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Home My WebLink About2003-P06646 - mechanical PERMIT CisTY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06646 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: sii2i2oo3 SITE ADDRESS: 855 Forest Arms La Mound,MN 55364 PID: 07-117-23-12-0013 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 187.50 Valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 195.00 APPLICANT: Horizon Contractors,Inc. OWNER: Alan&Barbara Golz 8197 Horizon Drive 855 Forest Arms La Shakopee,MN Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DqA �,WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILD�CODE REQUIREMENTS. : � ;, ;, � , , . ,�' ��-,�-��,� � APP�LICA PERMITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � +� t 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 UNTIL 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 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 (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. If you have questions, call (952) 249-4600. Please check one: ❑ New �� Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE• �:» �;�5`� ��rrt � � Zip: Owner's Name: C�c� /z Phone Number: Mailing Address: '"�� City: Zip: Contractor's Name: �iYr zu,�� -�-��;,,Z�� Phone Number: „l/,� -Sc� � y',�� Nlailing Address: `s��'� /-h�',w+� ��.i,�. City: ��/,� ,�;`,�. Zip:�jN. �5.�7�'] 1 ,+�� t SYSTEM DESCRIPTION - HEATING SYSTEMS Quantity: � Make: ,ck � `�. Model: � /' C� f.> I�..� �J`�� V`� ,, Fuel: �>��-� Flue Size: �" :.,��l '��'� Input BTUs: :� �� U�'�� Output BTUs: � `, - � `;-;,L-c;c� CFM: •-��J /C;��' COOLING SYSTEMS Quantity: � Make: ��,c�c��t�' . Model: j��`�� -C�� K Tons: � � � H.Power `� �rtl�c.�� FIREPLACES GAS LINE ONLY � Gas factory fireplace � Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILATION No. � Kitchen Exhaust >�� duct recalculating �� c cfm No. l 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 ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 A "�. � 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 3) 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) /�,C�:..0 t �- x .0125 $ (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Postage and Handling (Only mail-i�: 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 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, equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of suc}i 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 actuai 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 iss�ance�o Mechanical Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations ofrfh i esota State Building Code,and certifies that all statements made on this application are complete,true and conect. :' ,/ Applicant's Signature: _��; �� ' Date: '� /� )� Approved By: Date: 3 � DATE TIME CITY OF ORONO CALLED IN /0-��%'� 3 INSPECTION I�,OTICE . /�,, SCHEDULED ,� v '��/ /D�� PERMIT N0. ��'� `F' COMPLETED ADDRESS ?1��5 �'Ze�.t�t" L{.t� �lE-r-,.E� OWNER ��Z- CONTR. ��-�� TELEPHONENO. 3L�' "- 5 �'3 ' -3v�'�� ` � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 = 0 BIMA-f�_ 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FIN j 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a � � � O � � O � W � Q � Z W � W � � O W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-46�0 OwnerlContr or s e: Inspector. White Copyllnspector's Fil Canary CopylSite NoUce ✓ D9,T�-Q TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED � -t - ' s "U�/_�S PERMIT N0. COMPLETED ADDRESS � C - %.Sf. - i�•��'� � � ,��Z�l� OWNER CONTR, d G�JS TELEPHONE NO. /i{� ��'SO�- � � �� DESCRIPTION _� � -� u- �� "`� '�l-' r �;5� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING �13 MEC`�rrnrvicPic�i L 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL REfURN ❑STOP OROER POSTED.CALI INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe ne inspection 24 hours in advance. (952� 249-4600 Owner/Contract e: Inspector. White Copyllnspector's F le Canary Copy/Sfte Notice