HomeMy WebLinkAbout2004-P07991 - heating system PERMIT
G�TY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�99i
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9�29i2ooa
SITE ADDRESS: 805 Forest Arms Ln
Mound,MN 55364
PID: 07-117-23-12-0009
DESCRI PTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 2,627.00
State Surcharge Fee: $ 1.31
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.81
APPLICANT: Markham Maintinance Co. OWNER: Albert&Valerie Guralnik
12781 84th Ave.N. 805 Forest Arms Ln
Maple Grove,MN 55369 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE 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 SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 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 offices.Applications
will be reviewed and a permit 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 [S POSTED ON THE JOB SITE.
3. Mechanical Desi�ns-Complete calculations,details and specifications are required for each
heating, ventilation,humidifieation-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.
]dentification 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 (952)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. Ifyou
have questions, call (952) 249-4600.
Please check one: New Addition Repair Replace�
Residential Commercial
JOB SITE: 8��� i=a�.es� C�rin� Lrx`�� ; C}t-v�� Z�P� s��Ey4�
Owner's Name: � '
���,�_r.(T�,{,q , I n;�_Phone Number: 95�—,3G�-'5���
Mailing Address: •> ity: ��(��d Zip:�
Contractor's Namei v1�1\��H�U� �J���I�j�.��'phone Number: 7tv''�'��Z)"����(
Mailing Address: �Z�f�� ��� GjLr�= A,�, City:� 7 �� Zip: ��'�f 5��,�}-
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantiry: �
Make: �
Model: v�
Fuel: �(�'��(�S
Flue Size: ���
[nput BTUs: r Z �
output�Tus: i 15 j Gd 6�
CFM: Iz��
COOLING SYSTEMS
Quantity:
Make:
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
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
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 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
;) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is.0125%of job with a Minimum Fee of($35.00)
2(�27. OG X .o�2s $ 3 5.1.�0
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50)
x .0005 $ ��� i
(contract price) (minimum$.50)
3. Postage and Handlin�(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37'U�
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted 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,eyuipment,labor,or installation is fumished by the owner,tenant or any other party the
reasonable mazket 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,the City may request the submission of a signed copy of
the actual contract.
**The STATE SIJRCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For
valuations over$I,000,000 call the Department of Inspectional Services for the price.
I he 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 Ciry and the regulations of the Minnesota State Building Code,and certifies that
all statements made on this application are complete,true and correct.
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Applicant's Signature: �'�� �� Date: � 2� d7
Approved By: Date:
Reset Form
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CITY OF ORONO CALLED IN ��'��'C./� TIME
INSPECTION N TICEQ Q SCHEDULED 'o�-� �
PERMIT NO. O -/ / / COMPLETED
ADDRESS S G `
OWN ER CONTR.
TELEPHONE NO.��� �a� "'.Sg� �
� DESCRIPTION � •
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED f, ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑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.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (J52� 249-4600
OwnerlContrac site:
Inspector.
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