HomeMy WebLinkAbout2004-P08174 - mechanical PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 Po81�4
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: ivioi2ooa
SITE ADDRESS: 2697 Kelly Ave
Excelsior,MN55331
P I D: 20-117-23-14-0007
DESCRIPTION:
Proposed Use: Residential
Pernnt Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,450.00
State Surcharge Fee: $ 0.73
TOTAL FEE: $ 35.73
APPLICANT: Heating&Cooling Two Inc. OWNER: Patty Morris
18550 County Road 81 2697 Kelly Ave
Maple Grove,MN 55369 Excelsior,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
_ � ' -�
NT ERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
� i •
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may ap�ly for mechanical permits Uy mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be 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 Desi r�is - Complete calculations, details and specifications are required for each heating,
ventilation, huinidification-dehuinidification, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipinent ratings and identification as to type, manufacturer and
model. Data shall Ue 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 Unifoim Mechanical Code/State Building Code
requirements.
6. All worlc must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House IIeating Test Record must be submitted Uefore 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: �� � "1 � � � �� ��' l- Zip: S��
Owner's Name: �l p (� �j S Phone Number: ���� �1.,�j a �'��
Mailing Address: s�-1r'��� City: Zip:
Contractor's Name: � i d �o �� �� Phone Number:7 lo� �d�" 3 l�1 �'
MailingAddress:���S c7 *�a� � 1 City: 7�1,���. Gre��� Zip: 5j"3lr �
1
, �
SYSTEM DESCRIPTION '
HEATING SYSTEMS
Quantity:
Make: �� Q i�-,l�i ��h°;� ��`�rL
Model: �� J �
Fuel: ' �-
Flue Size: ��
I„put sTus: �� rti�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood Uurning factory fireplace 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
1 `
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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced Uy the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
�J%�5 � x .0125 $
(conh�act 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. Postage and Handlin� (Only�nail-in applicr�tions) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*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. [f any material,
equipment,labor,or installation is furnished Uy 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,[he City may request the submission of a signed copy of the actual contract.
**The STATE SURCNARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$I,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: �}w.o Date: /�-/0 , C `/
Approved By: Date:
3
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DATE TIME
CITY OF ORONO CALLED IN 1�'/�5
INSPECTION NOTI �E\� SCHEDULED =�'-I(� c� C- � �U (
PERMIT NO. �'J � COMPLETED
ADDRESS �l�'j�� ���-cr, ,�-��
OWNER n��-�-�i �'�c�'r,; CONTR. --1 I��i �- C��� I���i Z
J
TELEPHONE NO. `75 � r� ��` 7� v��—
� DESCRIPTION L�'��^���z 1-��C�'p�'
� O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MEC�HANICAL FIN� 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD�URNER/FIREPLACE 34 TREE REMOVAL
� 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
? �FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 0 MO-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/FEMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN
INSPECTOR WILL RETtJRN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContraG�iSr�i s t :
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
� �� Y
DATE TIME
CITY OF ORONO CALLED IN � - /2 f�Y
INSPECTION N� SCHEDULED 1 f-i� �' 6 �"�
PERMIT NO. COMPLETED
ADDRESS � G �
OWNER "C'� �.vf!'rj CONTR. � � 'I r 2-
TELEPHONE NO. 7So� �� 1�- 7I��
� DESCRIPTION -��--��c.-� ���- % � ��:'' ��Sfi
� 01 FOOTING 11 MECHAN AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 13 CHANICAL 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 COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe n t inspection 24 hours in advance. (952� 24J-4600
OwnerlContr ite:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice