercial permii.e musl hc anproved hy the.l3uilding Ofticial or b�spccto�and/nr Fire Marshall)
GENERAI� INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pennit will be issuecl within two worl<ing days.
2. Permit cards will be sent by return mlil aft�r a review is completed. PERMITS ARE NOT
VAL[D UNTIL YOU RECEI VL A PERMIT. WORRC MUST NOT [�ECIN LINTIL THE
PERMIT CARD IS POSTED OM Tt-�E,I(DB SITE.
3. Mechanical Desi�ns- Complete calculations,details and specifications are rcquired for each
heating,ventilation,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation,design tcmperatures,equipment ratings and idcntification as to
type,manufacturer�nd modcl. Da[a shall be presented on form provided.
4. When any new canstruction or remodeling is involved,a separate building permit must be
obtained.
5. All worlc must be done in accordance with the Unifom� Mechanical Code/State(3uifdina Code
requirements.
C>. All work must be inspected(rou�h-in and fnal). Call(952)249-4C00.
(24-48 hour notic�rcquired)
7. Nouse Heating Test Record must be submitted before tinal.
TYPE UF PF.,RMIT
Check �1.11 That Apply)
�✓ Residei�eial ❑ Commcrcial(Approval Required)
❑New ❑ Addicional ❑ Repairs [�✓ Replace
Job Site/Owner.lnformation:
Site Address: �070 D�t'i Ra.
OWner: MaryDahtquist Ma1�lI7b A(�d1'ESS: 4070 Dahl Rd.
Clty: �rono L�p. 553(i4
Home Phone: (9sz>4�2-3oio Alternate Phone:
Contractor Information:
A]'s One Hour ITIg&AC Tracy
Contractor: Contact Person:
Address: �04� �ia���n n��.s. �tate Bond #: Aaoa��4
Minncapolis 55408 l2/31/OS
City: Zip:_ Expiration Date:
Phone: (s�2�2s9-46xH
�1.Iternate Phone:
U Insurance—Current: �rL�.�(:- (��� .�'� ,
i .. � �,�
�,� ,�� ���.n,�.�
AL'S MASTER PLMG 6128225408 05/1B/05 0�:20pm P. 009
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� , >;� .�, �;��. � ��r1��Y�•��,. �' , ;"� _�3,_ f
a�c�TttvG svs�'Fn�a�;
Quanlity: �
Make: RUUI)
�' ' ��
.. � .. �t- �- :� �fr.
,
�� ' � • �- �:- � +, , i� � _�_.
Model: t�.�;�_i�,, .
- .�''"-_--. _ .. .- ------_.
Fuel: '�!1..R�;� _,f' �:�'� _._.. —.�_
` �f----� ----.._ __.---- -- .�.....__.----
Fh�e Size:
Input BT'Us: ��!�p_'l�_�`�.�� __._......____
Output BTUs� _.---------... .
CFM:
C:OOLING SYS'A'EIA15
Quancity: I1
--.. _....__.
1 / �
Make: � '
.�-.�:d✓ il..�-' . .__._ .............
"'_.. __'_'__._ ..... _....
..'__'_—'— nl✓�.'�17 �.%,�f`� �� � l�L_
Model� 4-'Af�j l "
Tons: -����--.,
H. Power
FIREP�,AC�;S
❑ Gas I�actory Pireplace
❑ VVood I3urning Fireplace
❑ Wood Stovc
❑ Wood Stove Wich I luc
Brand Name: Nlodel No.:
V EN'7f I�.�Tl ON
❑ No. Kitchen F;xhaiest __ duct recirculating cfm
__.__ __..
❑ No. _ _____ E3ath Gxhaust(must have duct outside) cfm
❑ l�lo, Other Pans: Locations _ __ cfnt
FUCL S'E'OI�AGIE(MUST BF/\Pk'ROVEiI) L3Y �IR� MAR�H/�,Q:L)
❑ Ii�staUation L] Ramoval
I�ucl Oil: .._.____ _g�llons L� LI»dergrounc� ❑ Inside ❑ Outside
L.P(ias: gallons
—..._. . . .. .
Othcr
GAS I.,IRIE ONLY
n O��I:door GriU �] Other/Lisl Wha[c� Where:
2
� AL 'S MASTER PLMG 6128225408 05/18/05 0�:20pm P. 002
��E�uu{��Ai � ��,��� � � ta� �.�� �� �'�i���c���� i � r iVa' �
�r 7 � �it ua� �_� . � �1� �1 � �i T C� �. � , �
i-!n kla.yyre`���tE r� �)J�`'F-.�1J l4t�� ��1��'�7� ��FY� J��t�t�. � 1 � 1„
a �
'-i i.,�.lq7i�q . __.�___ ` � _
❑ Yes,this sectian applies
The replacement of a Residential fixture or annliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of T�500.00 or less;excl ' *lhe cost of the fixture or appliance: and
3. Is improved, installed or replaced 4�y the homeowner or licensed contractor.
Skip nexc section, if this applies; C'ost of Permit $ 15.00
State Surchorge $ .50
Mail-In I�ce(If Applicable) $ 1.50
Total 1Permit Fec $
, .) �,t, .- .`' �'{�t..�� "�rfi1, . .`t i��f�i: �`�,. ,..a..�:..� .'�:. � JITIal�� � :a;.irfi i i��lE+r�3n,::�Sn£'�..?4�3..
iiUni�I�'i'•GC��S�,���tllll Y'�i lL�ku.•: ...�r.
,. .'.
lf above does not apply;follow guidelines below:
I. COIYTRACT FR1�E * is I.25%of conlract price with a(I�linirrnum Fee�of:635.00)
i ��Ca 1'��" x .ai2s �_.�'�.��� _
(cnntracl price) (minimum$35.00)
2. STATE SURCR[ARGF, ** Add the State Bldg Code Div.Surcharge(�linimum Fce ofS.50)
�•�- ����" . x.0005 $ � :�l...t
�(onl.raic.pricc) (minimum$ .50)
3. POSTAG�& H�NDLING(Only on Mail-In Applications) $ 1.50___,_. _.___
4. '1'OTAL PEI�M['I'FEr(Add L.ines 1-3 Above) S ,�'�� � � �
■ * CONTRACT PRIC� or JOB CC)5T means the actual or estiroatcd dollar amount charged for the
permitted work includinb materials, labor, profit,and other fixed costs. it is the amount to be charged
to the customer for the wc»•k donc. If�iy materixl, equipment, labor or installations are furnished by
the owner, tenant or any other party,the rcasonable market value of such items must be added to the
estimated cost or contract price far 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 contraet.
■ ** The STATF SURChIARGE is.0005 of the auildin�Department at(952)249-4600 for the price.
,� .. , r i ....,. ;j '1.� .:._�. . _ '� yp��� '� ' � f /-P f I'' 3 . :}:
�.:s��xr�+m ExA.��� q i i�j�isu : ��:. � t: `�.f:�.7�.� . ,��i:i ... .- " �. -i' .�.,.:.,���i��„�Y. ..r �.�'...�^':.�. �.�aa.. �i�i���,ri3..�r?y.u
The undcrsigned 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 certif'tcs that. all statements made on this application are complete, true and
correct. ..�
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's i atur�e: �: � � � Uate: `� O �} ����
F1ppl�cant . S gn "'__ _
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` AL'S MASTER PLMG 6128225408 05/18t05 08:20pm P. 004
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NEAT LASS LCUTA710NS �� ,q � �. -T:�__ --'---�
GA
Owners Address �= — t ' � Buil�feF� _`` �
� J�tf Name � \�
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F� Y�Ukti Rm. l�gtfe. Ylfdth.�.
VlrNuipws and[bor:— and Anea - iM'aWo�'�and Dootx—��and Area �.
��. Widih �l14t No. Uin.fL A�ss / �_ �WtA � �'�o�. �� •:�'�
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1t►filtratan � (,� s. Infilltration�(Desi9_ 1
Infiltration(Desi9. 1 � = � I�br�iaim Nes9- � - � "� .
InfiluaUon(Des9- 1 , i+���(�. 1
Gfass(Des�9- i � „ - .� � � .� Glaax'�'�sg- 1� �. .
Gtass(Desg_ 1 Gbs�U�9. ) .
-Glass(Desi9- 1 Glass QOesig. � �
Exp.iNail- - �xP_MNaq�
Net Exp.Watl " IMeit�xP=Wall �� � �
Net ExP.Wal{ Nex E�,�Illall •
r.��r� r�'r� � ,�; L '
F� �, ' � � �i°°�
Toc�a Btu - � ..� To���c� :
R ired sq..ft EO R.or scy ins WA Lradec A�ra � Required .ft.E.D.R.or .ins�.1NA.Leader/1rca
Fl. - . �Rm. �- -�- �J� �I. Rm. t�gth. - � Wdth. - � N9t
NI�'u�t�orrs a�rd D�oir;—(�rac�a9e a�d� '1
. if{finciows at�d Doors-Lksck�9e and Ar'ea� � .
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Infiltration(Oes�9. 1 - Infiltaati�►�D�si9- 1
InfiltraYion�Dc�ig. 1 � �'�O«�. i
Glass lDes�9. 1 _ � ._�._ - GWss(Desig. 1
G1ass(Desg. 1 Gk�c�D�9. 1 � ��
last lD�iy- � �
Glass(Desg-' � �
�_w�� � waai
n�x�xp_wau � �° � .
IV,et Exp.Wall ��,� ;� Net Exp_ II
Ceifinq . . Cei�ng �
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Fb� ��'— -----_.�
Fbor • " <<
Totat 8tu
Total Btu . _ - --. . . . �-__
� � ��,�� DATE TIME �
� C F ORONO CALLED IN 3 ��D
1 SPECTION NOT CE SCHEDULED �O ---��
PERMIT N0. U � 7 5 3 COMPLETED
ADDRESS LI C> � C � �h � CZC� - �
OWNER CONTR. fl / S I- I—f(Z- �.
TELEPHONE N0. �'� a' � �� c7 `�Tc_o� �
� �
�- DESCRIPTION ��h�r ���-�I�1C� CS� � �/C
�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 tNSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS: (�}'L��f 7�'Y� / C�L(,/�'l�/� �c-c.-1'1
a ��.P�� `�L2-1'►'l .
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector. � G/ ��� - \
White Copyllnspector's File Canary CopylSite Notice