HomeMy WebLinkAbout2006-P10134 - mechanical PERMIT
CITY OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P10134
Cry:tal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
. (952) 249-4600 Date Issued:
7/24/2006
SITE ADDRESS: 4195 Highwood Rd Unit#
Mound,MN 55364
P��� 07-117-23-44-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 62.50 Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
APPLICANT: Twin Peaks Heating&Air Conditioning OWNER: Douglas&Roban Smith
12901 221 st Ave.NW 4195 Highwood Rd.
Elk River,MN 55330 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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LICANT PE d EE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), ]-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 3
FOR C[TY USE ONLY
,�` City of Orono
4�`�' P.O.Box 66 Date Received: Permit#
�"• � 2750 Kelle Parkti�a
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. '�j{'�;�r'_ � Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO -MECHANICAL PERMIT
(Ali Commercial peimits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pennit cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERivIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 ratings and identification as to
type,manufacturer and model. Data shall be presented on foim provided.
4. When any new consn-uction or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work irnist be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
❑Residential ❑ Commercial(Approval Required)
[�New ❑Additional ❑Repairs ❑ Replace
Job Site/Owner Information:
_ �at�'ag'� U O Ll
Site Address: i � � U
Owner: Mailing Address:
City: Q r0YtC9 Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��, n �c'4�S �-I9td A��Contact Person: C I4' 76 3 �2�'` - �y�
Address: J'2`lp l ��.1 sT���e �Nl State Bond #: � 3 ����(f 3
City: .���� �Ci ✓c'_r Zip:5S3�Q Expiration Date: ���f g -O�
Phone: z(�3 �Y`i(—�,C�6� Altei-�late Phone: `I6� `�/�//���
❑ Insurance-Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS �
Quantity: �
Make: �� /��
Model: �(� Z �
Fuel: /(/R't��S
Flue Size: �/�� c�/Yc_��
Input BTUs: C'���
Output BTUs: y2��
CFM: cJv(_J
COOLING SYSTEMS
Quantity: �
Make: rIQ I�(^
ModeL• f��/�
Tons: � � 5 To rti
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wo�d Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ I�To. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
. PERMIT FEE CALCULATION(S)
. BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fi�ture or appliance that meets all tlu•ee 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: aiid
3. Is improved,installed or replaced by the homeowner or licensed conri�actor.
Skip next section, if this applies; Cost of Pernut $ 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)
�OBO �%�
x .0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $
(cont�•act price) (minimum� .50)
3. POSTAGE&HANDLING(Only on Mail-In 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
pernutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to tlie customer for the work done. If any material, equipment, labor or instailations are furnished by
the ov�mer, tenant or any oiher party, the reasonable market value of such items must be added to the
estimated cost or contract price for pernut 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 Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: �� � Date: ���� ^�'C>
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CITY OF ORONO CALLED IN
INSPECTION N I E SCHEDULED 7 d ��3D
PERMIT NO. � COMPLETED
ADDRESS y/g� ���i'�'D� ��
OWNER CONTR. /Gt>//! �C'�
TELEPHONE NO. ?�3 0?��o CP�BO
� DESCRIPTION ���� �-�
tL 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
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� COMMENTS:
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� ❑CORRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CI�RRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR v CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-46��
OwnerlCo r ite:
Inspector_
White Copyllnspector's F e Canary CopylSite Notice
• - CITY OF ORONO PERMIT NO.: 2009-oo�s2
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 05/OU2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 4195 HIGHWOOD RD
PIN : 07-117-23-44-0022
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
APPLICANT SPRINKLERS 3 5.00
SPRINKLER SYSTEMS,INC. STATE SURCHARGE FLAT-OTHER 0.50
2841 HEDBERG DRIVE
MINNETONKA,MN 55305- TOTAL 35.50
(952)922-1202 PAID WITH CC# 9018 .
OWNER
SMITH,DOUGLAS&ROBAN
4195 HIGHWOOD RD.
MOLJND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only khe work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if consVuction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
voked at any time for due cause.
�� � �-� �5i o // �
pplic t Pe Signature Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
'�� �5 �_ �C��,� -
- ,� � LU��Z
�
Please check one: New�_ Addition Limited Energy Technology
Systems License# �'S Qp 5 7 3
JOB SITE
Owner's Name ��_��AS ►�o�o.�. �t�n�'�"� Telephone Numberq�jZ,-�7 L'7 3 0�
Mailing Address ����"j ��q� �,�,f,a � - � _ p�,.��rn n $�3��
����—
SprinklerContractor'sName�Tri�klcr SvS�... ��„�'elephoneNumber�CSaqa-a.�aba.
ContactPerson ���,� ���,�o,,�
Mailing Address���{( �-�c�b�ra �.,j m�.K�, m , � ,r-,�3 O�S_
WATER SUPPLY
Lake� Well City
BACKFLOW DEVICE
AVB PVB
Year of
Make Model Manufacture uanti
Sprinklers �;,��;�.9 ��pp q�.�� � �.�
_ •r� �c 2 �e o1
1�a.�v�. �►i-cQ 1'3t�0 A -1r od� �
TOTAL
HYDRAULIC CALCULATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: Sq. Ft.
No. of Sprinklers: � t��,
Total Water Required: L r.2ae s zo,.� � � �Z GPM
PERMIT FEE CALCULATION
1. Permit Fee $ 35.00
2. State Surchar�e $ .50
3. Mail-In Fee $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
The undersigned hereby applies to the City for issuance of a Sprinkler System Permit, agrees to do
all work in strict accordance with the ordinances of the City and State regulations, and certifies that
all statements made on this application are complete, true and correct.
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Applicar�it� `"�� Date � - �—Q
**************** *************************************************************
Approved Approved with Corrections D��
Reviewed By: ����t✓C�t�(J Date �- � �'� �
A r
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CITY OF ORONO
APPLICATION FOR LAWN SPRINKLER SYSTEM PERMIT
, , , , . . . . .. � . • , �
GENERAL INFORMATION,• , . ;, . - ; �
, . , .
' 1.- You may apply for sprinkler system permits by maiI(P.O.Box 66, Crystal Bay,MN 55323)
or in person at the City offices (2750 Kelley Par.kwa}r). Submit p�ans for review with this
application.
� , . p. .
2. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT
BEGIN LJNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3. When any new construction or remodeling is involved, a separate building permit must be
obtained.
4. All work must be done in accordance with City and State Building Code requirements.
5. Two (2) sets of working plans shall he submitted for approval to t�� authority having
jurisdiction before any equipment is instal�ed or r�modeled. Deviation fi-orr�approved plans
will require permission of the authority having jurisdiction.
� �' Workin�plans shall be drawn to an indicated scale on sheets of uniform size with a plan of
the site so that they can easily be duplicated and shall show the following data:
a. Name of owner and occupant.
b. Location, including street address.
c. Point of compass.
d. Location of septic system if applicable.
e. Source of water supply.
f. Pipe size.
g. Pipe location.
h. All control valves, check valves, drainpipes.
i. Name and address of contractor.
6. All work must be inspected (final). Call (9S2) 249-4600.
24-Hour Notice Required
INSTRUCTIONS Complete all items on this application. Incomplete applications will not be
processed. If you have questions, call (952) 249-4600. You will be notified by phone when the
permit review is complete.
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CITY OF ORONO CALLED IN
INSPECTION NO�TICE /o SCHEDULED 3:-�
PERMIT NO.Q�lLLL���` a�COMPLETED
ADDRESS �
OWNER ON R. s�/�
TELEPHONE NO. Z� �� ' `v��o2
� DESCRIPTION �%'���� �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FIN L ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS: �
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❑CORRECT WORK 8 PROCEED ��� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTIONREWiRED.CALLTOARRANGEACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice