HomeMy WebLinkAbout2005-P08531 - mechanical C���( OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poss3i
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: 3ilgi2oos
SITEADDRESS: 4ost xighwoodRd
Mound,MN 55364
P I D: 07-117-23-44-0076
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Hearing Systems
Air Conditioning
Venrilation
DETAILS:
Approved per resolution#:
S�parate pernuts required:
NOTICES/REMARKS:
FEE SUA�MARY: Permit Fee: $ 300.0o valuation: $ 24,000.00
State Surcharge Fee: $ 12.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 313.50
APPLICANT: Ray N. Welter Heating Company OWNER: Anita Rouse
4637 Chicago Ave. 16220 48th Ave N
Minneapolis,MN 55407 Plymouth,MN 55446
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 -� - [SSUED BY SIGNATURE
�(1111PS' �-F1�P��ivnif7n'uc llnnviroi]� �_Qnr��irant 1_l��TnnthlvAa..nrlo 1 A000��;,,�. 1 L':«...,,.�
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CITY OF ORONO APPLICATION FOR�C�HA]��AI. PERNIIT
Box G6 (2750 Kelley Parkway) '''�'t;�-"�<.��c �
Crystal Bay, MN 55323 ��NQ
GENERAL WFORMATION
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 2 worl:ing days.
2. Permit cards will be sent by retum 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 STTE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning iustallation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, 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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New �ddition Repair Replace
Residential Comme ial
JOB SITE: �'� J � ' t'.7 : ' Zip: r � ,�
� Owner's Name: ; Telephone Number: �,/` - --. `� "�
Mailing Address: ' � � �� City: ' Zip: y4
Contractor'sName: !� 7 � Telep oneNumber: / -- .�. • ���
MailingAddress• �'_ � City: f Zip: �S� D7
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SYSTEM DESCRIPTION
HEATING SYSTEMS a
Quantity: _
Make: ��r�l.L �—/'�t��
Model: D�(�' t- � D�'
Fuel:
� Flue Size: ! 'i �"
Input BTUs: �v�� /G'G',l'��
Output BTUs: �'` �
CFM: " � �
COOLING SYSTEMS a
Quantity:
Make: � ''f/"C'j3/�_
Model: ����� ���,���
Tons: � c�
H. Power -- -
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WOOD BURN G E UIPMENT
Wo stove with flue
Wood c bination or add-on
Factory fire ce with flue
Factory Firepla (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION �����,i)� �?N',�l _
No. _� Kitchen Ex�aust ducted recirculating cfm
No. �_ Bath Exhaust (must be ducted outside) cfm
iVll. � VU1Gi t iiliS: J.�(.7::ilLililiJ � � %��+
Total
FUEL ST(�RAGE (MUST B APPROVED BY FIRE MARSHAL)
Ins�llation Re oval
Fuel oil: g lons underground inside outside
LP Gas: gal
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25 0 of Contract Price* or Minimum Fee 35.00
�y .Z= Y X i.Zs $ ,��� _.�
(contract price)
2. State Surcharge. ** Add the State Building Code Division ,�
Surcharge to each permit. �-�,j,�D�?r `'� x .0005 $ �� ,`
(contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 6� ,(,� J�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
�N�rk includi_ne 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 aze furnished by the owner,
ten�uit 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 [he actual contract.
** The STATE SURCHARGE is .000� of the contract pr;ce under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Uepactment 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 conect. - --
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A licant's Si nature:' � f� ,% te:
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Approved By: Date:
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� DATE TIME �
CITY OF ORONO CALLED IN 7'�Z���
INSPECTION NO IC � SCHEDULED '7-fS"�vj %U:��c��-
PERMIT NO. �' ��' COMPLETED
ADDRESS ��) S� f'�/���Lclr'<<� �y �''c�,G.
OWNER YC-'i1�/S-�. CONTR. ;� �{.�2.T;
TELEPHONE NO. �„P �� " S��Z.S� ��'Lr�7
� DESCRIPTION
� 01 FOOTING � 11 MECHANICAL R� 18 EXCAV/GRADING/FIL�ING
Q 02 FRAMING L FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
� 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:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (J52� 249-4600
OwnerlContrac n 'te
Inspector. '
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