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Home My WebLink About2005-P08387 - mechanical � ` PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Pog38� Crystal Bay, Minnesota 55323 Per-mit Type: Mechanical Permits (952) 249-4600 Date Issued: li2�i2oos SITE ADDRESS: 4475 Forest Lake Landing Mound,MN 55364 PID: 07-117-23-24-0050 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: $ 187.50 Valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 195.00 APPLICANT: Action Heating&Air OWNER: 7on&Gail Blackstone 8140 Arthur Street NE-Suite C 4465 Forest Lake Landing Spring Lake Park, MN 55432 Mound, MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEIv�NTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � �� APPLICANTPGRMITEESIGNATURG S UEDBYSIGNATURE Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 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 pennit will be issued within two working days. 2. Permit cards will Ue 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 DesiQns - 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 Ue 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 Ue suUmitted 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:__ �7�� dr�sfi L�=� k�� L��' �n� z�p: �� Owner's Name: �j�,��1-� Phone Number: Mailing Address: ^ City: .�rd�`� Zip: _;�(� �;/ Contractor's Name: �C:'I i 4h �e�� Phone Number: 7�.5 �� "-U�'`7 L' Mailing Address: �"f�� l f"Chv�r Si S�,1cL City:�5��ti�i�ke P�.rKZip��.S`�� 1 ,,,, , �� : ". � � . �I I��U � f i�� 1�ill� ' ��Jl i , i ill ' lii I�I I i., � i I ul r � i� ��. � 4 �.r� r��i III��, i'� .,�u �il .,;� � .. �� I � ,�s�, .. �"P.4�n' �� - �i��m � �� , ,., �w'�' �.. x,� fh uu. i .'�h w fi d ��1 ..i,a�. W .��...�xw��n.�;..a�k�.�v.o�a.'�"or1�....�s-.,. , .;...� V�r...:..:� „ .... .�i��ll ,.��'. .,,,� ,� I '�...�� .. A�tik ,� . _ . . w� .r«;b.,�.,...��.. ,V�H„ .,.., hi�..�. �4a�...l�S�l�lll�r,_�,. I i� 1 r .t II u� '� i t� �.� .t�.�.� � . . SYSTEM DESCRIPTION ' HEATING SYSTEMS Quantity: Make: \�C� Model: �U� Fuel: � ' � Flue Size: � Input BTUs: � v Output BTUs: �� CFM: COOL[NG SYSTEMS Quantity: Make: 1..�'*�(�(1 CI� Model: �2- Tons: �' H. Power FIREPLACES GAS LINE ONLY �Gas factory fireplace • � �Installing a Gas Line Only ❑ Wood Uu?-ning facrory firepl_ace 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 ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 +n W,y � � � �, � � � �,�; �� ;� �'�•, . . .. .. � .. .., � . ...�. ., . .,. < . . ,.,. .,� . . .. , � e. �, ,. ,.m.,... n�i . v. .. r� . ,J . . _.. ,l�i �u .,a,r u�r . �'! � .� L I ti 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; excluding 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 Uelow: 1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00) � � 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. Posta�e and Handlin� (Only mail-in applicatio�zs) $ 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 fumished by the owner,tenant or any other party the reasonable market 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 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 Signature: ` Date: �� l ' Approved By: Date: 3 �� ,�� um�.�.n. ��v .. . . .. .. i, i� _ �°�i�illli II . �„.�I� �.�i?Iw s�ua.�.,�; �, �J ,�ca.,.lF ��.�,�tim�. ..,�4"f i, .., w.,a �il.u�uLi �il�il �'��' �;Wy�,`��„wl!�':. D TIME (/ � L�� 3- CITY OF ORONO CALLED IN INSPECTION N�� SCHEDULED - -O �� PERMIT NO. COMPLETED ADDRESS ��eS� IJ�IL-(i . OWNER CONTR. �- TELEPHONENO. �� 3�9 79/� �C.� � DESCRIPTION I n��IJ�Y /� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O a � O �-�-- .. � W � Q � Z W � W � � d W� �WORKSATISFACTORY:PROCEED i_� PROJECTCOMPLETE ❑ RRECT WORK&PROCEED _ r ISSUE CERTIFICATE OF OCCUPANCY � CT�3R , EINSPECTION TEMPORARY V FORE�OVERIN PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CAL TO ARRANGE ACCESS. Call for the ne t i spection 24 hours in advance. (952� 249-46�� OwnerlCont n s� Inspector. - Whiie Copyllnspector's File Canary CopylSite Notice Y�"� r V . � '�,J ATE TIME J� TY OF ORONO CALLED IN " '��-� INSPECTION � E ,. � SCHEDULED T�� `� ': � �� PERMIT NO , `/�—�� COMPLETED ADDRES� �� --I�-I 1� �"`C.�'�'S�- �.P �� , OWNER � CONTR. TELEPHONE NO. �� --�� Ct�� DESCRIPTION � r ` -f- - CtS �" '�S� L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 06 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:_YES ✓ NO � COMME�S: � `-' - ''i/l,S l3�.5 � � o — C�-�z� I�v�� ,�.� � � t�.s ��r�r- ? 0 � w � Q � z W � W � j d W ❑WORKSATISFACTORY:PROCEED Li PROJECTCOMPLETE � �ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContr�p site: Inspector. �' � White Copyllnspector's File Canary CopylSite Notice