HomeMy WebLinkAbout2001-P04378 - mechanical . � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04378
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9�2i�2oot
SITE ADDRESS: 800 Forest Arms La
Mound,MN 55364
PID: 07-117-23-12-0004
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: Permit Fee: $ 50.00 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 53.50
APPLICANT: Suburban Air OWNER: Robert&Janice Bonnema
1290 B Osborne Rd.NE 800 Forest Arms La
Fridley,MN 55432 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 PERMITEE SIGNATURE ISSUEDB�YSIGNATURE
Copies: 1-File(Sienitures Repuired). 1-Apolicant, 1-Monthlv Reports. 1-Assessine. 1-Finance Page 1
.
• CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway) „
Crystal Bay, MN 55323 !
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GENERAL INFORMATION '
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a perm.it will be issued within 2 working days. .
2. Permit cazds 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 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 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 249-4600.
Please check one: New Addition Repair �Replace
� Residential Commercial
JOB SITE: c� � - �{ :-� ���'L Zip: ,5'S'3��
Owner's Name: ,?��'.c :r� . Telephone Number: �,2_.�y�y,/7v
Mailing Address: �vc �s..Us � /�/'�s G�.�,� City: �/�,�-c�� Zip: s'�G �i
Contractor's Name: S„� ��,� /��-,�- � i 2 Telephone Number: ����y y-�i�,�
Mailing Address: ��2 9a--� �C���o.� �f'a r� � City: =/1, 1/�z: Zip: ,��y3 `L
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: /
Make: r�rr,,.a-,-�,�
�
Model: ��>` S�/5 -�SU
Fuel: /'J�/�'T,c...� 4 /
Flue Size: �
Input BTUs: �f�,i�v ��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: %
Make: �'�; t'��-••� j
Model: �! %vy�� ��4/�'
Tons: ��"v r�
H. Power
.
WOOD BURNING EOUIPMENT ''
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
� 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��; n i x .0125 $ ,:j lj d(.�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � y���. �`� x .0005 $ .Q U
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in 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 pernutte�
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 are fumished by the owner,
tensnt or any other party the reasonable market value of sucb items must be added to the estimated cost
or contract price for permit fee pucposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned 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 Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Sib ature: � � �� Date: - /�—C�
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED �'2'�� i =3V
PERMIT NO. �J COMPLETED —2"�� /� ./ 5
ADDRESS �'UC� "�c>r2 � �}(1MS L.Ch(1Sz._��
OWNER CONTR.�UbUr�GLy1 i�!'
TELEPHONE N0. �J�� `�7� �� I�C�
� DESCRIPTION 1',' ��o, t ��.�-C�G� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLA�NT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 FLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMB�NG FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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��ORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN �CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlContrac o on site:
, ;
Inspector. �l� ��'�
White Copyllnspector's File Canary Copy/Site Notice