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HomeMy WebLinkAbout2006-P09627 - mechanical � PERMIT CI�TY OF C�RONO 2750 Kelley Parkway - PO Box 66 Permit Number: P09627 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 3/1/2006 SITE ADDRESS: 895 Forest Arms La Unit# Mound, MN 55364 PID: 07-117-23-12-0015 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: PermitFee: $ 162.50 valuation: $ 13,000.00 State Surcharge Fee: $ 6.50 TOTAL FEE: $ 169.00 APPLICANT: Tonka Plumbing Heating&Cooling Inc. OWNER: John&Connie O'Brien 265 Cty Rd 110 North 895 Forest Arms La Mound,MN 55364 Mound MN 55364 THE UNDERS[GNED 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. / / / �/ ' .�- � APPLICANT PE MI EE SI AT RE / ISSUED BY S[GNATURG Copies: ]-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1 � . .` FOR CITY USE ONLY ' ��� City of Orono P.O.Qox 66 Date Received: Permit# �• � 2750 Kelley Parkway �,;�;:.,� �� ��'�?�;��;_ Crystal Bay,MN 5�323 Approved By: Amount$: �4�..: � ���,�.�o ��sz>za�-a�oo ��Ko$ CITY OF ORONO-MECHANICAL PERMIT (All Commcrcial permits must Uc approved by the Quilding Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION i. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernvt will be issued within two working days. 2. Pernut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK NiUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations, details and specifications are required for each heating,ventilation,hunudification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratiugs and identification as to type, manufacturer and model. Data shall be presented on form provided. 4. When any ilew conshucrion or remodeling is involved, a separate buildiilg peinut must be obtained. �. All«�ork must be done in accordance with the Uniforin Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) �Residential ❑ Conunercial(Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ��`I c�� ��r2��-i- �Yr� L-C�.�1 e, Owner:�\�1 � � r�r� L�,t'L,= Mailing Address: �'ti�vn C <�-5�-����-- City: ���i(�'� Zip: Home Phone: Alternate Phone: �1 v� -�� �Z �.3 � � Contractor Inforniation: Contractor: ��� C �fi' Contact Person: ��"��,+�°C�t.V(� < �y� Address: �Z.(a-Vrj �� ,I�CC�. I � l�l� � State Bond #: � � ��-I' Io� � � City: �1��,+'�C'� Zip:��y--Expiration Date: ���Z� �Q� Phone: ��Z-' � .� �Z-l�� � Altei-nate Phone: �����--�L>�% ' �'��1 �' � Insurance- Current: ���7 _ 1 � , , MECHANICAL SYSTEMS BEING INSTALLED " � HEATING SYSTEMS Quantity: � Make: CC11/'� Model: Fuel: CL`5 ` L�� Flue Size: Input BTUs: �Q fl�n �� Output BTUs: C)j, L�C_-° CFM: COOLING SYSTENIS Quantity: I Make: L-i�X����� Model: ����� Tons: y H. Power FIREPLACES � Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: ��-�'d' lJ�pt,� Model No.: N��� ?j� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm �. No. �— Bath E�:llaust(must have duct outside) �_cfm ❑ No. Other Fans: Locations cfm FUE�,STORAGE (MUST BE APPROVED BY FIRE ivIARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE O:VI,Y ❑ Outdoor Grill ❑ Other/List ti�'hat R;Where: � w r ! , PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fi�cture or appliance that meets all tlu-ee of the following requirements: 1. Does not require modification to electrical or gas seivice. 2. Has a total cost of$500.00 or less; excluding the cost of the fi�:hu�e or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee (If Applicable) $ 1.50 Total Permit Fee $ � PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of conh•act price with a(Minimum Fee of�35.00) ._i �� ����� ��� x.0125 $ ('contract price) (minimum$3�.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50) ^� fe%� � �✓/������ �.���5 � (contract price) (minimum$ .�0) 3. POSTAGE R HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � p * CONTRACT PRICE or JOB COST means the acriial or estimated dollar amount charged for the pernzitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the wark done. If airy material, equipment, labor or installations are fiirnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or conn•act price for peinut fee puiposes. In the event that there is a dispute on the amouut of the job cost, the City may request the submission of a signed copy of the actual contract. � ** The STATE SURCHARGE is .0�0� of the Builduig Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do al] �vork in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: - e� Date: ;�>�/`D,� � -, � d��� �A��� TIME CITY OF ORONO CALLED IN INSPECTION NO I SCHEDULED � � PERMIT NO. COMPLETED ADDRESS ��S ��-�`�"� -s �� OWNER CONTR. %—��-� TELEPHONE NO. �`S 2 �� / z�S � DESCRIPTION /`I t��'� �Z � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED 17 PROJECT COMPLETE � �❑ CORRECT WORK&PROCEED S ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�' CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the ne inspection 24 hours in advance. �952� Z49-46�0 OwnerlCont te: Inspector. ° White Copyllnspector's File Canary CopylSite Notice