HomeMy WebLinkAbout2002-P04864 - Mechanical CI�Y�F ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po4g64
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2iii2oo2
SITE ADDRESS: 4148 Highwood Rd
MOLJND,MN 55364
PID: 07-117-23-44-0029
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,766.00
State Surcharge Fee: $ 1.38
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.88
APPLICANT: Automatic Garage Door&Fireplace OWNER: JANET L EIDE
9210 Wyoming Ave.No. 4148 HIGHWOOD RD
Brooklyn Park,MN 55445 MOUND MN 55364
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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APPLICANTPERMITEES[GNAT[JRE �� I S BYSIGNATURG
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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CITY OF ORONO APPLICATIOti FOR �IECH�'�1ICAL PERMIT
BoY 66 (27�0 Kelley Parkway)
Crystal Bay, �Iti' S�323
GENERAL I�'�1FORNIATION
1. You may apply for mechanical permits by mail or in person at the City offices. �lpplications will be
reviewed and a permit will be issued within 2 working 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 SITE.
3. Ivlechanical DesiQns - Complete calculations, details and specifications are required for each heatin�,
ventilation, humidification-dehumidification, and air coaditioning installation includin�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 heatin� equipment
sha:: 4;so �e p:ov:��d. .
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
�. Ail 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 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 249-4600.
Please check one: New Addition Repair Replace
� Residential Commercial
JOB SITE: c.i �y� I�.t,�;�x�a 120� ZiP: 5 S 3Lo�/
Owner's Name:� ��,ti,.�-�- �i,�'�f Telephone Number: �J� ,y�a _Co3S/
1�Iailing Address:�� �,�,�,.,� City: � . Zip: ��;3�c.�l
Contractor'sName:('�'�-n.`�.c., �,ti��;� ��� TelephoneNwnber:`7c���3-3/S -7S�C�
NlailingAddress:��10 �,:�, �, � L�t �����ty:(:' , . � � Zip: ; 5 ��/�fS �
Pci�
SYSTENI DESCRIPTION
HEATING SYSTEMS
iliiaiiiii"y":
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFi�1:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Po we r — - — ---- ---- --- - -----
4
FIREPLACES
� Gas factory tireplace
Wood burnina factory fireplace with flue
Wood Stove y
Wood stove with flue
Brand Name '���,��' tilodel No. > > ��
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PER�IIT FEE CALCLTI.ATION
1. 1.25% c�f Contract Price* or Minimum Fee ($35.00)
��Co�.C,� x .olzs � � 35,0�
(contract pricej
2. State Surchar�e. "* Add the State Buildin� Code Division
Surcharge to each permit. ��C�� .C U x .0005 $ �, �_
or $.50, whichever is greater (contract pricej
3. PostaQe and Handlina (Only mail-in applications) $ 1.�0
4. TOTAL PERI�IIT FEE (Add lines 1-3 above) $ �^� kX
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the r�rnutted
woric inciuding materiais, Iabor, proiit, and o�her iixed costs. It is the amount to be char;ed to the customer
for the work done. If any material, equipment, labor, or installation are furnished by the owner. .enant 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 even[that there is a dispute on the amount of the job cost, [he Ciry ma}
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 s greater.
For valuations over �1,000,000 call the Department of Inspectional Services for the price.
The undersiQned 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 �iinnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC � scHE�u�Eo �
PERMIT NO. � COMPLETED �" `�vZ �
ADDRESS 'l; �
OWNER �::�.p���'I �i�;� C NTR. `�,�i`}'Il.�`'
TELEPHONE NO. l,�-��� �t�� ��c } - � /� ��,
� DESCRIPTION I�" ( l/1�'�t.. � ��L�-(. C'� '- � �}-�C
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 COMPIAINT
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
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContr on site:
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Inspecto�%T c__--
White Copyllnspector's File Canary Copy/Sfte Notice